Questions to Ask Your Doctor

Situation 5: Pain Persists After Surgery

Understanding Your Situation

  • What is causing the pain?
  • Was the surgery successful?
  • Does this mean the imaging shows improvement, but pain continues?
  • Is this post-surgical spinal pain syndrome (also called FBSS)?
  • How long might nerve recovery take?

About Future Treatment

  • Will this pain improve over time?
  • Is additional treatment needed?
  • Is reoperation necessary? What is the success rate of reoperation?
  • Is SCS (spinal cord stimulation) an option?
  • What is the success rate of SCS for post-surgical pain? (Around 60-80%?)
  • Which is better for me -- reoperation or SCS?
  • Can you refer me to a pain clinic or SCS specialist?

About post-surgical pain: Even when surgery resolves structural problems, neuropathic pain may remain. This is called "post-surgical spinal pain syndrome" (also known as failed back surgery syndrome, or FBSS), and it is one of the best indications for SCS (success rate 60-80%). If your pain continues 3 to 6 months after surgery, we recommend considering SCS.