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Endoscopic Discectomy

Endoscopic Discectomy is a procedure used by the doctors at Multi-Specialty Medical Group to remove damaged disc material that is causing pain in the lower back. Endoscopic discectomy is a modern technique that does not involve bone removal, muscle damage, or large skin incisions. Instead, endoscopic discectomy involves the use of x-ray imaging and magnified video to guide an endoscopic probe into the herniated disc space.

There are numerous advantages to the endoscopic discectomy procedure. The doctors at Tristate Multi-Specialty Medical Services PC prefer that their patients experience a procedure that is minimally invasive. They employ the use of local anesthesia, a small incision with minimal blood loss, and a short recovery that takes place in the comfort of your own home, eliminating hospitalization and all of its complications. One of the most important advantages to endoscopic discectomy is that it preserves your spinal mobility, which is very important to your long term health. Our doctors have a high success rate with this procedure and their diagnosis of your condition will give them a clear picture of this procedure being the right solution for you.

Endoscopic discectomy can be used to treat a number of spinal conditions in the spine, including bulging disc, slipped disc, herniated disc, torn disc, radiculitis and radiculopathy.

Endoscopic discectomy is recommended in the following situations:

  • Back pain or buttock pain with or without leg pain persists for more than 8-12 weeks
  • The pain is unresponsive to conservative treatments, including physical therapy, acupuncture, chiropractic care, anti-inflammatory medications, muscle relaxants, or epidural treatments
  • If you’ve previously had a failed back or neck surgery.

MRI, CT scan, and discography are excellent diagnostic tools for documenting disc problems such as disc tears, bulges and disc herniations. An electric nerve diagnostic test or EMG test demonstrates nerve root compression or irritation.

How is the Procedure Done?

At Tristate Multi-Specialty Medical Services PC, a patient being treated with Endoscopic Discectomy is brought to the operative room and sedation is administered. Under local anesthesia, a small metal tube, the size of a pencil, is inserted into the spine area under x-ray fluoroscopy guidance. This tube serves as a passage for the surgical tools so that your muscles are not impacted. The torn, bulging , slipped or herniated disc can be found easily with a tiny camera (endoscope) looking through the tube. Under the guidance of the x-ray fluoroscopy and magnified video, a large piece of the herniated disc is pulled out with a grasper. A small disc bulge or tear can be treated with a laser, which vaporizes disc material, kills pain nerves inside the disc, and hardens the disc to prevent further leakage of disc material to the surrounding nerves. Finally, the tube is removed and the incision is closed with simply a stitch or two.

You will be carefully monitored both during and after your endoscopic discectomy by our team of medical professionals. Your doctor will determine when it is appropriate for you to go home. Recovery time varies among patients and your doctor will give you guidance on when to resume your normal activities and head back to work. Our team shares your goal to return to a healthy and active lifestyle and this minimally invasive procedure can help you do this.