Dr. Kaliq Chang offers his recommendations on treatment choices for Sciatica.
There are some rare instances when surgery to decompress a nerve that may lead to permanent damage may be required immediately. Other than those rare circumstances it is recommended that conservative treatments be thoroughly exhausted before attempted surgery for lower back pain.
Depending on the condition that is causing your pain, you may be able to find relief through endoscopic procedures such as an endoscopic discectomy, an endoscopic Foraminotomy, or an endoscopic rhizotomy. Other less invasive procedures such as an XLIF fusion, an SI joint fusion, or a total disc replacement procedure are other forms of surgery that may be considered.
An endoscopic discectomy is performed to treat a herniated disc that is compressing a nerve or causing inflammation in surrounding tissue. The goal of the surgery is to gain access to the damage disc through the least invasive methods available, remove the damaged material, and cauterize the disc preventing further leakage.
A small incision in the posterior of the patient is all that is usually required. Through this incision a tube is placed with which the surgeon will gain access to the damaged disc. Using an endoscope the surgeon will view the procedure in real time on a special monitor, making it easier to visualize the area that is being worked on. With minimal tissue and muscle damage recovery from this procedure is quick, usually 1 – 2 weeks.
Endoscopic spine procedures can be used to correct many of the conditions that cause chronic back pain or to repair failed previous surgeries.- Kaixuan Liu, MD, PhD President, Atlantic Spine Center Read More about Dr.Liu