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10.1177/2049463712470222

http://scihub22266oqcxt.onion/10.1177/2049463712470222
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C4590103!4590103!26516487
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suck abstract from ncbi


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pmid26516487      Br+J+Pain 2012 ; 6 (4): 153-61
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  • Failed back surgery syndrome: a suggested algorithm of care #MMPMID26516487
  • Ganty P; Sharma M
  • Br J Pain 2012[Nov]; 6 (4): 153-61 PMID26516487show ga
  • Failed back surgery syndrome (FBSS) is a complex condition which can be very difficult to treat. In this article, we propose a pragmatic algorithm for the management of the syndrome. The management of this condition should include a comprehensive initial assessment to rule out treatable cause, pharmacological optimisation, psychological techniques and neuromodulation. There is good evidence to support early application of conventional spinal cord stimulation for FBSS patients suffering from predominant buttock and leg pain. Emerging techniques in neuromodulation such as high-frequency spinal cord stimulation, peripheral nerve field stimulation and dorsal root ganglion stimulation hold promise for the future, but long-term outcome regarding efficacy and safety is not yet established. Intrathecal drug delivery systems should also be considered in those who are unsuitable or unresponsive to neuromodulation and still warrant further treatment. However, the long-term outcome may not be as good as with other treatments mentioned above.
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