Endoscopic Discectomy in Fort Wayne, Indiana
Endoscopic discectomy removes herniated disc material through an incision smaller than a dime, relieving nerve compression that causes leg pain. Before considering surgery, Dr. Greenberg evaluates whether conservative treatments like physical therapy, medications, and injections can resolve your symptoms. When these approaches don't provide adequate relief after 6-8 weeks, endoscopic surgery offers a minimally invasive solution with same-day discharge and rapid recovery. Care is available in Fort Wayne, Indiana.
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.
Endoscopic vs Traditional Microdiscectomy vs Open Surgery
| Factor | Endoscopic | Traditional Micro | Open Surgery |
|---|---|---|---|
| Incision Size | <1cm | 2-3cm | 4-5cm |
| Muscle Damage | Minimal | Moderate | Significant |
| Hospital Stay | Same-day | Same-day or overnight | 1-2 nights |
| Return to Work | 1-2 weeks | 2-4 weeks | 4-6 weeks |
| Pain Relief | Equivalent | Equivalent | Equivalent |
| Best For | Contained herniations | Most herniations | Complex cases |
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
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
Frequently Asked Questions
How does endoscopic discectomy differ from traditional microdiscectomy?
Endoscopic discectomy uses incisions smaller than 1cm compared to 2-3cm for traditional microdiscectomy. The endoscopic approach causes less muscle damage, allows same-day discharge, and enables faster return to work while providing equivalent pain relief.
What is the recovery time for endoscopic discectomy?
Most patients return to desk work within 1-2 weeks and physical jobs within 4-6 weeks. This is significantly faster than traditional surgery due to minimal tissue disruption.
Am I a candidate for endoscopic surgery?
Approximately 70-80% of disc herniations are suitable for endoscopic treatment. Ideal candidates have contained disc herniations, single-level disease, and appropriate anatomy. Dr. Greenberg evaluates each case individually.
Will my insurance cover endoscopic discectomy?
Most insurance plans cover endoscopic discectomy when medically necessary. Our office verifies coverage and obtains pre-authorization before surgery.
Can endoscopic discectomy be performed on the neck?
Yes, endoscopic techniques can be used for both cervical and lumbar disc herniations. The approach and technique vary based on the location and type of herniation.
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.