Laser Pain Center Huntsville
Our sister company Alabama Laser Spine treats:
Dr. Greg Millar, DC CCEP directs the treatment of Alabama Laser Spine patients. Located right next door to the Laser Pain Center, Dr Millar sees patients at both clinics Monday through Friday.
From so many of you calling and asking, we have made this transcription of the Medline Alert from ABC Waay TV Channel 31 Medline TV show
Anchor: So you've had back or neck surgery. You went into the surgery with all the hope that you would have no more pain. But now the pain is back. What do you do? You don’t want another surgery but you don’t want to hurt anymore. You’re tired of taking drugs and they don’t do anything but mask the pain and make you feel lousy anyway. Maybe you’ve tried pain management with injections of steroids. But the steroid wears off and all they want to do is more shots. Is it time to try something new? Dr. Greg Millar explains what is Laser Pain Therapy and how to treat your pain in tonight’s MedLine Alert.
Dr Millar: Failed back syndrome (FBS), also called "failed back surgery syndrome" (FBSS), refers to chronic back and/or leg pain that occurs after neck or back (spinal) surgery. Multiple factors can contribute to Failed Back Surgery: residual or recurrent disc herniation, post-operative pressure on a spinal nerve, altered joint mobility, scar tissue, spinal muscular deconditioning, depression, anxiety and even sleeplessness. An individual may be predisposed to failed back surgery if they have systemic disorders such as diabetes, autoimmune disease or peripheral arterial disease. Recent studies have shown that cigarette smokers will routinely fail all spinal surgery. Many surgeons consider smoking to be an absolute contraindication to spinal surgery (meaning they won’t do surgery on smokers).
Patients who have undergone one or more operations on the spine, and continue to experience and report pain afterward can be divided into two groups. The first group are those in whom surgery was never indicated, or the surgery performed was never likely to achieve the desired result; and those in whom the surgery was indicated, but which technically did not achieve the intended result. The second group includes patients who had incomplete or inadequate operations. Research shows that lumbar spinal stenosis may be overlooked, especially when it is
associated with disc protrusion or herniation. Removal of a disc, while not addressing the underlying presence of stenosis can lead to disappointing results.
Common symptoms associated with Failed Back Syndrome include:
Interventional pain physicians speak of the need to identify the "pain generator" i.e. the anatomical structure responsible for the patient's pain before surgery. To be effective, the surgeon must operate on the correct anatomic structure; however it is often not possible to determine the source of the pain. The reason for this is that many patients with chronic pain often have disc bulges at multiple spinal levels and the physical examination and imaging studies are unable to pinpoint the exact source of pain. In addition, spinal fusion itself, particularly if more than one spinal level is operated on, may result in "adjacent segment degeneration". This is thought to occur because the fused segments may result in increased torsional and stress forces being transmitted to the disc located above and below the fused vertebrae.
Another highly relevant consideration is the increasing recognition of the importance of chemical mediated back pain. It is increasingly recognized that back pain, rather than being solely due to compression, may instead entirely be due to chemical inflammation of the nerve root. It has been known for several decades that disc herniation’s result in a massive inflammation of the associated nerve root. In the past five years increasing evidence has pointed to a specific inflammatory mediator of this pain called TNF. This inflammatory molecule, called (TNF), is released not only by the herniated or protruding disc, but also in cases of disc tear (annular tear), by facet joints, and in spinal stenosis. In addition to causing pain and inflammation, TNF may also contribute to disc degeneration. If the cause of the pain is not compression, but rather is inflammation mediated by TNF, then this may well explain why surgery might not relieve the pain, and might even exacerbate it, resulting in Failed Back Surgery Syndrome.
This is where Laser come in. Research has shown that the Cutting Edge MLS robotic lasers treat this TNF inflammatory molecule. Knock out the TNF inflammation and knock out the pain without surgery or drugs. I’m Chiropractor Dr Greg Millar and that’s tonight’s Medline alert.