Endoscopic Discectomy in Fort Wayne, Indiana
Ultra-minimally invasive endoscopic discectomy removes herniated disc material through incisions smaller than a dime. This advanced technique uses high-definition cameras for precise visualization, allowing same-day discharge and dramatically faster recovery compared to traditional surgery.
What is Endoscopic Discectomy?
Endoscopic discectomy is an ultra-minimally invasive procedure where a pencil-thin telescope is inserted through a tiny incision (less than 1cm) to remove herniated disc material compressing your nerve. High-definition cameras provide magnified views, allowing precise removal while preserving healthy tissue.
When It's Used (Indications)
- Herniated disc causing leg or arm pain (sciatica/radiculopathy)
- Contained disc herniation (material still connected to disc)
- Single level disease (most common)
- Failed conservative treatment for 6+ weeks
- Appropriate anatomy for endoscopic approach
Alternatives
Conservative Options
- Physical therapy and core strengthening
- Anti-inflammatory medications
- Epidural steroid injections
- Activity modification and observation
Surgical Alternatives
- Traditional microdiscectomy
- Lumbar fusion (if instability present)
- Open discectomy (rarely needed)
Conservative First: Before considering endoscopic discectomy, Dr. Greenberg typically recommends comprehensive conservative care including physical therapy, medications, and injections when appropriate. Surgery is only recommended when conservative treatments have been exhausted and symptoms significantly impact quality of life.
How It's Performed (Step-by-Step)
Tiny Incision
Less than 1cm incision made over affected disc level
Endoscope Insertion
High-definition camera inserted through natural tissue planes
Disc Fragment Removal
Precise removal of herniated material under magnified visualization
Nerve Decompression
Verify nerve mobility and complete decompression
Closure
Single stitch or skin glue; no drain needed
Endoscopic vs Traditional Microdiscectomy
| Factor | Endoscopic | Traditional |
|---|---|---|
| Incision Size | <1cm | 2-3cm |
| Muscle Damage | Minimal | Moderate |
| Hospital Stay | Same-day | Same-day or overnight |
| Return to Work | 1-2 weeks | 2-4 weeks |
| Pain Relief | Equivalent | Equivalent |
Benefits
- Incisions smaller than a dime
- Minimal muscle disruption
- Same-day discharge typical
- Faster return to work
- Less post-operative pain
- Reduced narcotic requirements
- Lower infection risk
- Excellent cosmetic result
Risks & Rare Complications
- Infection, bleeding, or anesthesia risks (rare)
- Nerve injury or dural tear (very rare)
- Recurrent disc herniation (5-10%)
- Incomplete pain relief
- Scar tissue formation
Recovery Timeline (Phase-Based)
Day 0 (Surgery Day)
Outpatient procedure; walking within hours; home same day
Days 1-7
Light walking encouraged; no lifting >10 lbs; minimal pain medication
Weeks 2-6
Return to desk work week 1-2; physical therapy begins; gradual activity increase
Weeks 6-12
Return to physical work; full activities; sports clearance
Red Flags / When to Call
- • New or worsening leg weakness
- • Loss of bowel/bladder control (call 911)
- • Fever >101°F or wound drainage
- • Severe pain not controlled by medication
- • Numbness in groin/saddle area
What to Expect
Before Surgery
- MRI review and surgical planning
- Medical clearance if needed
- Pre-op instructions and consent
Day of Surgery
- General or local anesthesia
- 30-60 minute procedure
- Home within 2-4 hours
After Surgery
- Walking same day encouraged
- Minimal pain medication needed
- Follow-up at 1-2 weeks
Long-term
- Core strengthening program
- Spine health maintenance
- Return to full activities
Frequently Asked Questions
Is endoscopic discectomy as effective as traditional surgery?
Studies show equivalent pain relief and functional outcomes between endoscopic and open microdiscectomy, with the advantage of reduced tissue trauma and faster recovery.
Can I go home the same day?
Yes, most endoscopic discectomy procedures are performed on an outpatient basis with same-day discharge.
How small is the incision?
Endoscopic discectomy uses incisions smaller than 1cm (less than half an inch), significantly smaller than traditional approaches.
When can I return to work?
Most patients return to desk work within 1-2 weeks and physical jobs within 4-6 weeks, faster than traditional surgery.
Am I a candidate for endoscopic surgery?
Approximately 70-80% of disc herniations are amenable to endoscopic treatment. Dr. Greenberg evaluates each case individually based on herniation type, location, and anatomy.
What is the recurrence rate?
Recurrence rates are 5-10%, comparable to traditional approaches. Proper patient selection and surgical technique minimize this risk.
Why Greenberg Spine
Fellowship Training
Advanced endoscopic training at Mayo Clinic, Johns Hopkins, and Brown University
High-Volume Experience
Specialized expertise in endoscopic spine surgery techniques
Patient-First Approach
Clear expectations, shared decision-making, and comprehensive care
Evidence Snapshot
What the Literature Supports
- Endoscopic techniques show equivalent pain relief to open surgery
- Significantly reduced tissue trauma and muscle damage
- Faster return to work and daily activities
- Lower infection rates in experienced hands
Importance of Selection & Diagnosis
- Proper patient selection critical for optimal outcomes
- Surgeon experience significantly impacts results
- Recovery variability based on individual factors
Disclaimer: This is general information and not medical advice; individual results vary.
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Join the WaitlistInformation is educational, not medical advice. Outcomes vary. Consult Dr. Greenberg for personalized evaluation and treatment recommendations.