Endoscopic foraminoplasty is performed through a small incision on the back near the compressed nerve root. To access the spine, muscles are not cut but are moved aside with ttelescoping tubes that are inserted into the incision down to the compressed nerve root. Next, an endoscope (a thin flexible telescope) and tiny surgical tools are inserted through the tubes. The portion of disc or bone material causing pressure on the nerve is removed by manual reamers, powered reamers and laser resection to restore foraminal volume. This reduces the pressure on the nerves and relieves the pain. The surgery is usually performed on an outpatient basis and the patient can return home the same day as the surgery. Recovery is much quicker as compared to the open spine surgery. This procedure is frequently done along with Tubular Discectomy and Anuloplasty.


Dr. Spiel’s unique clinical background has enabled him to view the practice of interventional pain through a broader perspective...

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