Procedure Description
Endoscopic disc decompression is a minimally invasive spinal procedure designed to remove or reduce disc material that is compressing nearby nerves in the lumbar, thoracic, or cervical spine. Using a small, high-definition endoscope inserted through a tiny incision, the surgeon can directly visualize and remove herniated or bulging disc tissue, relieving pressure on spinal nerves while preserving the healthy structures around the disc.
This outpatient procedure offers less tissue disruption, faster recovery, and minimal scarring compared to traditional open spine surgery.
What It Treats
Endoscopic disc decompression is used to treat conditions such as:
Lumbar or cervical disc herniation
Bulging or protruding discs
Sciatica (radiating leg pain from lumbar disc compression)
Radiculopathy (nerve pain in the arms or legs)
Failed conservative treatments for disc-related back or neck pain
Symptoms may include:
Shooting or burning pain down the arms or legs
Numbness or tingling in the extremities
Weakness in the legs, feet, or hands
Pain worsened by sitting, bending, or twisting
How It Is Performed
The procedure is typically performed under local anesthesia with sedation or general anesthesia, depending on the location of the disc and patient needs.
A small (less than 1 cm) incision is made over the affected spinal segment.
A hollow tubular retractor is inserted to gently separate muscle and soft tissue.
A high-definition endoscope is inserted through the retractor to provide real-time visualization of the spinal anatomy.
Using tiny surgical instruments, the surgeon removes or vaporizes the herniated portion of the disc compressing the nerve.
Once decompression is complete, the endoscope is withdrawn, and the incision is closed with a small suture or adhesive strip.
The procedure typically lasts 30–60 minutes and is performed in an outpatient surgical center or hospital.
Pre-Procedure Instructions
Do not eat or drink for 6–8 hours before the procedure if sedation or anesthesia is planned.
Review your medications with your provider—blood thinners, diabetes medications, and NSAIDs may need adjustment.
Inform your provider if you:
Have an allergy to anesthesia or medications
Are pregnant or nursing
Have any active infections or uncontrolled medical conditions
Arrange transportation, as you will not be able to drive yourself home.
Wear loose-fitting, comfortable clothing and avoid wearing jewelry or lotions on the day of the procedure.
What to Expect After the Procedure
You will be monitored briefly in recovery and typically go home the same day.
Mild soreness at the incision site and some residual nerve sensitivity are common but improve quickly.
Most patients can resume light activity within a few days, with full return to work or physical activity in 2–6 weeks, depending on the individual and job requirements.
Your provider may recommend physical therapy to strengthen your core and support spinal healing.
You’ll receive post-op instructions on wound care, activity restrictions, and signs of complications to watch for.
Call your provider if you experience:
Fever, chills, or signs of infection
Persistent leg pain or new neurological symptoms
Worsening back pain or drainage from the incision site
A Modern, Precise Approach to Disc-Related Nerve Pain
At Parkview Spine & Pain, we offer endoscopic disc decompression as a cutting-edge solution for patients suffering from disc herniations, sciatica, or nerve impingement who are ready for minimally invasive relief without open surgery.
👉 Schedule your consultation today to see if you're a candidate for endoscopic spine surgery.