Lumbar Micro-Endoscopic Distectomy Specialist

What is lumbar microendoscopic discectomy?

A discectomy is the surgical removal of a damaged vertebral disc. When the disc is located in the lower portion of your spine, the procedure is called a lumbar discectomy. Procedures that are assisted by a tiny surgical camera called an endoscope are known as microendoscopic discectomies.

These are some indications that surgical disc removal may be warranted:

• Pain prevents normal daily activities
• You experience sensations of numbness or weakness
• You begin to lose control of your bowels or bladder
• You cannot stand or walk without difficulty

Before moving forward with a surgical solution, Dr. Shwartzman explores all other treatment options.

What is minimally invasive discectomy?

Minimally invasive discectomy is a surgical approach that requires only small incisions and minimal tissue disruption to access and remove the damaged disc. Microdiscectomy incorporates a thin tube called a cannula to position a tiny camera and light at the surgical site.

Incredibly slim surgical tools are used to stretch the muscle tissue surrounding your bone, and a small retractor holds that tissue open throughout the procedure. Next, any remaining muscle tissue is cleared off the bone, and a small portion of bone is removed to gain access to the disc.

A portion of ligament is repositioned, and the nerves that lie beneath are carefully moved to the side. That allows direct access to the damaged disc. Surgical tools are used to remove the damaged portion of the disc and any loose fragments.

After the removal is finished, the area is irrigated and the displaced tissues are moved back into proper position. A few stitches hold tissues together to promote healing, and the external incision is closed with just a small piece of surgical tape and a simple bandage.

What should I expect after lumbar microendoscopic discectomy?

You’ll likely be able to go home after your procedure unless you have other health issues that require monitoring. Your specialist will provide thorough instructions on the type and dosing of pain medication.

You should use ice to reduce pain and swelling in the incision area as your body heals. Avoid strenuous activity for a couple of weeks, and limit movements that bend or twist your back.

Ask a loved one to help with daily activities for a few days, and avoid driving until Dr. Shwartzman clears you. Be sure to walk each day, increasing the duration of walks as you recover.  

If you’re interested in learning more about this and other treatments for back pain, book a consultation at Comprehensive Pain Management by phone.