Comprehensive pain management is vital to a patient’s healing process. Our pain specialists can thoroughly evaluate your pain symptoms in order to accurately diagnose the cause.
Once we have an accurate diagnosis, we will work together with you to create a treatment plan that will effectively address your pain.
What Patients Are Saying
Everyone at the office is so friendly and helpful.
From Sabrina at the front desk, to Esther, the nurse practitioner who we saw for the appointment, everyone was professional and courteous.
- Maria D.
After transitioning from a pain and spine doctor in Columbia, MD.. The intake staff member at Pain and Spine Specialist made the scheduling a breeze. They were able to get me in within a week.
- Rashawn JJ
I've been going to the office for at least a year now. Never have I had a poor visit. Staff are friendly, caring and compassionate. All the doctors / NP are Amazing. They actually care about each patients health.
- Debbie Lang
This is an office that exceeded my expectations. The doctor was a good listener and I was impressed with understanding of my pain and symptoms. Highly recommend!!! - Pain and Spine Specialists of Mount Airy.
- Jeanne Wagener
This practice- every member - has been exceptional in helping me to manage sever spinal stenosis. Every care provider ( and I’ve seen most over 3 years) listens carefully and works with me to seek the best treatment modalities.
- Eileen M
My medications are on point and my new injections are awesome! I get my 2nd injection on September 2nd and I can't wait! I couldn't ask for a better doctor than my doctor! I'm very happy with my treatment plan.
- Janeen R
All the people at the practice are very helpful and considerate. Dr. Gandhi listens to what you have to say and then makes his decision on how to proceed with care. Not a lot of doctors today do this so it's a welcomed change.
- Ken S.
I didn't feel judged or anything because I was trying to get help for my back pain. I had a very pleasant experience there to my surprise honestly. I would recommend this office to anyone who experiences severe pain.
- Heather D
Dr. Roa is such an amazing doctor! During my first visit he never tried to rush through my appt., he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.
- Nikki Walker
Always friendly, courteous, and efficient service. From the ladies, who work the front desk, to the nurses and the doctors. I've always had a good experience with the Harrisonburg office in Virginia.
- Krystal Shaffer
I have now been with Dr. Rao for 13 years. He is the most caring Doctor I have ever been to! Dr. Rao makes you feel very comfortable at all times. I would not want to go to any other Doctor... I go to the Hagerstown location, everyone is very nice
- Theresa R.
The entire staff from the folks at the front desk to the Nurse, to the Physicians Assistant to the scribe that records the visit for the doctor - (great idea so the Doctor can focus on the patient!!!)
- NVA F.
Insurance companies can make things complicated. Regardless, I have been treated by Dr. Rao for over 7 years. I receive the utmost respect. Office personnel are caring and friendly. This practice is highly respected.
- Heidi B.
Completely the best care you could want the staff is so pleasant and caring and the doctors have true heart for healing, love being a patient here would give 10 stars if I could & absolutely the most caring during my procedure with Dr B
- Cathern C.
I had been feeling ick and had a fever. I switched to a virtual appointment and was approved. It was wonderful getting to chat and talk about my concerns just as if I was there... A seamless and easy way to be seen if Covid is around.
- HeatherAnn L
They scheduled my appointment very quickly so that I can get to help that I needed immediately instead of like most places having to wait two to three weeks to get in I called and was able to be seen the next day
- John H.
Everything you need to know about our services, locations, treatments, frequently asked questions and much more!
Board Certified Doctors
Patients Seen Within Two Weeks
Failed back and neck surgeries can create a different condition, ‘Failed Back/Neck Syndrome.’ When the patient has not had a successful result from the surgery and is continuing to experience pain, the patient begins experiencing this syndrome. When necessary, spine surgery is performed to eliminate chronic back pain or pain in the extremities.
Most people have a successful surgery and go on to have few to no issues again afterward. Unfortunately though, in some cases, the level of pain does not improve, but may even increase. While there is a relatively high success rate of back and neck surgeries, it is estimated that there is a 5% to 25% failure rate.
There are many factors that contribute to the surgery being unsuccessful, such as smoking, uncontrolled diabetes, poorly performed surgery, and/or non-adherence to post-surgical instructions. But each patient is different, and each surgery is unique. We can help establish the basis for the continued pain and help you determine the best route forward.
For the best results, it is important to understand the root cause of the pain in order to treat it appropriately. Other issues that can be contributing to continued pain are repeated disc herniation, adjacent level disc breakdown, proximal junctional kyphosis, fracture at a fusion, epidural hematoma, spinal fluid leak, instrumentation failure, and pseudarthrosis. A comprehensive exam will establish what the leading issue is and reveal the best course of treatment to correct the problem.
There are multiple types of back and neck surgery and some of the most common types of failed back/neck surgery and possible complications are:
Adjacent Segment Disease:
A spinal disorder that can result after spinal fusion. While it can develop due to the natural degeneration of the spine with aging, it is mainly known as a complication of spinal fusion, which is also performed more as people age. If the spinal fusion was in the lumbar spine or lower back then that person may feel lower back pain, pain that radiates from the lower back into one or both legs/feet, neurological symptoms (tingling, numbness, or weakness), and pain while walking or difficulty getting up. If the surgery was in the cervical spine or neck then that person may feel neck pain, pain that radiates from the neck into the shoulders and arms/hands, and neurological symptoms (tingling, numbness, or weakness).
Failed Artificial Disc Neck Surgery:
Artificial disc replacement surgery can often be the course of treatment for severe disc herniation. Herniated discs by themselves do not usually cause pain, but they can cause compressed nerves when they bulge and press against the nerve. This can lead to chronic pain and an artificial disc is meant to correct this problem, but it can fail for several reasons. The artificial disc may cause a bone fracture to an already weak spine, or it may not have been made correctly or be the best fit for your spine, or it can make the bone in the spine erode and result in a misalignment with the vertebrae.
Failed Laminectomy Surgery:
A laminectomy is meant to relieve pressure on the spinal cord or nerves. During the procedure, the surgeon will make an incision on the back of the neck to remove a piece of bone on the back of the vertebrae, known as the lamina. While this can create more space in the spine to relieve that pressure, it can also make the spine less stable or possibly injure the nerves.
Failed Laminoplasty Surgery:
An alternative to a laminectomy, it is meant to also relieve pressure to the spinal cord or nerves. Instead of cutting away the lamina, the doctor cuts it in a way to create a door-like hinge and inserts an implant to hold it in place. When this type of surgery fails it is often because the implants to hold the “door” in place did not work, there were progressive degenerative changes to the bone, and there was not enough decompression to be considered a success.
Failed Spinal Fusion:
Spinal fusions are one of the most common types of surgery for back and neck pain relief. During a spinal fusion, a surgeon removes the spinal disc between two or more vertebrae, then fuses the vertebrae with bone grafts or metal devices with screws in order to create a single, stable piece of bone. Spinal fusion is used to treat a wide range of issues that lead to chronic pain including degenerative disc disease, spondylolisthesis, spinal stenosis, scoliosis, fractured vertebrae, infection, herniated discs, and tumors. Spinal fusion can lead to a loss of flexibility and can fail if the bone grafts or metal are not enough to hold the spine while it fuses and heals.
Failed Spinal Implant Surgery:
There are many types of spinal hardware that are implanted to correct issues with the spine that cause chronic neck and back pain. Spinal implants are meant to offer support to the spine or replace parts that may be too worn away from age or degenerative disease. Spinal implants can fail due to the actual hardware eroding or breaking, fractures occurring in the bones of the spine, the implant dislodging or not being properly placed, or the implant is not the appropriate choice for that particular patient.
Those who have had a failed back or neck surgery generally continue to experience the same symptoms they had before surgery. Usually, they do not see any improvements in their pain, and some people actually experience worse pain immediately post-surgery, or that sets in within a short time after surgery. This pain will occur in the neck or mid/lower back area and can extend into the arms and legs. Numbness and tingling are possible symptoms, as well, and should also be addressed to attempt to restore the full range of feeling in the affected areas.
Our providers are board certified, and are dedicated to giving you a comprehensive exam that will aid in diagnosing the cause of your symptoms. Using advanced diagnostic techniques, our doctors will find out the reason for your pain, and then get you on the road to better health right away.
Here are a few steps our physicians use when completing their comprehensive exams:
Once we have an accurate diagnosis, we will work together with you to create a treatment plan that will be successful for your chronic pain.
We offer many different treatments to address the pain caused by failed back or neck surgery. Treatments include:
We believe that comprehensive treatment to chronic pain is the only way to provide the greatest opportunity for long-term benefit and recovery.
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We are dedicated to providing the highest quality of patient care and services and truly have each individual’s comfort in mind.