The Orthopedists relieve the pain through a Spinal Surgery that fuses two vertebrae using plates and screws, to remove disc herniation, make spine corrections, among others.
In my experience, I suggest surgery just if the pain is intractable and if the patient has progressive weakness of the leg or if he loses function of the bladder and bowels.
The consequences of this procedure could result in instability of the spine, accelerated degeneration, possible re-herniation of the disc or develop a post-laminectomy syndrome or failed back surgery syndrome.
The patient may have had spinal surgery, recovered well, and now have developed a new and separate problem at an adjacent level, experiencing unchanged or worsened pain.
The initial treatment is a proper evaluation (including history, physical examination and imaging tests) with a qualified Pain Management Specialist, who can understand and treat your chronic pain.
Minimally invasive injections such as Epidural Steroid Injection or a selective nerve root block may be utilized to confirm the source of your pain and provide some therapeutic relief.
Physical therapy may be also used to restore function and mobility.
Some cases of post-laminectomy syndrome that are resistant to other treatments, may be treated with Spinal Cord Stimulation.