Endoscopic Microdiscectomy in Plano, TX
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Endoscopic microdiscectomy is a minimally invasive procedure designed to alleviate the pain and discomfort associated with a herniated disc. At the Advanced Spine Center, we are committed to providing our patients with the most advanced surgical techniques available, ensuring a quicker recovery and a swift return to daily activities.
Our dedicated team of Plano spine specialists is here to guide you through every step of your journey to a pain-free life, leveraging the latest in medical innovations and personalized care plans tailored to your unique needs. To schedule an appointment with us, please call our office today at 972-499-5457.
What Is Endoscopic Microdiscectomy?
Endoscopic microdiscectomy is a minimally invasive surgical procedure used to treat herniated discs in the spine. It involves the use of an endoscope, which is a thin, flexible tube equipped with a camera and surgical instruments.
It is designed to relieve pain caused by a herniated disc pressing on nerve roots. This surgery is usually performed on an outpatient basis, which allows the patient to leave the hospital the same day.
Is Microendoscopic Discectomy a Minimally Invasive Procedure?
Yes, microendoscopic discectomy is a minimally invasive spine surgery. As with other minimally invasive spine surgeries, microendoscopic discectomy offers several advantages over traditional open surgery, including smaller incisions, less damage to surrounding tissues, reduced blood loss, shorter hospital stays, and faster recovery times. Patients often experience less postoperative pain and can return to normal activities sooner compared to open surgery.
What Are Endoscopic Discectomy Surgeries Used to Treat?
Endoscopic discectomy is a surgical procedure that is primarily used to treat disc herniation and related symptoms. It can also treat conditions related to herniated discs, such as cauda equina syndrome. Below, we outline the most common conditions treated with this surgery.
Herniated Disc
Endoscopic discectomy surgeries are particularly effective in addressing herniated discs and relieving associated symptoms. By utilizing a minimally invasive approach, surgeons can access the affected disc with small incisions, reducing trauma to surrounding tissues and muscles.
The procedure involves using an endoscope and surgical instruments, which allows for precise visualization of the herniated disc and surrounding structures. With the guidance of the endoscope, the surgeon can remove the portion of the herniated disc that is compressing the spinal nerves, relieving pressure and alleviating symptoms.
Radiating Leg Pain (Sciatica)
When a herniated lumbar disc affects the lower back, it can result in radiating leg pain, commonly known as sciatica. This pain typically follows the path of the affected nerve, often traveling down the back of the thigh and calf into the foot. In severe cases, the pain may be debilitating, interfering with daily activities and reducing quality of life. Minimally invasive lumbar microdiscectomy can help treat this condition.
Radiculopathy
Endoscopic discectomy surgeries can also be effective in treating radiculopathy, a condition characterized by symptoms stemming from irritation or compression of spinal nerve roots. Radiculopathy can manifest as pain, numbness, tingling, or weakness in the areas of the body served by the affected nerve root.
Endoscopic techniques offer a minimally invasive solution to address the underlying cause of radiculopathy, providing targeted relief and promoting faster recovery compared to traditional open surgery approaches.
What to Expect Before the Micro Endoscopic Discectomy Surgery
Before a microendoscopic discectomy surgery, patients can expect to undergo a thorough evaluation by their spine surgeon. This typically includes a review of medical history, physical examination, and possibly diagnostic tests such as imaging studies to confirm the diagnosis and assess the extent of the disc herniation.
Patients will also receive instructions regarding preoperative preparations, which may include fasting prior to spinal surgery and discontinuation of certain medications that could increase bleeding risk.
Patients can expect to receive detailed information about the procedure, including its risks, benefits, and expected outcomes. They will be able to ask questions and discuss any concerns with their healthcare team.
Additionally, patients will be advised on postoperative care instructions, such as restrictions on physical activity and recommendations for pain management during the recovery period.
Who Is Eligible for Microendoscopic Discectomy?
Candidates eligible for microendoscopic discectomy typically have symptoms of a herniated lumbar disc that have not responded to conservative treatments such as rest, physical therapy, and medication.
They may experience persistent back pain, radiating leg pain (sciatica), numbness, tingling, or weakness due to nerve compression. Ideal candidates are generally in good overall health and do not have significant spinal instability or deformity.
Microendoscopic discectomy is generally a more favorable option compared to traditional spine surgery. This is because it has smaller incisions and does less damage to surrounding tissues. Therefore, someone who may not be a candidate for a more open spine surgery may be eligible for this minimally invasive procedure.
Micro Endoscopic Discectomy Procedure
This minimally invasive surgery involves several steps. Your surgeon will discuss how the procedure will go before it happens, so you will have an idea of what to expect. Below, we have outlined the main steps in the microdiscectomy procedure.
Guide Wire Inserted
A guide wire is inserted through a small incision and is pushed to the affected disc level. 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.
Dilating Tubes Inserted
A series of dilating tubes are passed over the guide wire to push apart the tissue down to the vertebrae. The guide wire is then removed.
Retractor Inserted
The tubular retractor, through which the surgery will be performed, is slid over the dilating tubes. It is positioned on the bone surface. All the dilating tubes are then removed.
Instruments Inserted
A surgical light and small camera or microscope are used to see through the tube. Surgical instruments are used to clear away bone and soft tissue in order to access the spinal canal.
Spinal Nerve Moved
The surgeon uses a nerve retractor to gently move the nerve away from the herniated disc.
Herniated Portion Cleared
The herniated portion of the disc is removed and the area is cleared, which allows room for the nerve to move back to its normal position.
End of Procedure
The tubular retractor is removed, allowing the body tissue to close around the surgery area. The surface wound is closed with a small bandage.
What to Expect After the Endoscopic Microdiscectomy
After an endoscopic microdiscectomy, patients generally experience immediate relief from nerve pain, although some may feel temporary numbness or tingling as nerves recover. The minimally invasive nature of the procedure typically allows for a quicker recovery period compared to traditional open surgery. Most patients can expect to return home the same day, provided there are no complications.
Postoperative care includes following specific instructions regarding activity levels, pain medication, and wound care. Patients are usually advised to avoid strenuous activities and heavy lifting for a few weeks to allow the surgical site to heal properly. Physical therapy may be recommended to strengthen the back and improve flexibility.
Endoscopic Microdiscectomy Recovery Timeline
In the initial days following surgery, it’s common to experience some soreness at the incision site. Patients are often encouraged to start walking within a day or two post-surgery to promote circulation and facilitate healing, though heavy lifting and strenuous activities should be avoided.
Within the first few weeks, patients typically notice a significant reduction in leg pain, although full nerve recovery may take longer. Many can return to light, day-to-day activities within 2 to 4 weeks.
However, return to work and the resumption of more strenuous activities depend on the individual’s healing progress and the nature of their job, usually ranging from 4 to 6 weeks for sedentary roles and longer for physically demanding ones.
Physical therapy is often recommended to strengthen back muscles and support spinal health. Full recovery and maximum improvement of symptoms may take several months, with adherence to rehabilitation and exercise programs playing a crucial role in the healing process and outcome.
Permanent Restrictions After Endoscopic Microdiscectomy
Most individuals can return to their normal daily activities and work without significant limitations once they have fully recovered. However, healthcare providers often emphasize the importance of maintaining good spinal health to prevent future issues. This may include recommendations on proper body mechanics, regular exercise to strengthen the back and core muscles, maintaining a healthy weight, and avoiding tobacco use.
Contact the Advanced Spine Center for Micro Endoscopic Discectomy in Plano
At the Advanced Spine Center in Plano, TX, we understand that choosing to undergo endoscopic microdiscectomy is a significant decision, and our team is here to ensure you feel supported, informed, and confident every step of the way. Our commitment to excellence in spine health and patient care is unwavering, and we are dedicated to helping you achieve the best possible outcomes.
With our state-of-the-art facilities, expert spinal orthopedic surgeon, and compassionate support staff, you can rest assured that you are in skilled hands. We invite you to reach out to us to learn more about how this minimally invasive procedure can provide relief and restore your quality of life.
