Scar tissue forming around nerve roots is medically referred to as epidural fibrosis, a common occurrence following open or spinal fusion surgery.

Scar tissue development is part of the normal healing process after spinal surgery, yet its progressive buildup can compress nerves and trigger postoperative back or leg pain. Surgical scar removal becomes a viable option when such pain severely disrupts daily life.

Illustration (from left to right): Healthy fascia → Severe adhesion

Scar tissue is a prevalent trigger of Failed Back Surgery Syndrome (FBSS).

After conventional open spinal surgery or spinal fusion, scar tissue fills the spaces where muscle, tendon, ligament or bone tissue was removed during the operation.

This tissue frequently adheres to bone. Compression of adjacent nerve roots by scar tissue can elicit pain with specific movements — this is the primary underlying cause of persistent pain from prior spinal surgeries treated via scar tissue excision by spine surgeons at The Bonati Spine Institute.

It is critical to clarify that scar tissue itself contains no nerve endings and cannot generate pain on its own. However, fibrous adhesions that bind scar tissue to spinal nerve roots may induce radicular pain in the back, arms or legs.

Our surgical protocol not only excises scar tissue surrounding nerves but, more importantly, separates scar tissue, nerve roots and bone from one another.

Postoperative care is paramount for patients undergoing decompression surgery to relieve scar-related pain. Rehabilitation focuses on preserving joint mobility and neural gliding. This allows any new scar tissue formed later to move freely alongside nerves, preventing symptom recurrence.

Unlike traditional spinal procedures, scar removal surgery is performed through tiny incisions with minimal dissection of muscle fibers. It drastically reduces trauma to spinal tendons, muscles, ligaments, bone, joints and nerves, thereby curbing postoperative scar formation at its source.

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