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I had a discectomy three years ago. An MRI shows everything looks fine back there. The surgeon thinks I may have developed some scar tissue that doesn't show up on an MRI. Would surgery to clean out the scar tissue help relieve my pain?

It might for awhile. But you may be prone to a vigorous inflammatory response. This leads to the formation of adhesions and scar tissue for some people. Another surgery may only make matters worse.

You're not alone with this problem. Studies show that at least 10 per cent (and probably more) of the people who have a discectomy develop return of symptoms from scarring. And up to 42 per cent who never had surgery but have had disc problems, develop adhesions.

Scar tissue in the spinal canal or in the area around the spinal nerve can cause this type of pain syndrome. In fact, there are increased amounts of blood vessels that develop in this area too. Many surgeons agree that revision of such scars is very difficult. And since it's likely to come back again, this type of surgery is avoided.

A program of pain management may be your best bet. Behavioral therapy and exercises to maintain strength and motion are encouraged. There is also a wide range of complementary or alternative treatments available. This might include acupuncture or acupressure, massage, biofeedback, and even hypnosis. Many other forms of alternative treatment are also available.

Talk to your doctor about his or her recommendations for you. Find out what your options are before considering another surgery.

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