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,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","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":156,"numPages":27,"currentPage":27}},"staticQueryHashes":["2285185342","3793359599","63159454"]}