Preventing failed back surgery

Surgeons should understand that failed back surgery is best prevented by eliminating unnecessary surgical interventions. A pre-op diagnosis will often be performed by a medical doctor, a physical therapist or osteopathic physician and in some cases even by a chiropractor. Getting the correct diagnosis involves analysis of the patient’s medical history, physical examination, with the now increasingly necessary MRI or X-ray scan. The complete diagnosis should indicate alternate treatments besides surgery, and include it only as a last resort treatment. Treatment in these cases focuses on more conservative measures, starting with rehabilitation and pain management, another surgery being the least expected measure. Exercise, manual therapy, pain medication and cord stimulators are used to attenuate the pain.