80 out of every 100 people in society complain of low back pain at some point in their life. 70-85% of patients with low back pain heal spontaneously within 6 weeks. Backache; It may occur due to various reasons such as muscle spasm, lumbar slip, herniated disc, arthritis, rheumatism, osteoporosis, and fractures in the vertebrae. Only 2% of low back pain is a herniated disc. Only 15% of true herniated discs require surgical treatment. Herniated Disc, Slipped Disc: It is the slipping or protrusion of the jelly-like cartilage tissue that acts as a cushion between both lumbar vertebrae. This piece of cartilage comes out of the waist and puts pressure on the nerve going to our leg and foot, causing pain complaints. Back and leg pain increases with coughing, straining and sneezing. Treatment of a herniated disc is carried out not only according to the severity of pain, but also by evaluating it together with other findings. If the patient only has pain, then simple methods such as bed rest and applying ice to the painful area are started. Initially, only simple painkillers are used. If it is not enough, muscle relaxants are added. In the acute phase, bed rest for up to two weeks should be added. More bed rest is not correct. In many patients, the acute pain period subsides within these two weeks. If it does not regress, the solution is not immediate surgery. If the patient does not have any loss of strength, sensory impairment or decrease in reflexes, interventional treatments are applied first.

Facet Syndrome Facet joints are small joints located behind and on both sides of each vertebra. They provide movement of the spine. Facet joints are equipped with very complex nerves and are very sensitive to pain. The structure of these joints, which are of great importance in the mobility of our spine, may deteriorate due to age and trauma and may cause serious neck and lower back pain. In case of a herniated disc, the pain is exacerbated by leaning forward, while in facet syndrome, it increases by leaning back and turning sideways. In addition to aging, inappropriate lifestyles such as engaging in hard sports for a long time, constantly carrying heavy loads and having incorrect body posture are the most important predisposing factors for facet syndrome.

Facet syndrome pain can be controlled with interventional methods such as facet joint injection and facet joint denervation. The nerves of the facet joints do not control the movement of your muscles anywhere in your body, they only carry pain signals to the brain. Facet joint denervation is the blocking of the conduction of these nerves. The most modern method used to achieve this is radiofrequency thermocoagulation, which is based on the application of controlled heat to the nerve. Failed Back Surgery Failed back surgery disease is a term used to describe patients who underwent surgery due to a herniated disc, but whose complaints did not improve after the surgery or new pain complaints emerged. . This problem is faced by hundreds of thousands of patients every year around the world. This condition, called failed back syndrome, covers many conditions with various causes and treatments.

Depending on the reason why the surgery failed, the treatment will vary widely. These; Surgery-related changes such as scar tissue formation around the nerve in the operation area. Re-herniation of the disc in the operation area. Another disc herniation causing the same or similar complaints. Misdiagnosis before the operation. Implementation of the operation to the wrong level or unsuccessfully. Which of the following causes of failed waist syndrome are determined for each patient? Its role is determined through careful evaluation and the correct treatment approach is developed. Epidural injections may be useful in treating failed back syndrome; If present, epidural lysis is performed to dissolve the adhesions that have formed around the nerve at the operation site and cause complaints by putting pressure on the nerve. Another treatment approach is to prevent the nerve from transmitting pain by applying current to the affected nerve using the radiofrequency thermocoagulation method.

Wishing you healthy days…