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  5. I had surgery for stenosis at L1 and L2, and even after the third surgery, my chronic back pain persists. What should I do?

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I had surgery for stenosis at L1 and L2, and even after the third surgery, my chronic back pain persists. What should I do?

Asked by Male, 30 · 2 months ago

Dr Bayyarapu Kumar

Dr Bayyarapu Kumar

M Pharmacy

2 months ago

Persistent back pain after multiple stenosis surgeries can occur due to factors such as residual nerve irritation, scar tissue formation, muscle weakness, or changes in nearby spinal levels, and it is vital to consult a spine specialist or pain management doctor who can reassess your condition with a detailed examination and updated imaging to identify the current cause of pain, and based on the findings the doctor may recommend options such as targeted physiotherapy to improve muscle support, medication to manage nerve or inflammatory pain, image guided injections if appropriate, or a structured pain management plan. You should seek prompt medical evaluation if the pain worsens or affects your daily activities.
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Other Related topics like...

What are the chances of success with another surgery?Are there alternative treatments for my back pain?How can I manage pain without surgery?What physical therapy options are best for me?Should I see a pain specialist for my back pain?

  1. Evaluation of Persistent Pain

    • Re-assess with a spine specialist or pain management expert to identify ongoing pain causes post-surgery.

  2. Diagnostic Tests

    • Consider imaging studies (MRI, CT scan) or nerve studies to detect issues like scar tissue or nerve damage.

  3. Pain Management Options

    • Explore non-surgical treatments: physical therapy, NSAIDs, neuropathic pain agents, and interventional procedures like epidural steroid injections.

  4. Multidisciplinary Approach

    • Engage a multidisciplinary pain clinic with physiotherapists, pain specialists, and psychologists for comprehensive care.

  5. Surgical Considerations

    • Further surgery is a last resort, considered only if clear structural problems are identified.

  6. Lifestyle and Support

    • Implement lifestyle modifications, exercise, and seek psychological support to enhance quality of life.

  7. Referral to Specialists

    • Consult a neurosurgeon or orthopedic spine surgeon experienced in complex cases, and a pain specialist for tailored management.

Answered 2 months ago

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