Abstract
After lumbar surgery, some patients experience failed back surgery syndrome (FBSS). Paralumbar spine disease and leg entrapment neuropathy can mimic FBSS because the symptoms of these diseases are similar to those of lumbar diseases. In our previous studies, treatment of paralumbar spine disease and entrapment neuropathy of the leg contributed to improvement in symptoms in patients with residual symptoms (i.e., FBSS) after lumbar spine surgery (including lumbar fusion surgery), such as lumbar disc herniation and for lumbar spinal canal stenosis. In a study investigating preoperative intervention for paralumbar spine disease for lumbar disc herniation, symptoms in 19% of cases were improved using concurrent paralumbar spine disease treatment. Moreover, these treatments are indicated and useful for very elderly patients (>85 years of age) with intractable low back pain, including FBSS. Intervention for paralumbar spine disease and entrapment neuropathy of the leg can contribute to symptom improvement in those with FBSS, and attention should be devoted to these diseases.
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