Decision guide · Updated October 6, 2026
Start with the surgical record
Bring the operative report, current imaging, a timeline of symptoms, and details of new weakness or other red flags. Ask whether the current pain matches the original problem or represents a new one.
A new treatment should follow a new assessment. Earlier surgery is relevant history, but a current pain map and examination are needed to select an appropriate next question.
Compare the clinic's listed options
The practice lists epidural injections, lysis of adhesions, and spinal cord stimulation. Each addresses a different hypothesis. Ask what finding supports a nerve-root target, suspected adhesions, or a neuromodulation trial.
Ask whether the team has compared current images with preoperative findings and whether symptoms began before or after surgery. The timing helps frame a new problem, but does not by itself prove scar tissue, nerve injury, or an implant indication.
Make the endpoint concrete
Choose a function goal and a follow-up period for the proposed step. If results are unclear, the plan should say who reassesses the diagnosis and how the surgical team is involved when appropriate.
Discuss what a new trial or injection can and cannot establish. If benefit is brief or limited to one symptom, the follow-up should distinguish that finding from the broader goal of returning to everyday function.
Questions to ask
- What is the current diagnosis, separate from my surgery history?
- Why is this procedure preferred over another listed option?
- Which new symptoms should prompt urgent surgical or medical review?