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An endoscopic rhizotomy is an outpatient procedure that’s one of the least invasive procedures that allows our physician direct visualization of the dorsal ramus branch of nerves including the medial and lateral branch nerves. These nerves innervate the facet joint and connect the pain signal from your back muscles to your brain. When our physician directly observes the nerves with an HD endoscope, he can see and ablate the nerves with certainty and provide significant long-term back and neck pain relief. This least-invasive procedure has significant advantages over the pain management’s percutaneous radiofrequency facet ablation procedure, which is done under a fluoroscopic X-ray.
The endoscopic rhizotomy procedure may be used to treat patients who are suffering from:
- Chronic back pain
- Muscle spasms
- Pain when leaning backward (but leaning forward is fine)
- Patients who experienced temporary relief with a percutaneous medial branch rhizotomy
Patients report better long-term results from this least-invasive procedure, compared to a traditional percutaneous rhizotomy. An endoscopic rhizotomy can effectively treat back pain, spasms, and provide chronic back pain relief.
What conditions does Endoscopic Rhizotomy treat?
When is an Endoscopic Rhizotomy Procedure Recommended?
- If you’ve been experiencing lower back pain for more than six weeks
- You’ve had a percutaneous rhizotomy before but symptoms have returned
- Rubbing your lower back increases spasms
- You’ve experienced pain relief of 50% or more from a medial branch block procedure
The endoscopic rhizotomy procedure is usually done on an outpatient basis. Within an hour after the procedure is completed, you’ll be able to return home. Full recovery from this non-invasive, 30-minute procedure takes just a few weeks.
During the recovery period, you’ll be required to come in for follow-up appointments. Physical therapy may be performed to help you gain full strength and mobility. You may also need to take some pain-relieving medication to reduce discomfort during the recovery period.
How long is the recovery and how soon can you return to work?
This type of endoscopic spine surgery takes about thirty minutes and you’ll be ready to go home after the surgery in about an hour. You’ll experience very little if any pain from the procedure. You’ll want to keep in contact with your doctor during your recovery to determine when you can resume your normal activities. Many patients feel better right after the procedure and can go back to work in just a couple of days. Be sure to follow your doctor’s instructions and avoid any heavy lifting until you’ve been medically cleared.
ARE YOU A GOOD CANDIDATE FOR ENDOSCOPIC RHIZOTOMY?
To see if you are a good candidate for an endoscopic rhizotomy, take our pain evaluation questionnaire and someone from our office will get back to you.
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