title: [Multimodal therapy concepts for failed back surgery syndrome].
abstract: Failed back surgery syndrome (FBSS) is a frequent complication (15-40 %) of lumbar disc surgery and is rarely successfully treated by surgery with the exception of a re-prolapse associated with radicular pain. Multimodal pain treatment, however, is indicated by a lack of pathoanatomical correlates, unclear cause and psychosocial risk factors.This review describes a standardized non-operative treatment starting with broad interdisciplinary clarification by medical, psychological and physiotherapeutic means (assessment).If the conditions for multimodal pain therapy are met, the OPS 8‑918-procedure can be applied to avoid chronic developing pain. In doing so, the already issued quality standards and guidelines for documentation should be respected.
authors: DRK Schmerz-Zentrum Mainz, Auf der Steig 16, 55131, Mainz, Deutschland. hans-raimund.casser@drk-schmerz-zentrum.de.
authors: Hans-Raimund
authors: HR
authors: Casser
mesh_terms: D000700:Analgesics / Q000627:therapeutic use*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy / Q000295:instrumentation / Q000379:methods; D019317:Evidence-Based Medicine; D055111:Failed Back Surgery Syndrome / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D000700:Analgesics
keywords: Back ache; Disk prolapse; Failed back surgery syndrome; Multimodal treatment; Pain, chronic