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A 39-year-old member asked:

Is an endoscopic discectomy a good suggestion for people with a herniated disk?

4 doctor answers9 doctors weighed in
Dr. Paul Slosar
A Verified Doctoranswered
Orthopedic Surgery 34 years experience
Sometimes: Several surgeons use an endoscope to do the disc removal while many more use a microscope. As long as the surgeon is well trained in the procedure then it is a viable (although less common) option.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. David Rosenfeld
Pain Management 28 years experience
It is less invasive and in the hands of a well trained physician can be very effective
Feb 1, 2012
Dr. Patrick Roth
Neurosurgery 35 years experience
No, usually not: There is little difference between endoscopic and microscopic treatments of herniated discs when both are done properly. Many endoscopic disc operations, however, only remove disc from the center of the disc space and not the piece that is directly pressing on the nerve. In addition, the visualization with the microscope is far better than the endoscope.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Thomas Dowling
Orthopedic Spine Surgery 41 years experience
It is an option : Surgery is an option for a disc herniation causing primarily leg pain if you have failed 12 weeks of nonop care including: medication, exercise/physical therapy and possibly epidural steroid injections. If the disc herniation on imaging matches your symptoms & clinical findings, an endoscopic surgery is an option with good results in most people who are in shape and are non smokers.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Adam Hebb
Neurosurgery 22 years experience
Anatomy: This depends on your anatomy and the location of the disc herniation. Certain types of disc herniations are ideally approached using an endoscopic technique.
Created for people with ongoing healthcare needs but benefits everyone.

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Last updated Feb 4, 2020

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