Endoscopic Microdiscectomy
What Is an Endoscopic Microdiscectomy?
An endoscopic microdiscectomy is a minimally invasive surgical procedure used to treat a herniated disc in the spine. It is designed to relieve pressure on a spinal nerve by removing the portion of the disc that is causing irritation or compression.
Unlike traditional open spine surgery, this procedure uses a small incision and a tiny camera called an endoscope. This allows the physician to see and treat the problem area with less disruption to surrounding muscles and tissues.
Endoscopic microdiscectomy is most commonly performed in the lower back (lumbar spine), but it can also be used in the neck in select cases.
At OIBortho, our physicians evaluate and perform advanced spine procedures, including endoscopic microdiscectomy, for patients throughout Middlesex, Monmouth, and Ocean Counties.
When Is Endoscopic Microdiscectomy Used?
This procedure is typically recommended when a herniated disc is causing significant nerve compression and symptoms that do not improve with non-surgical treatment.
It may be considered for:
- Persistent sciatica
- Herniated discs causing nerve pain
- Leg or arm pain from nerve compression
- Numbness or tingling that does not improve
- Muscle weakness related to a pinched nerve
Symptoms That May Lead to Surgery
Patients considered for this procedure often experience:
- Sharp, radiating pain in the arm or leg
- Chronic lower back or neck pain
- Numbness or tingling in the extremities
- Weakness in the affected limb
- Pain that worsens with sitting, bending, or lifting
- Difficulty with daily activities due to nerve pain
Causes of the Condition Treated
Endoscopic microdiscectomy treats symptoms caused by a herniated disc, which may develop due to:
- Age-related disc degeneration
- Sudden lifting or twisting injuries
- Repetitive strain on the spine
- Heavy physical activity
- Poor posture over time
- Genetics or disc weakness
When the inner disc material pushes out, it can press on nearby nerves and cause pain and neurological symptoms.
How the Procedure Works
During an endoscopic microdiscectomy:
- A small incision is made in the skin
- A thin tube with a camera (endoscope) is inserted
- The physician views the spine on a monitor in real time
- The portion of the disc pressing on the nerve is removed
- The pressure on the nerve is relieved
Because the procedure is minimally invasive, it typically causes less muscle disruption compared to traditional open surgery.
Recovery and What to Expect
Recovery varies depending on the patient and severity of the disc problem, but many patients experience a faster recovery compared to open surgery.
Recovery may include:
- Walking shortly after surgery
- Gradual return to light activity
- Physical therapy to restore strength and mobility
- Avoiding heavy lifting for a period of time
- Gradual return to normal activities over weeks
Many patients report improvement in nerve pain soon after surgery.
Risks and Considerations
As with any surgical procedure, there are risks, which may include:
- Infection
- Bleeding
- Nerve irritation or injury (rare)
- Recurrence of disc herniation
- Ongoing pain in some cases
A physician will review all risks and benefits before recommending surgery.
Why Choose OIBortho?
OIBortho provides advanced spine care, including minimally invasive surgical options like endoscopic microdiscectomy. Our physicians focus on precision techniques designed to reduce tissue disruption, improve recovery time, and relieve nerve pressure effectively.
We serve patients throughout Middlesex, Monmouth, and Ocean Counties with expert orthopaedic spine care close to home.
Call 732-800-9000 to speak with one of our scheduling specialists or click here to schedule online 24/7!
Frequently Asked Questions
What is an endoscopic microdiscectomy?
It is a minimally invasive surgery that removes part of a herniated disc to relieve pressure on a spinal nerve.
How is it different from traditional discectomy?
It uses a smaller incision, a camera for visualization, and causes less disruption to surrounding tissues.
How long is recovery?
Many patients return to light activity within days to weeks, depending on the individual case.
Does it fix back pain?
It is most effective for nerve-related pain such as sciatica, rather than general back pain alone.
Is it safe?
Yes, it is generally considered safe when performed by an experienced spine physician, though all surgery carries some risk.
Who is a candidate?
Patients with persistent nerve pain from a herniated disc that has not improved with conservative treatment may be candidates.