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Failed back surgery pain syndrome: therapeutic approach descriptive study in 56 patients

OBJECTIVE: The authors show the clinical evaluation and follow-up results in 56 patients diagnosed with a failed back surgery pain syndrome. METHODS: Descriptive and prospective study conducted over a one-year period. In this study, 56 patients with a failed back surgery pain syndrome were assessed in our facility. The age ranged from 28 to 76 years (mean, 48.8 +/- 13.9 years). The pain was assessed through a Visual Analog Scale (VAS). RESULTS: Postoperative pain was more severe (mean VAS score 8.3) than preoperative pain (7.2). Myofascial pain syndromes (MPS) were diagnosed in 85.7% of patients; neuropathic abnormalities associated or not with MPS were found in 73.3%. Drug therapy associated with physical medicine treatment provided > 50% pain improvement in 57.2% of cases; trigger point injection in 60.1%, and epidural infusion of morphine with lidocaina in 69.3% of refractory cases. CONCLUSION: In patients with a post-laminectomy syndrome, postoperative pain was more severe than preoperative pain from a herniated disk. A miofascial component was found in most patients

Keywords : abnormalities,Adult,Aged,Analgesics,Analgesics,Opioid,Anesthetics,Local,Back,drug therapy,Failed Back Surgery Syndrome,Female,Humans,Lidocaine,Male,methods,Middle Aged,Morphine,Myofascial Pain Syndromes,Pain,Pain Measurement,Pain,Postoperative,Patients,physiopathology,Prospective Studies,surgery,Syndrome,therapeutic use,therapy,, Back,Surgery,Pain,Syndrome,Therapeutic, hypermobility spectrum disorder treatment

Date of Publication : 2011 May

Authors : Teixeira MJ;Yeng LT;Garcia OG;Fonoff ET;Paiva WS;Araujo JO;

Organisation : Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

Journal of Publication : Rev Assoc Med Bras (1992 )

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21691691

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