The Specialist Pain CentreDr. Raj Anand · Sydney
Ongoing Pain After Previous Surgery
All ConditionsPost-Surgical Care

Ongoing Pain After Previous Surgery

Continued back, neck, or nerve discomfort after past spinal operations or joint surgeries.

Overview

Persistent post-surgical pain — including failed back surgery syndrome (FBSS) — affects a significant proportion of patients after spinal or joint procedures. It may stem from scar tissue formation, residual nerve damage, or altered spinal biomechanics.

Common Symptoms

  • Pain that didn't fully resolve after surgery
  • Scar tissue irritation around delicate nerves
  • New aching in nearby joints carrying extra load

Common Causes

  • Epidural fibrosis (scar tissue) compressing nerve roots
  • Adjacent segment disease after spinal fusion
  • Hardware-related pain or implant irritation
  • Incompletely decompressed nerve root or recurrent disc herniation
  • Central sensitisation — the nervous system remaining in a pain state

Our Treatment Approach

  • Spinal cord stimulation — the gold-standard intervention for FBSS
  • Epidural adhesiolysis (Racz procedure) to break down scar tissue
  • Targeted epidural steroid injections to reduce residual inflammation
  • Intrathecal drug delivery systems for complex cases
  • Comprehensive pain psychology and functional rehabilitation

When to Seek Help

If pain remains unchanged or worsens beyond three months after surgery, a specialist review is recommended.