Epiduroscopy is a procedure performed through the sacral hiatus utilizing a flexible scope along with a laser. Although I have successfully performed these in the past, I feel that the level of visualization and ultimate efficacy is subpar when compared to endoscopic procedures performed through the neural foramina and interspinous space. These procedures utilize rigged scopes and high definition lenses yielding better outcomes. Lasers and radio frequency probes along with manual tools are also utilized to remove discs, scars and bony overgrowths under endoscopic guidance.

– Dr. Douglas Spiel