schmerzwerkstatt
Pain questionnaire
Book an appointment online
Pain questionnaire before your 1st visit
089.90 93 20 30
Book an appointment online

Patients with post-nucleotomy syndrome often have a long medical odyssey behind them. After an operation, tolerable back/leg pain turns into unbearable pain.

Post-nucleotomy syndrome:
Pain despite back surgery (Failed Back Surgery Syndrome)

The failure of an operation may be due to incomplete elimination of the cause of the pain, the emergence of new sources of pain or the pain memory.
What is this Post-nucleotomy syndrome?

Post-nucleotomy syndrome is characterised by increased pain in the area of the spine or in the course of the nerves after back surgery, which can become significantly worse over time. This phenomenon is also known as failed back surgery syndrome (FBSS) or post-nucleotomy syndrome (PNS syndrome). The frequency speaks volumes: around 10 % of patients who have had disc surgery suffer from it, but patients who have undergone surgery for spinal canal stenosis or spinal tumours can also be affected. The accompanying symptoms often include sleep disorders, depression and even addiction.

The failure of an operation may be due to incomplete removal of the cause of the pain. Another reason is the development of a new source of pain, for example due to scarring, instability or a nerve injury. Pain memory can also play a role: A reduced threshold of pain perception due to persistent symptoms can lead to a high subjective pain experience even with minor pain impulses. 

Failed back surgery syndrome: New approaches in pain therapy

The first priority is to try to achieve relief through conservative procedures. A combination of Medication, Physiotherapy and relaxation techniques as part of a multimodal pain therapy.

Only if further treatment is required is neuromodulation a guideline-compliant form of therapy available that can provide relief even after years of pain.

Neuromodulation works directly at the source of the pain: By reducing the transmission of pain impulses at the level of the pain pathways in the spinal cord, a significant reduction in pain can be achieved. Areas of application include complaints in the lumbar, thoracic and cervical spine. The method is also used successfully for post-operative nerve pain in the arms and legs. Around 50 % of patients experience relief of 82 %. 70 % of treated patients experience a halving of their pain. Find out more about the Neuromodulation.

Post-nucleotomy syndrome:
Pain despite back surgery
(Failed-Back-Surgery-Syndrome)

Patients with post-nucleotomy syndrome often have a long medical odyssey behind them. After an operation, tolerable back/leg pain turns into unbearable pain.

Post-nucleotomy syndrome is characterised by increased pain in the area of the spine or in the course of the nerves after back surgery, which can become significantly worse over time. This phenomenon is also known as failed back surgery syndrome (FBSS) or post-nucleotomy syndrome (PNS syndrome). The frequency speaks volumes: around 10 % of patients who have had disc surgery suffer from it, but patients who have undergone surgery for spinal canal stenosis or spinal tumours can also be affected. The accompanying symptoms often include sleep disorders, depression and even addiction. The failure of an operation may be due to incomplete elimination of the cause of the pain. Another reason is the development of a new source of pain, for example due to scarring, instability or a nerve injury. Pain memory can also play a role: A reduced threshold of pain perception due to persistent symptoms can lead to a high subjective pain experience even with minor pain impulses.
The first priority is to try to achieve relief through conservative procedures. A combination of Medicationand relaxation techniques as part of a multimodal pain therapy. Only if further treatment is required is neuromodulation a guideline-compliant form of therapy available that can provide relief even after years of pain. Neuromodulation works directly at the source of the pain: By reducing the transmission of pain impulses at the level of the pain pathways in the spinal cord, a significant reduction in pain can be achieved. Areas of application include complaints in the lumbar, thoracic and cervical spine. The method is also used successfully for post-operative nerve pain in the arms and legs. Around 50 % of patients experience relief of 82 %. 70 % of treated patients experience a halving of their pain. Find out more about the Neuromodulation.

Would you like to get to know us? You can contact us here. We have 25 years of experience with pain patients.

To the contact
jameda-claudius-gall
Dr Claudius Gall jameda Qualitaetszertifikat 2023
Youtube Instagram Facebook

Pain workshop Munich
Practice for neurosurgery, anaesthesiology, psychotherapy and special pain therapy
Dr Claudius Gall Bac. phil. MBA and colleagues

Zurich street 92
81476 Munich

Tel:   089.90 93 20 30 →
Fax:  089.90 93 20 29
Mail: reception[at]schmerzwerkstatt[dot]de

Opening hours
Imprint
Privacy policy
Cookie Policy

Contact the Schmerzwerkstatt Munich

Züricher Str. 92, 81476 Munich
Tel:  089.90 93 20 30
Fax: 089.90 93 20 29
Mail: web[at]schmerzwerkstatt[dot]com

German pain questionnaire

Important to know: Preparation for the first visit


Dear patients,

As a certified pain therapy centre, we are subject to the quality assurance agreement for pain therapy of the National Association of Statutory Health Insurance Physicians, which applies from entered into force on 01 October 2023.

For you and us, this means that we must work together to ensure that all of our patients receive the German pain questionnaire and later only Fill in progress questionnaires.

We are aware that the German Pain Questionnaire is very detailed and therefore long, which can take up a lot of time and could be perceived as annoying.

Please note that this is a is a legal obligation, which we must fulfil.

This process makes a significant contribution to best possible Quality of care for you.

This task also involves a considerable amount of work for our team, be it in the form filling, analysing or storing the questionnaires.

We would like to thank you for your understanding and assistance.

Together we can optimise your treatment.

Yours sincerely,
Your team at the Schmerzwerkstatt Munich