Kaixuan Liu educates patients and offers tips about the benefits of endoscopic discectomy surgery
\nBack pain is a condition that most people will endure at some point in their lives. For chronic back pain sufferers, an endoscopic discectomy, a minimally invasive spine surgery with a rapid recovery time, can often provide relief from unremitting lower back pain when conservative measures have failed, shares Dr. Kaixuan Liu.
\nA type of \"keyhole\" surgery using a thin, telescope-like instrument known as an endoscope, endoscopic discectomy requires only a small incision compared to traditional \"open\" surgery and has become a popular option for pain relief with minimal downtime, Dr. Liu says.
\nA discectomy is a surgery during which a surgeon removes a herniated disc from the lower back, “aka” the lumbar area. It is done to reduce the pressure on a nerve or a spinal cord. Such pressure can happen due to the natural aging processes – wear and tear, or because of injuries. These can cause a spinal disc to herniate or bulge, which increases the pressure on adjacent nerves, resulting in pain and other unpleasant sensations.
\nAn endoscopic discectomy is basically the same procedure as a lumbar discectomy, but it is performed with the use of an endoscope, a small camera in the form of a metal tube with a light on the end. Such a tool needs a tiny incision and provides a good image and a way for other surgical tools. As there’s no need for additional cuts or damage to bones, the recovery period is shorter and easier. Moreover, there are fewer risks and possible complications.
\nUsually, endoscopic spine surgery is an option for people who have herniated or bulging discs, and therefore experience pain and other unpleasant sensations such as weakness or numbness. The first option for such a patient is to try conservative treatments, but if there was no visible result, surgery can be recommended.
\nThis surgery can be recommended to those who experience leg pain or numbness, or tingling, which can be worse after sitting or bending. Also, people who don’t feel better after several weeks of conservative treatment can be potential candidates for endoscopic surgery. If the pain didn’t ease after epidural blocks or some tests such as MRI, or CT scan showed a herniated disc, it can be considered as a reason for the surgery.
\nRemember to consult a doctor if you feel any pain, as early diagnosis can help slow down degenerative processes and prevent serious issues.
\n\"Surgery is only considered after all other non-operative measures such as medication, physical therapy and other pain-relieving tactics haven't worked,\" he explains. \"At that point, advanced diagnostic and pain mapping techniques allow us to make an accurate diagnosis of what's causing the pain and determine if endoscopic discectomy can offer relief. For so many who have coped long-term with ongoing lower back pain, it can.\"
\nSo, the main benefit of the surgery is reducing lower back pain. Endoscopic Discectomy also offers a faster post-surgery recovery time. As the incision itself is very small, the chance of scarring is much less and there’s also a reduced chance of infection.
\nHere’s the list of all benefits of such a surgery:
\nThere are several types of endoscopic surgery. The first one is a posterolateral or interlaminar approach. During this procedure, a small incision is made to access the lamina to get access to the spine. This type of surgery offers a broad application, which is especially beneficial as many disorders include neural compression. The second approach is extraforaminal or transforaminal. This approach is used to get access to isolated unilateral foraminal conditions and neural compression. Although, in this type of surgery, there’s a limited capacity.
\nWho needs an endoscopic discectomy? Regardless of where it's done on the spine, the procedure is typically used to remove damaged disc material that's causing pain. Dr. Liu states that an endoscopic discectomy is often used to treat:
\nBulging discs Herniated discs, Torn discs Radiculitis and/or radiculopathy – types of tingling, pain or weakness radiating from compressed nerves along the spine During the procedure, the endoscope is inserted through a tiny incision and attached to a small video camera projecting an internal view of the patient onto TV screens in the operating room. The surgeon passes small surgical instruments through the incisions, which are typically no larger than a half-inch long, and visualizes the patient's specific disc problem using x-ray fluoroscopy technology. Then the problematic disc or disc fragment is pulled out with a tool known as a grasper or vaporized with a laser.
\nConditions treated by endoscopic spine surgery:
\n\"Endoscopic discectomy tackles some of the most common causes of lower back pain that severely impact people's quality of life,\" Dr. Liu says. \"In about an hour's time, the surgery is finished, and patients can go home within hours.\"
\nAdvantages of endoscopic discectomy: In addition to a short procedure time, endoscopic discectomy offers many advantages to patients, Dr. Liu notes. Because muscles moved aside instead of cut, as occurs during open surgery, endoscopic discectomy boasts a much shorter recovery time.
\nOther advantages include:
\nAny surgery carries risks, and endoscopic discectomy is no different. But these risks are greatly minimized because of the smaller incisions used, Dr. Liu says, and the procedure is successful in 9 of 10 patients.
\nAn endoscopic discectomy is rather safe, as it is minimally invasive spine surgery, but still, there’s always a risk of excessive bleeding or a bad reaction to anesthesia. During the surgery, there can be nerve damage or leakage of spinal fluid. Moreover, even though the risk is lower compared to other invasive surgeries, the incision can start an infection. If the disc tissue wasn’t fully removed, the pain can stay and the patient might need a second surgery.
\n\"The vast majority of patients who undergo endoscopic discectomy for relief from chronic lower back pain achieve this highly desirable goal,\" he adds. \"Lower back pain becomes a distant memory and they return to all their favorite activities.\" These patients can return home a couple of hours after the surgery.
\nThe recovery is very fast, a patient can walk, but they shouldn’t bend, twist or lift things for a while. It takes about a month to return to normal activities and work.
","frontmatter":{"title":"An Endoscopic Discectomy can provide Relief from Chronic Lower Back Pain","date":"November 2nd, 2017","description":null,"tags":["Back Pain","Endoscopic Spine Surgery"],"cover":null},"fields":{"slug":"an-endoscopic-discectomy-can-provide-relief-from-chronic-lower-back-pain","post":"/blog/v/an-endoscopic-discectomy-can-provide-relief-from-chronic-lower-back-pain/","readingTime":{"text":"6 min read"}}}},{"node":{"id":"c1830c48-faca-57a7-ab6d-0cf2bdd2b351","excerpt":"With low back pain affecting most Americans at some point in their lives, many people wonder what their options are for treating the occasional back pain flare-up safely and effectively at home…","html":"With low back pain affecting most Americans at some point in their lives, many people wonder what their options are for treating the occasional back pain flare-up safely and effectively at home. Fortunately, a wide variety of home-based treatments can ease the ache when your back acts up, says Dr. Kaliq Chang, pain management specialist at Atlantic Spine Center.
\n\"Whether your back pain is caused by lifting something heavy, from bending the wrong way or because of an ongoing issue like osteoarthritis, most back pain is mild and occasional,\" Dr. Chang explains. \"For routine back pain, certain tried-and-true approaches can be done at home when you're able, offering relief at a time that's convenient for you.\"
\nWhat remedies for back pain are accessible at home? Dr. Chang recommends trying these options:
\nIf your back pain doesn't subside after a week or so of home treatments,or becomes more severe, hurting even when you're at rest, it's time to call a doctor, Dr. Chang advises. \"Immediate medical attention is necessary if you have weakness or numbness in your legs or 'saddle area' of your crotch, or if you have trouble standing or walking,\" he adds. \"Forget home-based treatments at that point and seek expert opinion.\"
\nSince prevention is always the best treatment, avoiding back pain can start at home as well, Dr. Chang notes. These measures can stop back pain from developing in the first place:
\nTreating back pain in the comfort of your home can be quite effective since you usually have a good idea of what caused it, and it more than likely happened recently. The following are general recommendations to relieve back pain. Following will be a list of back pain prevention suggestions that can quickly become part of your everyday routine.
\nThis should reduce inflammation and swelling. It does not mean bed rest. If your pain is severe, or there is any sudden weakness, tingling, numbness, or shooting nerve pain, please see a medical professional.
\nFor the first 2 or 3 days, then use heat. A cold compress can reduce inflammation and ease the pain, while heat can relax tense muscles and increase blood flow to the injury promoting healing and relief.
\nSuch as acetaminophen or ibuprofen may relieve back pain. Please be aware that overuse can have serious side effects.
\nIt can cause irritability, which can bring on tension that can lead to muscle tightness, potentially resulting in poor posture, and more pain, so the cycle continues. Back pain prevention may require a change in bedtime habits. Instead of watching tv or a computer screen that awakens the brain, try soaking in a hot bath to calm the nerves at the end of the day.
\nAre you looking for natural remedies for back pain and inflammation? Try putting a pillow between your knees and pulling them up to somewhat mimic a fetal position. If you are a back sleeper, place a rolled towel beneath your knees to help relieve the pressure on your back.
\nHome remedies for back pain can start before you get out of bed and can be a great way to start the day. Slowly extend your arms over your head and hold them for several seconds, then gently bring them back to your sides. Then move one leg at a time, laying on your back, and get your knee toward your chest only if this does not cause discomfort. Gently hug your knee toward your chest, leave it there for a few seconds, then slowly slide your foot to allow your leg to straighten. Repeat on your other leg. Stretching should always feel nice, never painful.
\nUse your arms to help you get in a seated position so your feet can get on the floor. Carefully and slowly have equal pressure on both feet, look up and gradually stand. Every time you get up or sit down, have equal pressure on both feet, avoid twisting, and tilt your head to look up. Hopefully, this helped, but you probably still need to get out of bed for lower back treatment at home.
\nWhen back pain is an issue, the most mundane tasks can be put in a new light. One may want to switch to shaving in the shower or switching to electric. Shaving your face while leaning over the sink can be genuinely uncomfortable.
\nWe have all heard “lift with your legs.” What was left out of the phrase is that the object being lifted should be kept close to the body, and your head must remain up. Do not drop your chin.
\nGetting in or out of the car can be a much better experience if, while entering,
\nThe same is the reverse for getting out.
\nIf you are going on a long drive, get out every hour and walk around. Do not have your wallet in your back pocket. Make sure you have proper lower back support with a specialty pillow or a rolled-up towel. When you do get to your destination, do not do any lifting or anything that could compromise your back until you have your “land legs” again.
\nWhen done correctly, it can be an excellent mind-body connection and fantastic for back pain prevention. It is not about contorting yourself into strange positions as much as it prepares your body and mind for the meditation following the exercise.\nBeing overweight does contribute to back problems. Enough said.
\nLaptops, smartphones, and computers can cause problems with your back and neck. At your desk, the top of the monitor should be a couple of inches above your eye level. Every 10 minutes, take some time to stand and stretch, and every 20 minutes, walk away for a little while to get things moving and circulating again. This procedure helps prevent the pain and stiffness of being mobile after staying still for too long.\nIf you regularly carry a bag, switch hands each time you pick it up. If you picked it up with your right hand, put the shoulder strap over your left side and keep the load on your right side.
\nGoing with flat shoes can offer relief. Properly fitting shoes are a step in the right direction. If they are too tight or too loose, they can cause a change in the way you walk. Properly administered orthotics can turn a good pair of shoes into a great pair of shoes, and your spine can benefit from the results.
\nIf you must stand in one place for a while, maybe as part of your job, it would be helpful to have a low stool or anything to rest one foot on to help relax one leg at a time.
","frontmatter":{"title":"Best Home Remedies For Back Pain Relief","date":"October 4th, 2017","description":"What remedies for back pain are accessible at home? Learn which home remedies can relieve back pain and how to prevent it in future.","tags":["Back Pain","Exercises","Prevention"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/1a338ab0c236f31f696c4da3f574e887/7d509/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.jpg","srcSet":"/static/1a338ab0c236f31f696c4da3f574e887/8d052/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.jpg 180w,\n/static/1a338ab0c236f31f696c4da3f574e887/e2788/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.jpg 360w,\n/static/1a338ab0c236f31f696c4da3f574e887/7d509/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.jpg 720w,\n/static/1a338ab0c236f31f696c4da3f574e887/10d63/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.jpg 1080w,\n/static/1a338ab0c236f31f696c4da3f574e887/7f945/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.jpg 1440w","srcWebp":"/static/1a338ab0c236f31f696c4da3f574e887/2aa8d/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.webp","srcSetWebp":"/static/1a338ab0c236f31f696c4da3f574e887/1a890/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.webp 180w,\n/static/1a338ab0c236f31f696c4da3f574e887/b6bb8/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.webp 360w,\n/static/1a338ab0c236f31f696c4da3f574e887/2aa8d/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.webp 720w,\n/static/1a338ab0c236f31f696c4da3f574e887/54d25/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.webp 1080w,\n/static/1a338ab0c236f31f696c4da3f574e887/ba24a/no120-Best-Home-Remedies-For-Back-Pain-Reliefjpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"best-home-remedies-for-back-pain-relief","post":"/blog/v/best-home-remedies-for-back-pain-relief/","readingTime":{"text":"9 min read"}}}},{"node":{"id":"b5342ee2-4228-5b57-9d46-da4d4fd4b457","excerpt":"What is sacroiliac pain? Sacroiliac pain (aka sacroiliac joint pain) refers to the pain originating in the sacroiliac joints, which connect the sacrum (the lower part of the spine) to the pelvis…","html":"Sacroiliac pain (aka sacroiliac joint pain) refers to the pain originating in the sacroiliac joints, which connect the sacrum (the lower part of the spine) to the pelvis. Sacroiliac (SI) pain can be felt in the lower back, buttocks, groin, legs, lower extremities, as well as the abdomenal region.
\nSI pain is characterized by discomfort or pain in the lower back or buttocks that is caused by irritation or inflammation of the sacroiliac joint. The pain may be dull and aching, or it may be sharp and shooting. It may be worse with certain activities, such as standing, walking, or climbing stairs, and it may be relieved by sitting or lying down.
\nBoth SI pain and sacroiliac joint dysfunction can be treated with physical therapy, medications, and/or injections to reduce inflammation and manage pain. In some cases, surgery may be necessary to correct the misalignment of the joint and ease SI joint pain. It is important to see a healthcare provider for an accurate diagnosis and appropriate treatment plan.
\nSacroiliac joint dysfunction and sacroiliac joint pain are often used interchangeably, but they actually do not mean the same thing. As stated earlier, sacroiliac pain refers to the pain that starts from the sacroiliac joints, whereas sacroiliac joint dysfunction refers to abnormal motion of the sacroiliac joints. Although sacroiliac pain can be a main symptom of SI joint dysfunction, sacroiliac joint dysfunction does not always result in sacroiliac pain, and not all sacroiliac pain is caused by sacroiliac joint dysfunction.
\nSacroiliac joint dysfunction refers to a misalignment or dysfunction of the sacroiliac joint. The sacroiliac joint is located in the pelvis and connects the sacrum (the triangular bone at the base of the spine) to the ilium (one of the two large bones in the pelvis). It is a strong, weight-bearing joint that plays a critical role in providing stability to the spine and pelvis. This can cause pain and discomfort, as well as difficulty with mobility and balance. The joint may feel stiff and may be painful to move. Dysfunction of the sacroiliac joint can also cause referred pain, which is pain that is felt in other areas of the body, such as the legs or feet.
\nThere are several potential causes of SI joint dysfunction, including injury or trauma, pregnancy, osteoarthritis, and poor posture. It is important to see a healthcare provider for an accurate diagnosis and appropriate treatment plan for SI joint dysfunction. Treatment may include physical therapy, medications, and/or injections to reduce inflammation and manage pain. In some cases, surgery may be necessary to correct the misalignment of the joint.
\nSurrounded by strong ligaments, sacroiliac joints provide stability to the pelvis, and act as shock absorbers to the spine. The joints have only limited mobility. Too much movement (hypermobility) or too little movement (hypomobility) of the sacroiliac joints can cause sacroiliac pain.
\nSacroiliac joint dysfunction is a major risk factor for sacroiliac pain. Other risk factors for sacroiliac pain include traumatic injury, pregnancy, spinal fusion, hip arthritis, and scoliosis.
\nThere are several potential causes of sacroiliac (SI) pain, which is pain or discomfort in the lower back or buttocks that is caused by irritation or inflammation of the sacroiliac joint. Some common causes of SI pain include:
\nIt is important to see a healthcare provider for an accurate diagnosis and appropriate treatment plan for SI pain. Treatment may include physical therapy, medications, and/or injections to reduce inflammation and manage pain. In some cases, surgery may be necessary to correct the underlying cause of the pain.
\nSI joint pain relief might include:
\nSpinal fusion is a surgical procedure that involves fusing together two or more vertebrae in the spine. The goal of spinal fusion is to stabilize the spine and reduce pain, which may be caused by various conditions such as degenerative disc disease, scoliosis, or a spinal injury.
\nIn some cases, spinal fusion may be recommended for the treatment of SI pain.
\nDuring spinal fusion surgery, the surgeon removes the damaged or diseased tissue between the vertebrae and replaces it with bone grafts or bone graft substitutes. The grafts may come from the patient's own bone (an autograft), from a bone bank (an allograft), or from a synthetic material. The vertebrae are then held in place with screws, rods, or plates until they fuse together.
\nIn some cases, spinal fusion such as lumbosacral fusion, a surgical procedure that fuses the lower part of the lumbar spine and the sacrum together, can lead to sacroiliac joint dysfunction and result in sacroiliac pain. However, spinal fusion and sacroiliac pain do not go hand in hand. Although sacroiliac joints can be a potential source of lower back pain after lumbar or lumbosacral fusion, studies have shown that not all patients suffer from sacroiliac pain after spinal fusion procedures.
","frontmatter":{"title":"Sacroiliac Pain vs. Sacroiliac Joint Dysfunction","date":"October 2nd, 2017","description":"Sacroiliac pain and SI joint dysfunction refer to the pain originating in the sacroiliac joints, quite similar to sciatica. Learn more about SI pain treatment.","tags":["Spinal Conditions","Back Pain"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/f27bf35e1745b0795824cb88ed8f32ab/7d509/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.jpg","srcSet":"/static/f27bf35e1745b0795824cb88ed8f32ab/8d052/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.jpg 180w,\n/static/f27bf35e1745b0795824cb88ed8f32ab/e2788/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.jpg 360w,\n/static/f27bf35e1745b0795824cb88ed8f32ab/7d509/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.jpg 720w,\n/static/f27bf35e1745b0795824cb88ed8f32ab/10d63/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.jpg 1080w,\n/static/f27bf35e1745b0795824cb88ed8f32ab/7f945/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.jpg 1440w","srcWebp":"/static/f27bf35e1745b0795824cb88ed8f32ab/2aa8d/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.webp","srcSetWebp":"/static/f27bf35e1745b0795824cb88ed8f32ab/1a890/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.webp 180w,\n/static/f27bf35e1745b0795824cb88ed8f32ab/b6bb8/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.webp 360w,\n/static/f27bf35e1745b0795824cb88ed8f32ab/2aa8d/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.webp 720w,\n/static/f27bf35e1745b0795824cb88ed8f32ab/54d25/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.webp 1080w,\n/static/f27bf35e1745b0795824cb88ed8f32ab/ba24a/no121-Sacroiliac-Pain-vs-Sacroiliac-Joint-Dysfunctionjpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"spinal-fusion-and-sacroiliac-pain-do-they-go-hand-in-hand","post":"/blog/v/spinal-fusion-and-sacroiliac-pain-do-they-go-hand-in-hand/","readingTime":{"text":"6 min read"}}}},{"node":{"id":"82e307e6-c8e4-5e9e-8675-cc1e4a9222c1","excerpt":"Many struggling with chronic neck or lower back pain seek one thing: relief from the pain. This is precisely what can be achieved with endoscopic facet rhizotomy, a minimally invasive spine surgery…","html":"Many struggling with chronic neck or lower back pain seek one thing: relief from the pain. This is precisely what can be achieved with endoscopic facet rhizotomy, a minimally invasive spine surgery used to deaden pain-causing nerves, according to interventional pain management specialist Kaliq Chang, MD, with Atlantic Spine Center.
\nAccording to Dr. Chang, \"facet joints are often a primary source of pain because they are almost constantly in motion as we move about and can break down as we age and from repetitive injury.\"\n\"Since facet joint pain is one of the most common causes of back pain, endoscopic facet rhizotomy surgery has become more and more popular and useful,\" says Dr. Chang. \"Our patients often feel better very quickly after facet rhizotomy surgery and report that the surgery ends the muscle spasms often triggered by facet joint pain.\"
\nDr. Chang explains the painful syndrome that can be best treated with this surgery:
\nFacet joint syndrome: Facet joint syndrome (also sometimes called facet disease) progresses as the discs between vertebrae become thinner, resulting in more stress being placed on the facet joints. This syndrome is most common in seniors or the very active, where increased stress between facet joints causes inflammation and the formation of spinal bone spurs. This process can lead to arthritis, which infamously can result in pain upon joint movement.
\nOften, for patients of facet joint syndrome, the first step in treating chronic pain in the neck or lower back will be with non-surgical approaches including medication and physical therapy. But if these treatments fail to provide adequate relief, a more advanced diagnostic technique called a medial branch block injection, is employed. This technique or preoperative evaluation, which is performed by Dr. Chang at Atlantic Spine Center, consists of an injection of an anesthetic agent into the space immediately surrounding the joint. Depending on whether or not back or neck pain is alleviated by the anesthetic agent, diagnostic information can be obtained. If the pain does not subside, it can be concluded the pain was not emanating from the joint.
\nThe word \"rhizotomy\" means \"nerve destruction,\" and endoscopic facet rhizotomy surgery uses heat energy to extinguish tiny nerve fibers that send pain signals from the facet joints to the brain. The procedure only requires a small incision (compared to traditional \"open\" surgery) and can provide significant neck or lower back pain relief without disrupting the architecture of the spine.
\nPain can result from diseased facet joints in the neck, shoulders, mid-back, ribs, chest, lower back, buttocks, groin or legs. To say it another way, facet joint pain can affect many vital areas of the body, resulting in chronic pain and a diminished quality of life for sufferers. By destroying (\"ablating\") these exact nerve fibers, endoscopic facet rhizotomy can greatly improve patients' lives by precisely targeting the source of this pain, says Dr. Chang.
\nThe short surgery involves the use of a local anesthetic, x-ray guidance and direct visualization through a microscopic camera to guide an electrocautery device to destroy nerves supplying sensation to damaged facet joints. \"The relief experienced by most patients who undergo this procedure can last for years,\" adds Dr. Chang.
\nToday, the most common treatment performed by pain management doctors after a patient has been diagnosed with facet syndrome with a positive medial branch block is radiofrequency ablation. This procedure uses heat from electrical currents administered to the patient via a needle to numb effected nerves. While radiofrequency ablation deadens a small area around the nerve and is expected to last roughly 6 months before the nerves grow back, endoscopic rhizotomy can affect a much larger area through direct visualization, resulting in much longer periods of pain relief.
\nDr. Chang concludes that with endoscopic facet rhizotomy \"the relief experienced by most patients who undergo this procedure can last for months or even years. This reprieve is profoundly welcomed by people with chronic neck or lower back pain.\"
\nThis innovative surgical technique offers numerous benefits to patients suffering from persistent pain that hasn't responded to conservative treatments.
\nOne of the most significant advantages of this procedure is its minimally invasive nature. Unlike traditional open surgeries, Endoscopic Facet Rhizotomy involves smaller incisions and uses specialized instruments to access the affected area. This leads to reduced trauma to surrounding tissues, quicker recovery times, and a lower risk of complications.
\nEndoscopic Facet Rhizotomy is specifically designed to target and disrupt the nerves responsible for transmitting pain signals from the arthritic facet joints. By using radiofrequency energy to ablate or denature these nerves, the procedure effectively blocks the transmission of pain signals, providing lasting relief for patients.
\nWhile the nerves are not permanently damaged, the effect of the procedure can last for an extended period, often providing pain relief for several months to years. Some patients may experience complete pain resolution, while others may require periodic treatments for continued relief.
\nChronic back pain can severely impact a person's quality of life, restricting mobility, and hindering daily activities. Endoscopic Facet Rhizotomy can significantly improve patient's quality of life by reducing or eliminating pain, allowing them to return to normal activities and enjoy a more active lifestyle.
\nMany individuals suffering from chronic back pain rely on pain medications for relief. Prolonged use of pain medications can lead to adverse side effects and dependency issues. Endoscopic Facet Rhizotomy offers an alternative by addressing the source of the pain, potentially reducing the need for pain medications.
\nDue to the minimally invasive nature of the procedure, patients generally experience shorter recovery times compared to traditional open surgeries. Most patients can resume light activities within a few days and gradually return to their regular routine in a matter of weeks.
\nEndoscopic Facet Rhizotomy is often performed as an outpatient procedure, meaning patients can return home on the same day. This reduces hospital stays, costs, and potential exposure to hospital-acquired infections.\nUnlike some other spine surgeries, Endoscopic Facet Rhizotomy does not involve fusion of the spine. This means that the natural motion of the spine is preserved, reducing the risk of adjacent segment degeneration.
\nThe endoscopic approach allows the surgeon to visualize the targeted area in real-time using a specialized camera. This enhanced visualization facilitates precise and controlled treatment, minimizing the risk of complications and improving the overall success of the procedure.
\nEndoscopic Facet Rhizotomy may serve as a viable alternative for patients who are not suitable candidates for more invasive spinal surgeries or those who wish to explore non-surgical options first.
\nWatch our 3D animated Educational Video on Endoscopic Facet Rhizotomy
\nIs an Endoscopic Facet Rhizotomy procedure right for you? Ask Our Team.
","frontmatter":{"title":"Choosing Endoscopic Facet Rhizotomy Surgery","date":"June 7th, 2017","description":"Chronic neck/lower back pain needs relief from pain-causing nerves. Endoscopic facet rhizotomy is a minimally invasive spine surgery/interventional pain management.","tags":["Back Pain","Neck Pain","Surgery","Endoscopic Spine Surgery"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,/9j/2wBDABALDA4MChAODQ4SERATGCgaGBYWGDEjJR0oOjM9PDkzODdASFxOQERXRTc4UG1RV19iZ2hnPk1xeXBkeFxlZ2P/2wBDARESEhgVGC8aGi9jQjhCY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2P/wgARCAANABQDASIAAhEBAxEB/8QAFgABAQEAAAAAAAAAAAAAAAAABAAD/8QAFQEBAQAAAAAAAAAAAAAAAAAAAwT/2gAMAwEAAhADEAAAAUIMlp9Kgo//xAAYEAEAAwEAAAAAAAAAAAAAAAABAAIQEf/aAAgBAQABBQKsq4QOZ//EABURAQEAAAAAAAAAAAAAAAAAAAMQ/9oACAEDAQE/ATn/xAAVEQEBAAAAAAAAAAAAAAAAAAADEP/aAAgBAgEBPwFJ/8QAFBABAAAAAAAAAAAAAAAAAAAAIP/aAAgBAQAGPwJf/8QAGhABAQACAwAAAAAAAAAAAAAAAQARQRAhMf/aAAgBAQABPyHoSL7C7zHMJHfH/9oADAMBAAIAAwAAABDP/wD/xAAVEQEBAAAAAAAAAAAAAAAAAAAQMf/aAAgBAwEBPxCT/8QAFREBAQAAAAAAAAAAAAAAAAAAEDH/2gAIAQIBAT8Qo//EABsQAQADAAMBAAAAAAAAAAAAAAEAESExQWFR/9oACAEBAAE/EMaIewWDa+VBGr+QzTxDnai96jtLP//Z","aspectRatio":1.5,"src":"/static/0ffe68b436b4cc95b9db402ec7189f9a/7d509/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.jpg","srcSet":"/static/0ffe68b436b4cc95b9db402ec7189f9a/8d052/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.jpg 180w,\n/static/0ffe68b436b4cc95b9db402ec7189f9a/e2788/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.jpg 360w,\n/static/0ffe68b436b4cc95b9db402ec7189f9a/7d509/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.jpg 720w,\n/static/0ffe68b436b4cc95b9db402ec7189f9a/10d63/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.jpg 1080w,\n/static/0ffe68b436b4cc95b9db402ec7189f9a/7f945/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.jpg 1440w","srcWebp":"/static/0ffe68b436b4cc95b9db402ec7189f9a/2aa8d/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.webp","srcSetWebp":"/static/0ffe68b436b4cc95b9db402ec7189f9a/1a890/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.webp 180w,\n/static/0ffe68b436b4cc95b9db402ec7189f9a/b6bb8/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.webp 360w,\n/static/0ffe68b436b4cc95b9db402ec7189f9a/2aa8d/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.webp 720w,\n/static/0ffe68b436b4cc95b9db402ec7189f9a/54d25/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.webp 1080w,\n/static/0ffe68b436b4cc95b9db402ec7189f9a/ba24a/no122-Choosing-Endoscopic-Facet-Rhizotomy-Surgeryjpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"choosing-endoscopic-facet-rhizotomy-surgery","post":"/blog/v/choosing-endoscopic-facet-rhizotomy-surgery/","readingTime":{"text":"6 min read"}}}},{"node":{"id":"12ef3e46-82a0-51f3-b4ae-b9f8e5c6aea3","excerpt":"A herniated disc, also known as a slipped or ruptured disc, occurs when the soft inner portion of a spinal disc pushes through a tear in the outer layer. This can cause pain, numbness, and weakness in…","html":"A herniated disc, also known as a slipped or ruptured disc, occurs when the soft inner portion of a spinal disc pushes through a tear in the outer layer. This can cause pain, numbness, and weakness in the back, legs, and arms. It is estimated that over 80 percent of Americans suffer from low back pain. Although most of them cannot have a clear diagnosis of pain sources, it is very common that pain is caused by a herniated, torn, or ruptured disc, also interchangeably referred to as a “slipped disc” or correspondingly a “pinched nerve”. The condition results when part of one of the discs in the spine bulges out and irritates the nerves nearby. Patients report pain from a herniated disk in the back or radiating down one or both of the legs. This latter condition is known as sciatica or radiculopathy. The majority of disc herniations occur in the lumbar region of the spine, which includes five discs in the area between the rib cage and the pelvis. “Today, in cases of contained herniation, we can perform a minimally invasive procedure called an endoscopic discectomy,” says Dr. Liu, founder of Atlantic Spine Center.
\nThis condition is commonly misunderstood and many patients don't fully understand what is causing their pain. The discs of the spine contain a spongy material called the nucleus which is encased in a set of fibrous rings called the annulus. Daily activity can create pressure on the discs that cause the nucleus to press against the annulus. \"The discs act like shock absorbers,\" Dr. Liu explains. \"They help to cushion the bones of the spine from the impacts of regular movement as well as more strenuous activity such as running and jumping.\"
\nDr. Liu adds, \"As we age, the annulus weakens and degenerates and the nucleus can begin to press against the annulus and cause it to bulge, or herniate, outward. In some cases, the nucleus can squeeze completely through the outer ring of the disc.\" Lumbar disc herniations are typically caused by general wear and tear and an abrupt, traumatic injury, such as the kind people experience when they lift something heavy while bending at the waist.
\nA herniated disk is a common cause of back pain, and it occurs when the soft inner portion of a spinal disc pushes through a tear in the outer layer. The most common symptom of a herniated disc is pain in the affected area, which can be dull, sharp, or burning. The pain may also radiate down the leg or arm, depending on the location of the herniated disc.
\nIf the herniated disc is putting pressure on a nerve, it can cause numbness or tingling in the affected area. For example, a herniated disc in the lower back may cause numbness or tingling in the legs, while one in the neck may cause these symptoms in the arms.
\nIn severe cases, a herniated disc can cause weakness in the affected area. For example, a herniated disc in the lower back may cause weakness in the legs, while one in the neck may cause weakness in the arms.\nLoss of bladder or bowel control is a rare but serious symptom of a herniated disc. If you experience sudden bladder or bowel dysfunction, seek medical attention right away. A herniated disc can cause the muscles in the affected area to become tight and painful.
\nThe symptoms of herniated discs can vary tremendously, Dr. Liu says. \"In some cases, a patient might feel only mild pain, in cases where only the disc itself is affected. But in cases where the disc material is pressing on nerve roots, patients can experience severe and unremitting pain in their back, buttocks, and legs. In some cases, patients report sensory changes such as tingling, numbness, and muscular weakness in their toes.\"
\nAn endoscopic discectomy is one of the minimally invasive spine surgical techniques for treating a slipped disc and is best for small disc tears, disc degeneration, and all kinds of disc herniations. Dr. Liu explains that this procedure is arthroscopic (endoscopic) and the least invasive but has been proven to have the same or better results than traditional spine surgery. The skin incision feels like a nail pinch and the recovery is fast. Candidates prior to this procedure are those that have been experiencing chronic low back pain that has lasted for more than eight weeks and has not responded to conservative treatments. A diagnostic MRI, CT scan or diagnostic tests are used to confirm disc herniation, and a nerve diagnostic test (such as an EMG) is used to show nerve root irritation.
\nThe endoscopic discectomy utilizes a tiny camera, called an endoscope, which is passed through a small tube that has been inserted into the spine via a tiny incision less than an inch long. The patient is lightly sedated and the area to be operated on is treated with a local anesthetic. The entire procedure typically takes less than 1 hour. The benefit of endoscopic discectomy is less pain, less risk of infection or other complications, and a much shorter recovery time for the patient. In most cases, patients leave the surgery center or hospital the same day and are back to their typical activities in approximately a few days.
\nDr. Liu adds that in many cases, a herniated disc in the back will resolve itself with conservative treatments including anti-inflammatories, physical therapy and exercise and sometimes with stronger pain medicine, when necessary. These are logical first steps before considering surgery. However, in cases where conservative herniated disk treatments don't provide relief and surgery is recommended, patients now have the more attractive option of the endoscopic discectomy over the old-fashioned open back operations which involved general anesthesia, a stay at the hospital, and lengthy, painful recovery and rehabilitation.
\nSeveral factors can increase the risk of developing a herniated disc, including:
\nIn some cases, a herniated disc can cause complications. Nerve damage is one of the most common complications. If the herniated disc puts pressure on a nerve, it can cause numbness, tingling, or weakness in the affected area. Rarely, a herniated disc can cause bowel or bladder dysfunction, which requires immediate medical attention.
\nWhile there's no surefire way to prevent herniated discs, there are some steps you can take to reduce your risk:
\nA herniated disc can be painful and uncomfortable but there are steps you can take to reduce your risk of developing one. By practicing good posture, exercising regularly, and avoiding heavy lifting, you can help keep your back healthy and strong. If you do experience symptoms of a herniated disc, seek medical attention right away to avoid complications.
\nFor our video explaining Disc Herniations.
\nFor our video on Endoscopic Discectomy.
","frontmatter":{"title":"Slipped (Herniated) Disc: Causes and Treatment","date":"March 16th, 2017","description":"Over 80% of Americans suffer from low back pain. In many cases, it becomes worse during sleep, which is called nighttime or nocturnal back pain.","tags":["Prevention","Treatments","Herniated Discs"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/f402d92cc3c52a074508d0c66418d5f5/7d509/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.jpg","srcSet":"/static/f402d92cc3c52a074508d0c66418d5f5/8d052/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.jpg 180w,\n/static/f402d92cc3c52a074508d0c66418d5f5/e2788/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.jpg 360w,\n/static/f402d92cc3c52a074508d0c66418d5f5/7d509/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.jpg 720w,\n/static/f402d92cc3c52a074508d0c66418d5f5/10d63/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.jpg 1080w,\n/static/f402d92cc3c52a074508d0c66418d5f5/7f945/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.jpg 1440w","srcWebp":"/static/f402d92cc3c52a074508d0c66418d5f5/2aa8d/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.webp","srcSetWebp":"/static/f402d92cc3c52a074508d0c66418d5f5/1a890/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.webp 180w,\n/static/f402d92cc3c52a074508d0c66418d5f5/b6bb8/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.webp 360w,\n/static/f402d92cc3c52a074508d0c66418d5f5/2aa8d/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.webp 720w,\n/static/f402d92cc3c52a074508d0c66418d5f5/54d25/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.webp 1080w,\n/static/f402d92cc3c52a074508d0c66418d5f5/ba24a/no123-Slipped-Herniated-Disc-Causes-and-Treatmentjpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"causes-and-treatments-for-herniated-slipped-discs","post":"/blog/v/causes-and-treatments-for-herniated-slipped-discs/","readingTime":{"text":"7 min read"}}}},{"node":{"id":"70a489d3-c172-51cc-ac07-d70897fcb762","excerpt":"Dr. Praveen Kadimcherla with Atlantic Spine Center offers tips on the best back-friendly cardiovascular exercises. Want to improve your fitness level but afraid your bad back will keep you on the…","html":"Dr. Praveen Kadimcherla with Atlantic Spine Center offers tips on the best back-friendly cardiovascular exercises.
\nWant to improve your fitness level but afraid your bad back will keep you on the sidelines or in your easy chair? Luckily, there are plenty of back-friendly cardio exercises that are safe for back pain sufferers, according to Praveen Kadimcherla, MD, an orthopedic spine surgeon at Atlantic Spine Center.
\nCardio exercise, also known as aerobic exercise, is any type of physical activity that increases the heart rate and promotes the circulation of oxygen throughout the body. Some examples of cardio exercise include walking, running, cycling, swimming, and dancing.
\nIt's simply untrue that those with spinal problems shouldn't exercise, Dr. Kadimcherla says, although they would be wise to choose low-impact aerobic activities that don't aggravate the spine. Elevating the heart rate for at least 20 minutes at each session is what's needed to improve heart and lung strength, burn excess calories and accomplish noticeable changes in fitness levels.
\n\"Some patients with a history of back pain can participate in vigorous exercises such as running and step aerobics, but many find it just as rewarding to do cardio work that isn't as taxing on the spine,\" says Dr. Kadimcherla, who is fellowship-trained in orthopedic and spine neurosurgery. \"The most important thing is that they do stay active, since it's best for spine health.\"
\nRegular cardio exercise has many health benefits. Cardio exercise strengthens the heart and improves blood circulation, which can help to lower blood pressure and reduce the risk of heart disease. They can help to boost energy levels by increasing blood flow to the muscles and improving the body's ability to use oxygen. Such exercise can help to burn calories and promote weight loss, which is essential for back pain relief.\nCardio exercise has been shown to reduce stress, improve mood, and boost self-esteem, as well as strengthen the immune system by increasing the production of antibodies and white blood cells. Cardio can help to improve the quality of sleep by reducing the time it takes to fall asleep and increasing the amount of deep sleep.
\nAll of the above influence longevity, which is why cardio exercise has been linked to a longer lifespan, as it can help to reduce the risk of various health conditions such as heart disease, diabetes, and certain cancers.
\nIt is recommended that adults get at least 150 minutes of moderate-intensity cardio exercise per week or 75 minutes of vigorous-intensity cardio exercise per week. It is important to talk to a healthcare provider before starting any new exercise program.
\nHow does cardio or aerobic exercise benefit our backs? According to Dr. Kadimcherla, cardio:
\nAccording to Dr. Kadimcherla, the best aerobic exercises for those with back problems are both low-impact and minimize twisting, which can severely strain vulnerable muscles surrounding the spine. These cardio exercises include:
\nIt is important to start slowly and gradually increase the intensity and duration of your cardio workouts as your fitness level improves. Listen to your body and stop if you experience any pain or discomfort.
\n\"There are so many cardio exercise options that are safe for back pain sufferers,\" Dr. Kadimcherla says, \"that there's almost no excuse for not staying physically fit.\"
","frontmatter":{"title":"Safe Cardio for Back Pain Sufferers","date":"July 28th, 2015","description":"Dr. Praveen Kadimcherla with Atlantic Spine Center offers tips on the best back-friendly aerobic exercises and other workouts for back pain sufferers.","tags":["Back Pain","Exercises"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/c2516062aaee02ab7f3e2c0a846c717c/7d509/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.jpg","srcSet":"/static/c2516062aaee02ab7f3e2c0a846c717c/8d052/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.jpg 180w,\n/static/c2516062aaee02ab7f3e2c0a846c717c/e2788/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.jpg 360w,\n/static/c2516062aaee02ab7f3e2c0a846c717c/7d509/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.jpg 720w,\n/static/c2516062aaee02ab7f3e2c0a846c717c/10d63/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.jpg 1080w,\n/static/c2516062aaee02ab7f3e2c0a846c717c/7f945/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.jpg 1440w","srcWebp":"/static/c2516062aaee02ab7f3e2c0a846c717c/2aa8d/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.webp","srcSetWebp":"/static/c2516062aaee02ab7f3e2c0a846c717c/1a890/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.webp 180w,\n/static/c2516062aaee02ab7f3e2c0a846c717c/b6bb8/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.webp 360w,\n/static/c2516062aaee02ab7f3e2c0a846c717c/2aa8d/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.webp 720w,\n/static/c2516062aaee02ab7f3e2c0a846c717c/54d25/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.webp 1080w,\n/static/c2516062aaee02ab7f3e2c0a846c717c/ba24a/no124-Safe-Cardio-for-Back-Pain-Sufferersjpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"safe-cardio-for-back-pain-sufferers","post":"/blog/v/safe-cardio-for-back-pain-sufferers/","readingTime":{"text":"5 min read"}}}}]},"site":{"siteMetadata":{"siteUrl":"https://www.atlanticspinecenter.com"}}},"pageContext":{"limit":6,"skip":138,"numPages":24,"currentPage":24}},"staticQueryHashes":["2285185342","3793359599","63159454"]}