Selective Endoscopic Disectomy

Selective Endoscopic Disectomy 2018-01-11T23:28:29+00:00

Overview

This minimally-invasive procedure is performed through a small tubular device. It is designed to relieve pain caused by herniated discs pressing on nerve roots. The surgery is performed under local or epidural anesthesia, allowing the patient to leave the hospital the same day.

Guide Wire is Inserted

After the disc protrusion is confirmed, a guide wire is inserted to the affected disc. The surgeon uses a special type of x-ray machine called a fluoroscope to ensure that the route to the herniated disc is made in the correct location

Obturator Inserted

A two-hole obturator tube is passed over the guide wire to push apart the tissue down to the disc and to move the nerve root out of the way. Painful tissue in the path of the obturator may be anesthetized.

Working Sleeve Inserted

The working sleeve, through which the surgery will be performed, is slid over the dilating tube. It is positioned on the disc surface. The guide wire and dialator are then removed.

Endoscope Inserted

An endoscope (which contains a surgical light and small camera) is placed through the tube, allowing the surgeon to view the annulus, disc, and epidural space on a video monitor. The surgeon will use the endoscope to guide the surgical tools and inspect the results.

Degenerative Portions REmoved

The surgeon uses instruments to remove degenerative and extruded portions of the disc nucleus. Because only enough of the disc is removed to reduce pressure inside the disc, the spine remains stable.

Disc Wall Treated

The disc wall defect is treated with a laser and radiofrequency probe. The foramen and nerves are inspected to confirm successful decompression. The instruments and sleeve are removed.

End of Procedure

The insertion area in the skin is covered with a small bandage. Because no muscles or bone are cut during the procedure, recovery is fast and scarring is minimized. The patient may need a day of bed rest after the procedure and physical therapy. Most patients may return to normal activity within one to six weeks.

TYPES OF PAIN WE TREAT

GASTROINTESTINAL

Hiatial Hernia
Peptic Ulcer

EAR, NOSE AND THROAT

Trigeminal Neuralgia

GENERAL HEALTH

Herniated Disk
Lumbar Radiculopathy (Sciatica)
Osteoarthritus of the Knee
Osteoporosis
Trigger Point Injections
Where Lower Back Pain Begins
Where Neck Pain Begins
Whiplash

Brain and Mental Health

Depression
Generalized Anxiety Disorder
Post-Whiplash Headache
Stroke
Substance Abuse
Traumatic Brain Injury
Occipital Neuralgia (Arnolds Neuralgia)
Post Traumatic Stress Disorder
Substance Dependence
Tension Headache
Trigeminal Neuralgia

Diabetes Conditions

Diabetic Foot
Hyperglycemia (High Blood Glucose) and Diabetes
Hyperglycemia (Low Blood Glucose) and Diabetes
Prediabetes
Diabetes (Type 2)

Diabetes Treatments

Diabetes and Foot Care
Diabetes and Exercise
Diabetes and Healthy Eating
Managing Type 2 Diabetes

Digestive and Urinary Systems Conditions

Constipation (Adults)

Heart, Blood and Blood Vessel Conditions

High Blood Pressure (Hypertension)

Infectious Diseases

Shingles (Herpes Zoster)

Lung Conditions

Asthma
Bronchitis
COPD
Emphysema

Medications

Opioids Medications
Opioids (Common Side Effects)
Opioids (Dependence and Addiction)
Opioids and Chronic Pain Management
Using Opioids Safely

Sleep Disorders

Insomnia
Restless Leg Syndrome
Sleep Apnea

Systemic and Genetic Disorders and Conditions

Anemia
Chronic Fatigue Syndrome
Complex Regional Pain Syndrome
Fibromyalgia
Overweight and Obesity

Head Non-Surgical Procedures

Botox Injections for Chronic Migraine

Peripheral Non-Surgical Procedures

Fascia Illiaca Block
Brachial Pleaxus Block
Femoral Nerve Block
Poplitea Fossa Block

Spine Conditions

Cervical Radiculopathy
Compression Fractures of the Spine
Facet Joint Syndrome
Herniated Discs
Lumbar Radiculopathy (Sciatica)
Myelopathy
Spinal Stenosis
Spondylolisthesis
Spondylosis
Where Lower Back Pain Begins

Spine Non-Surgical Procedures

Caudal Epidural Steroid Injection
Cervical Epidural Steroid Injection
Discography
Facet Joint Injections
Flouroscopic Guided Piriformis Injection
Lumbar Epidural Steroid Injection
Lumbar Epidural Steroid Injection (without contrast)
Lumbar Transforaminal Epidural Steroid Injection
Medial Branch Block (Cervical)
Radiofrequency Neurotomy of the Lumbar Facets
Sacrolliac Joint Steroid Injection
Stellate Ganglion Block

Spine Surgical Procedures

Anterior Cervical Discectomy and Fusion
Cervical Posterior Foraminotomy
Laminectomy
Laminectomy (cervical) with Fusion
Lumbar Disc Microsurgery
Lumbar Discoscopic Discectomy
Micro Endoscopic Discectomy
Minimally Invasive Lumbar Microdecompression
Posterior Lumbar Interbody Fusion
Spinal Fusion (Lumbar)
Selective Endoscopic Disectomy

Foot and Ankle Procedures

PRP Therapy
PRP Therapy for Achilles Tendon Pain
PRP Therapy for Peroneal Tendonitis
PRP Therapy for Plantar Fasciitis

Hip and Thigh Conditions

Sacroiliac Joint Pain
Hip Joint Injection
PRP Therapy
Ultrasound-Guided Illoinguinal Nerve Block

Knee Procedures

PRP Therapy
Flouroscopic Guided Steroid Injection for Knee Pain
Genicular Nerve Block
HYALGAN Injection for Knee Pain (Flourscopic Guided)
Visco-supplementation for Arthritis of the Knee

Shoulder Procedures

Suprascapular Nerve Block (Flouroscopically Guided)