SRCNJ Endoscopic & Minimally Invasive Spine Procedures

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Sometimes called a lumbar micro endoscopic discectomy, this
minimally invasive procedure is used to address herniated disc pain.

An Endoscopic Discectomy is similar to a Percutaneous Discectomy in that the goal of the procedure is to relieve one’s herniated disc pain by carefully removing some disc material. In
most cases, an Endoscopic Discectomy is the least invasive spinal intervention surgical technique available.

Patients will be sedated for the procedure. The small
endoscopic camera allows for intricate, detailed work around the spine and nerves. The incision is also rather small, and cutting muscles/etc. is usually not necessary. The procedure
typically lasts about 30 minutes, and most patients will return home in a few hours, with a fairly short recovery time after that.

These factors make the Endoscopic Discectomy one of our more common treatments when it comes to addressing herniated disc pain. Of course, every individual is different, and
the location of the herniated disc(s) and other factors will ultimately determine the type of procedure and/or treatment used.

An Endoscopic Rhizotomy is a procedure that is used to treat facet syndrome.


Facet Syndrome is a condition where the facet joints become inflamed and irritate the nerve called the medial branch nerve.This will tend to cause pain that is across the back, and perhaps down the legs (yet rarely going past the knee).


As we state elsewhere on this site, Facet Syndrome is initially diagnosed via a medial branch block – this determines if numbing the nerve reduces the pain. If the pain returns, then a
“denervation” can be accomplished by doing an Endoscopic Rhizotomy (this is similar in theory to a root canal for your


This is a minimally invasive procedure that will use a scope to find the location of the medial branch nerve, and make a lesion in the nerve, which should relieve the pain. The procedure (which you will be asleep for) does require a small incision, and there will be a few days down time to recover, but all in all, it’s worth the short healing time for the long-term relief it can bring (relief that is measured in years.)


This procedure is similar to another procedure called a radiofrequency ablation, however we prefer the Endoscopic
Rhizotomy because it tends to last much longer (again, measured in years not months), is 20% more successful, and is also more comfortable as it can be done under deeper sedation.

Sometimes, an epidural is not enough for your pain. In the case of herniated discs, a procedure called a Percutaneous Discectomy can be helpful.


What does the Percutaneous Discectomy do?
Percutaneous Discectomy (also called a Percutaneous Disc Decompression) is a procedure that goes right to the disc itself and attempts to remove some of the disc material. It’s a minimally invasive procedure, with less risk than older surgical methods, and is also more effective.


During the procedure (during which you will be asleep) a small incision is made at the location of the affected disc, and the damaged / herniated disc material is removed, usually with a laser or tiny, precision surgical tools.


You will typically return home the same day, and recovery is a few days, with some limits of sitting too long or twisting (etc.) for a few weeks.


The good part is, for many patients, once the material that was compressing your nerves is removed, relief follows.


As with all our procedures at Metro Pain Specialists, we will try the most minimally invasive treatments first (often injections/etc.) And if those do not work, we then move to same-day procedures like the Percutaneous Discectomy. It’s about our patient’s comfort and health, and we’re here for you if you are in pain.

THE SRCNJ philosophy

A higher Standard

Utilizing their years of experience, our providers all work together, to find the best treatment program for each individual patient. They do this by staying at the forefront of medical research, giving them the ability to deliver the latest and most innovative forms of healthcare. With multiple locations throughout north and central New Jersey , Spine and Rehabilitation Centers of New Jersey is your most convenient multi-specialty clinic with same day appointments available.

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