Post Laminectomy Syndrome

Failed back surgical syndrome is a term that is often used to describe the condition of patients who have not had a successful result with back surgery or spine surgery. Unfortunately, back surgery or spine surgery cannot literally cut out a patient’s pain. It is only able to change anatomy. Even with the best surgeon and for the best indications, spine surgery is no more than 95% predictive of a successful result.

Treatment options include medications, physical therapy, caudal adhesiolysis and/or spinal cord stimulation (neuromodulation).

Caudal adhesiolysis is considered if post surgical scar tissue is the suspected source of pain after a spinal surgery. This procedure is done by inserting a catheter in the region of the spinal scar tissue. Then catheter manipulation and intermittent hypertonic saline injections are done to “break up” the scar tissue. Click on this link for more information about caudal adhesiolysis, RACZ Caudal Neurolysis.

Spinal cord stimulation is a procedure where electrodes are placed through an epidural needle into the epidural space over the spinal cord. The electrodes are then used to transmit a signal to the spinal cord that blocks pain and replaces the pain with a more pleasant feeling. Click on this link for more information about spinal cord stimulation, Spinal Cord Stimulator Implant.

Nevada Advanced Pain Specialists is recognized as an industry leader in pain management. We have a state-of-the-art facility in Reno, Nevada, that allows for us to offer the highest possible level of quality care of our patients.

We are committed to providing a comprehensive and multi-disciplinary approach for each individual’s pain complaints to provide the most appropriate care. Our approach includes analysis of biomechanics, joint motion, as well as skeletal, nerve and muscle tissues. Every individual is evaluated for the root cause of their pain – not just a “quick fix” approach to only provide symptomatic relief.

Your pain will be evaluated with latest diagnostic tools and technologies used by the professionals at Nevada Advanced Pain Specialists to make accurate assessments including: EMG/Nerve testing, MRIs, x-rays, bone scans, and diagnostic pain injections.


Over 90% of our facet joint injection patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Over 83% of our epidural patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Overall, 83% of our patients report a better quality of life, 60% report less pain, and 62% report improvement in their function

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