treatment of failed back surgery syndrome in a forty-three-year-old man with high-dose oxycodone/naloxone

introduction failed back surgery syndrome (fbss) is an increasing cause of chronic pain in most countries. this poses high costs to both patients and national health organizations. case presentation in this report, multimodal pain management based on daily high-dose oxycodone/naloxone (oxn 180/90 mg) led to reduced patient's pain score and improved quality of life. conclusions oxycodone/naloxone can be a good alternative for the management of fbss when other interventional or pharmacologic strategies have failed. in this case report, higher doses than those recommended as a maximum daily ceiling (80/40 mg) were safely used in one selected patient with noncancer severe pain.