Persistent Spinal Pain Syndrome (PSPS) is a term used to describe ongoing or recurring back or leg pain following spinal surgery, or persistent pain arising from the spine without a clear surgically correctable cause. It replaces the older term Failed Back Surgery Syndrome (FBSS) — a label that often caused unnecessary negativity and confusion.
PSPS can develop when pain continues after an operation that was performed for disc problems, spinal stenosis, or instability, or when pain persists despite appropriate conservative management. It is usually a complex interplay of factors including residual nerve irritation, scar tissue, joint or muscle dysfunction, and altered nerve signalling within the spinal cord or brain.
Common symptoms include:
Because PSPS is multifactorial, specialist multidisciplinary care is vital — addressing not just structural issues, but also nerve sensitivity, muscular function, and psychological wellbeing.
A cornerstone of PSPS management is functional rehabilitation. Our extended team includes expert physiotherapists and rehabilitation specialists to rebuild core strength and flexibility. Hydrotherapy can provide a safe environment to regain movement with minimal pain.
We also integrate pain psychology to support coping strategies, address mood disturbance, and improve resilience. When structural revision surgery is being considered, our consultants collaborate with leading spinal surgeons to ensure decisions are evidence-based and patient-focused.
At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.
We use a rational, evidence-based approach to medication, which may include:
Medication is reviewed regularly with the goal of maximising benefit while minimising side effects and dependency.
Our friendly team is on hand to support you every step of the way. Please get in touch at any time.
