Endoscopic Discectomy
Remove what presses on the nerve, through an incision the width of a fingertip.

Sciatica or arm pain from a confirmed disc herniation on MRI that matches your exam, lasting more than about six weeks despite rehabilitation and image-guided injections, or sooner with worsening weakness.

Under X-ray guidance, a tube a few millimeters wide is placed through a small incision. A high-definition endoscope lets the physician see and remove the disc fragment pressing on the nerve, with minimal disruption to muscle and bone. Light sedation or local anesthesia is often used.

Walking the same day, a gradual return to activity over a few weeks, and a guided rehabilitation plan.

Risks include recurrent herniation, nerve irritation, a dural tear, infection or bleeding, and the possibility that open surgery is still needed.