title: The Effectiveness of an Intensive Interdisciplinary Pain Rehabilitation Program in the Treatment of Post-Laminectomy Syndrome in Patients Who Have Failed Spinal Cord Stimulation.
abstract: Post-laminectomy syndrome (PLS) patients who have previously undergone spinal cord stimulation and failed to have significant improvement create a unique challenge for ongoing pain management. We hypothesize that, following successful completion of intensive, interdisciplinary pain rehabilitation (IPR), this patient population can achieve a significant reduction in pain, improvement in mood, functional levels, and self-efficacy.
  
  
  
  A retrospective chart review was conducted comparing the following for patients prior to enrollment in the IPR program and upon completion: numeric rating scale (NRS) pain scores; functional status via the six-minute walk test; mood via the Center for Epidemiologic Studies Depression Scale (CES-D), Multidimensional Pain Inventory (MPI) Life control scores and MPI Interference, and the Pain Catastrophizing Scale (PCS); and self-efficacy via the Pain Self-Efficacy Questionnaire (PSEQ).
  
  
  
  Forty-three patients met inclusion criteria, with 17 males and 26 females and a mean age of 64 years. Patients demonstrated a statistically significant increase in six-minute walk test distance of 104 m, a decrease in average NRS pain score of 1.4 points, an increase in average MPI life control by 8.3 points, a decrease average MPI interference by 5.3 points, an increase in average Short Form-36 by 6.5 points, an increase in average PCS by 4.4 points, and an increase in average PSEQ score of 18.1. Their average mood via CES-D improved by 4.2 points.
  
  
  
  Intensive, interdisciplinary pain rehabilitation provides an effective therapeutic modality for patients with post-laminectomy syndrome who have failed spinal cord stimulation by decreasing pain levels and by increasing functional status and self-efficacy.
authors.affiliation: Department of Pain Medicine, Mayo Clinic, Jacksonville, Florida, USA.
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Bailey
authors.affiliation: Department of Pain Medicine, Mayo Clinic, Jacksonville, Florida, USA.
authors.forename: Svetlana
authors.initials: S
authors.lastname: Kurklinsky
authors.affiliation: Department of Pain Medicine, Mayo Clinic, Jacksonville, Florida, USA.
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Sletten
authors.affiliation: Department of Pain Medicine, Mayo Clinic, Jacksonville, Florida, USA.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Osborne
mesh_terms: D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods; D005081:Exercise Therapy / Q000379:methods; D055111:Failed Back Surgery Syndrome / Q000628:therapy*; D005260:Female; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000534:rehabilitation*; D059408:Pain Management / Q000379:methods*; D012189:Retrospective Studies; D062187:Spinal Cord Stimulation
keywords: Intensive Interdisciplinary Pain Rehabilitation Program
                      (IPR); Multidimensional Pain Inventory; Pain Catastrophizing Scale; Pain Self-Efficacy Questionnaire; Post-Laminectomy Syndrome; Spinal Cord Stimulation