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Dr. Anurag Saxena

Cluster Head Delhi / NCR - Department of Neurosurgery

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Reviewed by

Dr. Anurag Saxena

Cluster Head Delhi / NCR - Department of Neurosurgery

Manipal Hospitals, Delhi

Endoscopic Disc Surgery: A Minimally Invasive Approach to Back Pain Relief

Reviewed by:

Dr. Anurag Saxena

Posted On: Apr 29, 2024

blogs read 7 Min Read

Endoscopic Disc Surgery in Delhi

Back pain is a common problem affecting millions of people worldwide. Herniated discs, where the soft inner disc material bulges and puts pressure on nerves, are a frequent culprit. Traditional open spine surgery for treating this condition can be invasive, leading to longer recovery times and potential complications.

However, advancements in technology have introduced a minimally invasive alternative: Endoscopic Disc Surgery (EDS). This blog delves into the world of EDS, explaining its benefits, procedures, and what to expect. You will also get to read the expert tips on lifestyle modifications after an EDS by our best neurosurgeon in Delhi at the end of the blog. ​​​​​​

Types of Endoscopic Lumbar Discectomy Surgery

There are two main types of EDS, depending on the location of the herniated disc:

  • Transforaminal Endoscopic Discectomy (TED)

This approach accesses the disc through the foramen, a small opening between vertebrae where nerves exit the spinal canal. This is suitable for addressing herniated discs in the lower back.

  • Interlaminar Endoscopic Discectomy (ILED)

This technique accesses the disc through the space between two vertebrae (interlaminar space). This is typically used for herniated discs in the cervical spine (neck).

Understanding Herniated Discs and the Need for Endo Discectomy Treatment

The spine is made up of vertebrae stacked on top of each other, separated by spongy discs. These discs act as cushions, absorbing shock and allowing for flexibility.  A herniated disc occurs when the tough outer wall of the disc weakens or tears, allowing the soft inner material to protrude. This can compress spinal nerves, causing pain, numbness, tingling, and weakness in the legs and buttocks. In some cases, conservative measures like physical therapy, medication, and lifestyle modifications can provide relief. However, when symptoms are severe or persistent, and non-surgical options fail, surgery might be recommended.Visit the best neurosurgery hospital in Delhi to get the finest treatment.

How is Endoscopic Discectomy Surgery Performed?

Endoscopic Disc Surgery offers a less invasive alternative to traditional open spine surgery. Here's what sets it apart:

  • Smaller Incision

EDS utilizes a tiny incision, typically less than an inch long. This reduces muscle disruption and minimizes scarring.

  • Endoscope Usage

A thin, flexible instrument with a camera (endoscope) is inserted through the incision. This allows surgeons to visualize the surgical area on a monitor and perform the procedure with greater precision.

  • Reduced Tissue Damage

Minimally invasive techniques minimize damage to surrounding muscles, ligaments, and tissues, leading to faster recovery.

The Endoscopic Discectomy Procedure: What to Expect

A typical EDS procedure involves the following steps:

  • General anaesthesia: You will be completely asleep during the surgery.

  • Incision creation: A small incision is made in the back.

  • Endoscope insertion: The endoscope is inserted through the incision, guiding the surgeon.

  • Disc access: Using specialized instruments, the surgeon reaches the herniated disc.

  • Disc material removal: The surgeon removes the protruding disc material, relieving pressure on the nerve.

  • Incision closure: The incision is closed with stitches or staples.

Benefits of Endoscopic Disc Surgery

Compared to traditional open spine surgery, EDS offers several advantages:

  • Minimally invasive: Smaller incisions and less tissue disruption lead to faster healing and shorter hospital stays.

  • Reduced pain: Minimized tissue damage often translates to less post-operative pain.

  • Quicker recovery: Patients generally experience a quicker return to normal activities.

  • Lower risk of complications: Minimally invasive techniques typically have a lower risk of infection and other complications.

  • Improved cosmetic results: Smaller incisions result in less noticeable scarring.

Who is a Candidate for Endoscopic Disc Surgery?

Not everyone with a herniated disc is a candidate for EDS. The suitability depends on various factors like:

  • The severity of symptoms

EDS is typically recommended for patients with moderate to severe pain or neurological issues not responding to conservative treatment.

  • Disc location

EDS is most suitable for herniated discs in the lower back (lumbar spine) and sometimes the neck (cervical spine).

  • Overall health

​​​​​​​Patients with certain medical conditions might not be suitable candidates.

It's crucial to discuss your individual situation with the best spine surgeon in Delhi to determine if Endoscopic Disc Surgery is the right option for you. Visit the best neurosurgery hospital in Delhi to get the finest treatment.

Aftercare and Recovery

Following EDS, physical therapy is usually recommended to strengthen core muscles and promote proper spinal alignment.  Recovery time is generally faster compared to open spine surgery, with most patients returning home within a day or two.

Lifestyle Modifications After an Endoscopic Disc Surgery 

Following endoscopic disc surgery (EDS), a crucial part of the recovery process involves adopting healthy lifestyle modifications to optimize healing, prevent future issues, and ensure long-term success. Here are some key areas to focus on:

  • Initial Rest

Allow your body time to heal in the immediate postoperative period. Your doctor will advise on specific rest recommendations.

  • Physical Therapy

​​​​​​​Physical therapy plays a vital role in recovery. A personalized program will strengthen core muscles, improve flexibility, and promote proper spinal alignment, all crucial for supporting your back and preventing future problems.

  • Gradual Return to Exercise

​​​​​​​Don't jump back into strenuous activities too soon. Slowly reintroduce exercise routines, starting with low-impact activities like walking or swimming, and gradually progress based on your doctor's guidance and your body's tolerance.

  • Ergonomics

​​​​​​​Pay attention to ergonomics at work and home. Use ergonomic chairs, maintain good posture while sitting and standing, and avoid slouching.

  • Lifting Techniques

​​​​​​​Learn and practice proper lifting techniques to avoid putting unnecessary strain on your back. Bend your knees and lift with your legs, not your back.

  • Sleeping Position

​​​​​​​Choose a supportive mattress and pillow that promotes proper spinal alignment. Avoid sleeping on your stomach, which can strain your back.

  • Diet and Nutrition

​​​​​​​Maintain a balanced diet rich in fruits, vegetables, and whole grains. These foods provide essential nutrients for healing and overall health.

  • Weight Control

​​​​​​​Excess weight puts additional stress on your spine. Maintaining a healthy weight can significantly benefit your back health.

  • Listen to your body

​​​​​​​Don't push yourself too hard. Recognize your pain limits and gradually increase activity as your body heals.

Conclusion

Endoscopic Disc Surgery offers a promising minimally invasive approach for treating herniated discs.  It's essential to consult with a qualified spine surgeon in Delhi who can assess your specific condition and determine if EDS is the most suitable option for achieving long-lasting pain relief and improved function.

Book an appointment with our spine surgeon in Delhi and keep coming back to our official blog page to read the latest blogs shared by our doctors. 

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