How to Treat Post-Laminectomy Syndrome Pain

If you've had spinal surgery, you're likely expecting less pain—not more. But for some patients, pain continues—or even worsens—after a procedure like a laminectomy or discectomy. This lingering or returning discomfort is often diagnosed as Post-Laminectomy Syndrome (PLS), sometimes referred to as Failed Back Surgery Syndrome (FBSS). And while the name may sound discouraging, the truth is this: you still have options.

At Medici Orthopaedics & Spine, we specialize in helping patients throughout Georgia find lasting relief after back surgery through non-opioid, minimally invasive treatments designed to target the real source of post-surgical pain.

What Is Post-Laminectomy Syndrome?

Post-laminectomy syndrome refers to chronic pain that persists after spinal surgery—typically following procedures meant to relieve pressure on the spinal cord or nerves, such as:

  • Laminectomy
  • Discectomy
  • Spinal fusion
  • Decompression surgeries

Rather than resolving pain entirely, some patients experience:

  • Ongoing back or leg pain
  • New pain that arises after a short period of relief
  • Symptoms that shift or worsen over time

This condition doesn’t mean the surgery was unnecessary—it simply means additional care is needed to complete your recovery.

How Common Is It?

Studies suggest that up to 40% of patients who undergo back surgery may experience some form of persistent post-operative pain. While many improve over time, some are left feeling discouraged, confused, or told there’s “nothing more to be done.”

That’s where Medici steps in—with a multidisciplinary approach that focuses on identifying the root cause of your pain and developing a custom, whole-person care plan.

Why Pain May Persist or Worsen After Surgery

There are several reasons why spinal surgery may not fully resolve your pain:

  • Scar tissue near nerve roots that causes ongoing irritation
  • Residual or missed compression on spinal nerves
  • Spinal instability, misalignment, or degeneration above/below the surgical site
  • Hardware-related pain or inflammation
  • Central sensitization—a neurological condition where the brain amplifies pain signals over time

In many cases, these causes are treatable—without the need for additional surgery.

The Importance of Individualized Follow-Up Care

Every spine is unique, and so is every recovery. A “one-size-fits-all” plan won’t work for complex post-operative pain. At Medici, our team of orthopedic spine surgeons, interventional pain specialists, and physical therapists works together to:

  • Pinpoint the cause of your ongoing pain
  • Create a customized treatment plan
  • Offer non-surgical, evidence-based solutions
  • Help you reduce pain, restore mobility, and reclaim your life

We believe your first surgery doesn’t have to be your final outcome.

Symptoms of Post-Laminectomy Syndrome

It’s one of the most frustrating experiences for spine surgery patients: you went through surgery expecting relief, but the pain is still there—or it’s come back with a vengeance. This is the reality for many individuals living with Post-Laminectomy Syndrome (PLS), also known as Failed Back Surgery Syndrome (FBSS).

At Medici Orthopaedics & Spine, we understand the complex symptoms of PLS and offer targeted solutions to address both the physical and emotional toll this condition can take.

Chronic Back or Leg Pain After Surgery

The hallmark symptom of post-laminectomy syndrome is persistent pain in the same area that was operated on—typically the lower back or legs. This may feel:

  • Similar to your pre-surgery symptoms
  • Worse than before surgery
  • Different in quality or intensity (burning, aching, or stabbing)

Pain may also shift to new areas, indicating a nerve irritation or compensation issue that needs attention.

Numbness, Burning, or Weakness

Beyond pain, many patients report neurological symptoms such as:

  • Tingling or numbness in the feet, legs, or buttocks
  • Burning or electrical sensations that disrupt sleep or movement
  • Muscle weakness or instability, especially when walking or standing

These symptoms often point to residual nerve compression or scarring and should be assessed through specialized imaging and nerve conduction studies.

Pain That Returns Months Later

Some patients feel great right after surgery—only to have symptoms return weeks or months later. This delayed pain can be caused by:

  • Scar tissue forming around nerve roots
  • Instability or degeneration at adjacent spinal levels
  • Ongoing inflammation or postural imbalances

Pain that returns after an initial period of relief should never be ignored. At Medici, we help identify and treat the cause before it becomes chronic.

Psychological Effects: Frustration, Depression, Fatigue

When pain persists after surgery, it’s not just your back that suffers. Post-laminectomy syndrome often leads to:

  • Emotional burnout and discouragement
  • Sleep disturbances and mental fog
  • Increased anxiety or depression related to your health and independence

That’s why we treat more than just the physical symptoms. Medici’s approach includes whole-person support to help you regain confidence and clarity alongside physical recovery.

How to Treat Post-Laminectomy Syndrome Pain

At Medici Orthopaedics & Spine, we understand that recovering from back surgery doesn’t always mean the pain is over. That’s why we take a targeted, patient-specific approach to treating Post-Laminectomy Syndrome (PLS), combining diagnostics, interventional therapies, and non-surgical innovation to help you finally find relief.

Diagnostic Imaging and Nerve Testing

Before treatment begins, we perform comprehensive testing to uncover the exact cause of your post-surgical pain. This may include:

  • MRI or CT scans to visualize scar tissue, inflammation, or hardware complications
  • Electromyography (EMG) to evaluate how well nerves are functioning
  • Nerve conduction studies to detect delayed or abnormal signal transmission

With this information, our team can pinpoint the source of pain—whether it’s structural, neurological, or scar-related—and design a precise treatment strategy.

Targeted Injections and Nerve Blocks

One of the most effective ways to manage post-laminectomy pain—especially when nerves are involved—is through precisely guided injections that reduce inflammation and interrupt pain signals.

Common options include:

  • Epidural steroid injections to calm irritated spinal nerves
  • Medial branch blocks to target facet joint-related back pain
  • Diagnostic injections to identify pain sources before moving forward with long-term treatment

These procedures are minimally invasive, performed in-office under fluoroscopic guidance, and often provide rapid relief that helps patients re-engage in physical therapy and daily activity.

Spinal Cord Stimulation

For patients with severe, long-term nerve pain who haven’t responded to conservative measures, Spinal Cord Stimulation (SCS) offers a powerful solution.

This treatment involves placing a small device near the spine that sends gentle electrical pulses to intercept pain signals before they reach the brain. It’s especially effective for:

  • Burning, tingling, or shooting nerve pain
  • Pain following spinal fusion or decompression
  • Failed Back Surgery Syndrome with no surgical solution

SCS is reversible, customizable, and comes with a trial phase so you can see if it works before committing to implantation.

Physical Therapy and Movement Correction

Pain after spine surgery often isn’t just about what happened during the procedure—it’s also about how your body moves afterward. At Medici Orthopaedics & Spine, our physical therapy team designs individualized programs to help you:

  • Rebuild core and spinal strength
  • Restore proper posture and alignment
  • Improve flexibility and joint mobility
  • Prevent further irritation of sensitive nerves

Our therapists are specially trained in post-surgical rehabilitation and use a combination of manual therapy, neuromuscular re-education, and low-impact conditioning to safely restore function—without flaring your pain.

Regenerative Medicine

For patients with lingering inflammation, scar tissue, or soft tissue damage, regenerative therapies can offer relief by stimulating the body’s own healing process.

We use:

  • Platelet-Rich Plasma (PRP) therapy to promote tissue repair
  • Biologic or cellular injections to reduce inflammation in joints, fascia, and surrounding tissues
  • Prolotherapy to help stabilize lax ligaments or weak structures around the spine

These treatments are non-surgical, safe, and particularly effective when combined with physical therapy or interventional pain procedures.

Medication Management (Non-Opioid)

At Medici, we believe in targeted, responsible medication use that supports healing—not dependency. That’s why our pain specialists use a non-opioid approach whenever possible, including:

  • Neuropathic pain medications (e.g., gabapentin, pregabalin, duloxetine) to calm overactive nerves
  • Topical creams or patches (e.g., lidocaine, capsaicin) for localized relief
  • Anti-inflammatory medications and supplements to reduce swelling naturally

Each medication plan is tailored to your unique condition, adjusted regularly, and used in combination with physical and regenerative therapies to achieve lasting results.

Get a Second Chance at Relief

Still in pain after spine surgery? Medici can help you heal.
Living with Post-Laminectomy Syndrome doesn’t mean you’ve run out of options—it means it’s time for a smarter, more personalized approach. At Medici Orthopaedics & Spine, we specialize in helping patients who feel stuck after surgery finally move forward with non-surgical, non-opioid, and medically advanced solutions.

📞 Call today: +1-844-328-4624
📅 Schedule your consultation: https://medicimedicalarts.com

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✅ We accept Medicare and most major insurance plans
📍 Visit Medici at our convenient Georgia locations: Marietta, Buckhead, Snellville, and Kennesaw

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