How to Avoid Failed Back Surgery Syndrome (FBSS)

Back surgery can be life-changing for patients struggling with chronic spinal pain — but unfortunately, not every outcome is as expected. For some, symptoms persist or even worsen after surgery. This condition is known as Failed Back Surgery Syndrome (FBSS).

While the name sounds daunting, FBSS doesn’t mean your situation is hopeless. It simply describes a set of symptoms that can occur when pain continues after spine surgery. The good news? Many of the risks leading to FBSS can be reduced with the right approach to diagnosis, surgical planning, and recovery.

At Cuéllar Spine, patient education and comprehensive care are at the heart of every treatment plan. Dr. Jason M. Cuéllar believes that empowering patients with knowledge is one of the most effective ways to achieve long-term, successful outcomes.

What is Failed Back Surgery Syndrome?Empty heading

FBSS isn’t a single disease but rather a broad term used when pain — whether in the back, legs, or both — lingers after a spinal operation. Symptoms can include:

• Chronic pain similar to pre-surgery discomfort
• New or increased pain
• Stiffness and reduced mobility
• Numbness, tingling, or weakness in the legs

Studies estimate that FBSS affects a notable percentage of spine surgery patients, underscoring the importance of thorough preparation and realistic expectations before choosing an operation.

Critical Steps Before Considering SurgeryEmpty heading

Accurate Diagnosis

The foundation of a successful outcome is pinpointing the true source of pain. This may require advanced imaging such as MRI or CT scans, and in some cases, targeted diagnostic injections to confirm the pain generator before any surgical plan is made.

Exploring Non-Surgical Options

Surgery should be considered only after other treatments have been exhausted. Dr. Cuéllar often recommends:

• Physical therapy and guided exercise programs to strengthen support muscles and improve mobility.
• A2M injections to address arthritic and inflammatory pain.
• Epidural steroid injections for targeted inflammation relief.
• Lifestyle adjustments such as posture correction, ergonomic changes, and weight management.

Second Opinions & Surgeon Expertise

Seeking a second opinion can be invaluable, particularly for complex cases. Choosing a board-certified spine surgeon with extensive experience in minimally invasive techniques — like Dr. Cuéllar — greatly reduces the risk of unnecessary or ineffective procedures.

Optimizing the Surgical Approach for Better OutcomesEmpty heading

Patient Selection

A careful screening process ensures surgery is the right choice for the individual’s condition, overall health, and goals.

Minimally Invasive Techniques

Minimally invasive spine surgery (MISS) can lead to less tissue disruption, shorter recovery, and potentially lower FBSS risk. Dr. Cuéllar specializes in procedures such as:

• Microdiscectomy
• Artificial Disc Replacement (ADR)
• Spinal Fusion (only when truly necessary, with precision planning)

Avoiding Unnecessary Procedures

Dr. Cuéllar does not perform or recommend certain interventions with limited evidence for long-term benefit — such as decompressive therapy/traction, chiropractic adjustments, radiofrequency ablations, or steroid injections into joints — favoring proven techniques like A2M and select surgical options.

Post-Operative Care and RehabilitationEmpty heading

A successful spine surgery doesn’t end in the operating room. The recovery phase is just as important:

• Rehabilitation adherence: Follow prescribed physical therapy and exercise programs to regain strength and function.
• Lifestyle adjustments: Maintain a healthy weight, avoid smoking, and practice proper posture daily.
• Realistic expectations: Understand that recovery takes time and progress may be gradual.
• Ongoing monitoring: Attend all follow-up visits so any concerns can be addressed quickly.

When to Seek Expert Help at Cuéllar SpineEmpty heading

If you’ve undergone back surgery but still experience persistent or new pain, a comprehensive evaluation is essential. Dr. Cuéllar takes the time to investigate the underlying cause, whether it’s residual nerve compression, scar tissue, or another spine-related condition.

His approach is highly personalized, combining non-surgical treatments, advanced interventional techniques, and when needed, corrective surgery to help patients move forward.

Choose Dr. Cuéllar for Advanced Spine Care in South FloridaEmpty heading

Dr. Jason M. Cuéllar is a board-certified, award-winning orthopaedic spine surgeon with a proven track record in both non-surgical and minimally invasive surgical solutions. His philosophy is rooted in compassion, evidence-based care, and his own personal understanding of spinal injury recovery.

With convenient offices in Jupiter, Palm Beach Gardens, and Aventura, Florida, Cuéllar Spine is committed to reducing the risk of FBSS through meticulous diagnosis, a conservative-first approach, and the most advanced surgical techniques available.

Schedule Your Consultation at Cuéllar SpineEmpty heading

Take the first step toward lasting relief and a better quality of life. Contact Cuéllar Spine today to schedule a consultation with Dr. Cuéllar, discuss your symptoms, and explore the safest, most effective treatment options for your spinal health.