Endoscopic Spine Procedures Overview Endoscopic Discectomy Endoscopic Rhizotomy Endoscopic Foraminalplasty

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 backwards (but leaning forward is fine)
  • Patients who experienced temporary relief with a precutaneous 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

What are the advantages of Endoscopic Rhizotomy vs. Percutaneous Radiofrequency Facet Ablation?

  • Many patients report long-term relief of three to five years
  • Instead of multiple percutaneous procedures, there is just one procedure
  • Your surgeon will be able to see the nerves that are causing your pain and target them with ablation

How is the procedure performed?

You’ll be given local anesthesia. A tiny incision (about 1/4 of an inch) will be made in the skin and muscle of your back near the facet joint of the vertebrae. A 7mm tube is inserted into the incision so the surgeon can access the medial branch nerve. Next, an HD camera is inserted into the metal tube, which gives the surgeon a high-definition view of the medial branch nerve. Using microscopic instruments, the surgeon will ablate the medial branch nerve.

This non-invasive back surgery can give you lasting relief. Call today!

Once the nerve is treated, the metal tube is extracted. There is no need for a stitch; the surgeon will place a small Band-Aid over your incision.

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 days. Be sure to follow your doctor’s instructions and avoid any heavy lifting until you’ve been medically cleared.


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 within a day.

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