Pain after surgery

Every patient perceives pain differently. Whether doctors use minimally invasive, microsurgery or open procedures, pain can occur after surgery. However the following rule of thumb applies: the less surrounding tissue that doctors injury, the quicker the wound healing process and the fewer the symptoms. For this reason, we try wherever we can to use a minimally invasive approach and only carry out open surgery if the situation requires it.

In addition to the usual pain of the healing process, open procedures can sometimes trigger chronic pain. The pain sometimes radiates to the arms or legs, even though the surgery was anatomically successful. This can be due to any of the following reasons: Development of a pain memory or chronification of the pain if patients wait too long, receive inadequate post-operative support, have psycho-social problems, adhesions and similar issues. In some patients, these symptoms may not occur until months or even years after the original treatment.

Symptoms

The symptoms depend very much on your individual situation and your own perception. Patients complain of diffuse or localised back pain with or without radiation to the legs or arms.

Treatment

The usual post-operative pain is treated with medications. To relieve chronic pain our clinic also uses minimally invasive procedures such as spinal cord stimulation (pain pacemaker) and ice therapy.

Where there is nerve entrapment due to scarring, we initially start treatment with conservative therapies. Only if these approaches fail to achieve an adequate effect do we consider other, minimally invasive methods. A procedure that acts both as pain therapy and treatment of the cause of the pain is epidural infiltration (EpIn).

To shrink the disruptive tissue, we use percutaneous laser disc decompression (PLDD) or percutaneous nucleotomy. Where there is severe nerve narrowing, microsurgery is used.