Accurate diagnosis is mandatory for initiation of successful treatment. According to a study by Burton et al.,2 the most common lesions accounting for surgical failure are recurrent or persistent disc herniation, arachnoiditis, epidural fibrosis, along with unidentified myofascial pain syndromes. In summary, I have contacted the neurosurgeons and orthopedic surgeons in the area and encouraged their referral to the chiropractor's office instead of the usual physical therapist. The chiropractor can treat the joints of the spine above and below the fusion to prevent degenerative changes. We can also do soft tissue work to alleviate myofascial problems.
Surgeons understand that the failed back surgery syndrome is an iatrogenic disease.
The best solution is prevention of unnecessary surgery. Failed Back Surgery Syndrome.