Los Angeles Back & Spine Surgery Patients will typically experience pain along the neck, corresponding to the level of where the pain is being generated from. Neck pain may be felt in the shoulders, upper back or may even sometimes cause headache. Neck arthritis may result in compression of the nerves of the neck. With involvement of nerves, radiating pain may be present in the shoulder, arm or fingers Los Angeles Minimally Invasive Spine Institute.

 

What causes neck pain?

 

Neck pain is usually caused by degenerative conditions of the spine, most commonly arthritis. This arthritis involves the disc, which serves as a cushion between the vertebrae. Arthritis can also involve the neck joints, called facets. Neck pain can also be caused by an injury, such as a fall or car accident. An injury can cause pain by hurting the joints, the disc or the ligaments Spine Surgery.

 

How is neck pain evaluated?

 

The first step in the evaluation of neck pain is a careful history and physical examination. Often, a history will give many clues as to what part of the neck is causing the pain, the joints or the disc. When conservative care with medications and therapy fails to bring relief an MRI gives doctors a look inside the neck.

 

How is neck pain treated?

 

The first step is treatment with therapy and neck exercises. Medications can relieve pain and inflammation. In patients that don’t respond a spinal pain management evaluation can be performed. In this highly specialized evaluation, we determine which of the structures in the neck the pain is emanating from. Spinal injections can bring relief and confirm the source of pain. Minimally invasive surgery is reserved only for cases that do not improve with spinal injections.

 

What is an endoscopic anterior discectomy?

Percutaneous means surgery is performed through a needle puncture, instead of a large skin incision. The use of a needle allows the surgeon to access the disc through a tiny opening in the skin and through natural openings in the spine. Once the needle is in place it is exchanged for a small tube that allows an endoscope to pass through it. Endoscopic means that the surgeon performs the procedure through a channel in the endoscope, while watching with the endoscope camera.

 

How is a percutaneous endoscopic cervical discectomy performed?

 

Percutaneous cervical discectomy is a minimally invasive procedure for the treatment of neck pain or cervical nerve pain due to a herniated disk. To start the procedure, a tiny skin nick is made on the skin at the front of the neck. A needle is placed through the skin nick and into the disc. A small wire is then placed into the disc, through the needle. The needle is exchanged for a series of small tubes. Using specialized instruments surgery is performed through these tubes. The procedure is guided by an endoscope, placed through the tube, and x-rays.

 

What are the advantages of percutaneous endoscopic discectomy?

 

Because a needle is used to access the disc from the skin a skin incision is not made, only a skin nick. Since the needle arrives to the disc via natural spinal openings healthy tissues are not disrupted. For example, unlike traditional minimally invasive surgery, muscles are not stripped from bone to access the spine, healthy bone is not removed to access the spinal openings and important spinal ligaments are not cut to access the disc. Performing surgery through a tiny skin nick and leaving healthy tissues intact means a same day procedure with a quicker recovery.

 

How long will the procedure take?

 

The procedure typically takes an hour to an hour and a half, depending on how many levels are operated on. After the procedure you will recover for two to four hours before going home.

 

What is the recovery like?

 

You will walk out the door and go home the same day with pain medications. For the first two to three days we advise plenty of rest with light neck stretching exercises. Activity should be tolerably increased over 7 days and should consist of short walks at first and a gradual return to normal daily activities. Avoid strenuous activity and heavy lifting (over 10 to 15 pounds) for the first several months. If one’s job is sedentary then work can be resumed in 7 days. At 4 weeks physical therapy can be resumed. Since the procedure is minimally invasive rehabilitation will generally be easier and faster than with traditional surgery. Recovery time will vary based on individual factors.

 

What is an endoscopic anterior discectomy?

 

Percutaneous means surgery is performed through a needle puncture, instead of a large skin incision. The use of a needle allows the surgeon to access the disc through a tiny opening in the skin and through natural openings in the spine. Once the needle is in place it is exchanged for a small tube that allows an endoscope to pass through it. Endoscopic means that the surgeon performs the procedure through a channel in the endoscope, while watching with the endoscope camera.