title: A case of severe low back pain after surgery.
abstract: The etiology of chronic back pain is often unknown but can include failed spinal surgery. Pain can often be of mixed type and it is important to evaluate pain mechanisms. Comorbid factors often contribute to pain chronicity. Multimodal treatment, including opioid rotation where indicated, may offer a successful management approach. Other rehabilitative procedures such as physiotherapy, exercise therapy, and good sleep hygiene may have a profound impact on patient quality of life. Spinal cord stimulation may be an effective option for some patients with failed spinal surgery syndrome. A case of severe low back pain after surgery in a 45-year-old man is presented to illustrate this.
authors.forename: Annica
authors.initials: A
authors.lastname: Rhodin
mesh_terms: D000701:Analgesics, Opioid / Q000627:therapeutic use; D059350:Chronic Pain / Q000209:etiology / Q000628:therapy*; D003131:Combined Modality Therapy; D005081:Exercise Therapy / Q000379:methods; D055111:Failed Back Surgery Syndrome / Q000628:therapy*; D006801:Humans; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011788:Quality of Life; D012720:Severity of Illness Index; D062187:Spinal Cord Stimulation / Q000379:methods
chemical_list: D000701:Analgesics, Opioid
keywords: back; pain; physical therapy; postlaminectomy syndrome; spinal cord stimulation; surgery