Dr. Kaliq Chang offers his recommendations on treatment choices for Sciatica.
Endoscopic discectomy, a common type of endoscopic spinal surgery, is a minimally invasive surgical procedure used to remove herniated disc material that is causing pain in the lower back and legs (lumbar), mid back (thoracic), or neck and arms (cervical).
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Endoscopic discectomy is the least invasive and effective surgical technique for treating spinal disc herniation patients. With endoscopic spine surgery, surgeons do not need to remove bones and muscles in order to remove herniated discs. Surgeons can see the spine with a camera, smaller than a smart phone camera, through a small surgical port (tube). Large incisions are avoided. The procedure does not traumatize your spine like traditional spine surgeries do. The whole procedure for a disc herniation takes about 30 minutes. The patient goes home in 2- 3 hours when the surgery is done in a surgery center.
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Get a second opinion or learn more about your treatment options online with a virtual consultation.
Visit any of our conveniently located clinics to go over your treatment one-on-one.
Our Endoscopic Discectomy is a true minimally invasive spine surgery that include the following advantages:
With our discectomy procedure, the patient is brought to the operative room, and intravenous sedation is administered. Under anesthesia, a small metal tube is inserted to the spine for direct visualization. This tube serves as a passage for the surgical tools so that the patient’s muscles do not have to be torn or cut. Then, the annular tear, bulging disc, or herniated disc can be found easily under direct visualization looking through the tube.
Under the guidance of the x-ray fluoroscopy and direct visualization, a piece of the herniated disc is pulled out with a grasper. A small disc bulge or annular 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 a stitch or two.
Endoscope inserted. Disc is viewed on a video monitor.
Damaged disc material is removed.
Disc wall treated. Surrounding area inspected.
Upon completion, the patient is encouraged to walk around and is free to leave the surgical center with a companion the same day.
Before surgical spine treatment is considered, we will exhaust conservative, non-surgical spine treatment options first. Our advanced diagnostic and pain mapping techniques enable us to ensure precise diagnosis, which is one of the most important factors towards effective treatment of your pain.