The procedure is called Percutaneous Discectomy.
It is performed under x-ray using local anesthetic (sometimes
with light sedation) and is much less invasive than traditional
surgical treatments.
What type of pain can be treated?
Low back and leg pain.
How does the procedure work?
The Dekompressor™ percutaneous lumbar discectomy probe removes
disc tissue relieving painful pressure on the surrounding nerves.
Will the procedure hurt? There should be no pain generated by the Dekompressor probe.
This advancement in technology requires only a tiny puncture
in the skin; similar to a simple injection.
How long does the procedure take?
The total procedure time is generally 15 to 30 minutes.
What physician training is required to
perform this procedure?
Board certification in a specialty such as interventional pain
management, orthopedic surgery, neurosurgery, or physiatry
is typical. Physicians should be experienced with discography.
Can my pain be cured?
In some cases, pain may be eliminated. In most cases, percutaneous
discectomy followed by appropriate follow up care will reduce
pain to a tolerable level.
Before your procedure
Here are some guidelines to help you prepare
for your procedure. Your physician may recommend other specific
instructions.
You should bring any recent x-rays, MRI
films, and reports to your procedure.
Notify your physician of your current medications
and your daily dosages including; blood thinners (such
as coumadin, lovenox plavix, etc.), vitamins, and herbal
supplements.
Notify your physician of any of the following; allergies
to medications or iodine, current infections, high blood
pressure, asthma, diabetes, or abnormal conditions you
may be experiencing including colds or respiratory problems.
Do not take aspirin or ASA containing
products (including Alka-Seltzer or Pepto-Bismol) for
5 days prior to your procedure.
Do not take herbal remedies including
ginkgo biloba for 5 days prior to your procedure.
Do not take NSAIDS (such as ibuprofen)
for 3 days prior to your procedure.
Do not take food or drink 6 hours
prior to your procedure except necessary and allowable
medications with sips of water.
Arrive at least 30 minutes prior to your scheduled
procedure time.
Be prepared to review and sign a consent form.
Arrange for transportation home from another person
following your procedure.
Day of the Procedure
You will be admitted to an exam or changing
room.
An IV may be started for your safety. Once placed,
the IV can be used to administer conscious sedation medications
or other medications, if desired and appropriate
The physician or physician assistant will review all
current prescriptions, MRI’s, X-rays, and reports.
The procedure should be performed under fluoroscopy
(live video X-ray) to verify the positioning of the probe
during the procedure.
Prescriptions for post-procedure therapy, medications,
and follow-up instructions should be reviewed with you
by a member of the health care staff or your physician.
Post-Procedure recommendations
You will spend about 15 minutes in a recovery
room where monitoring is continued immediately following
the procedure.
You will need to arrange transportation home from
another person.
You should apply periodic ice on the treatment area
1 to 2 hours per day for 3 days.
style='font-family:Symbol;'> style='font:7.0pt "Times
New Roman"'> Plan on bed rest with gentle stretching
for 1 to 3 days. Limit sitting or walking to less than
30 minutes at a time.
Limit driving, bending, twisting, and lifting of weights
over 10 pounds for 3 days.
Prescription or non-prescription pain and anti-inflammatory
medications may be required for 3 to 30 days.
style='font-family:Symbol;'> style='font:7.0pt "Times
New Roman"'> Plan on a slow return to your normal routine.
You may be able to return to work in about 3 days
depending on your job function.
A stretching program under the direction of your physician,
physical therapy, and chiropractic care should begin
after 7 days.
Limited physical activity may begin following 30 days.
Plan on conservative physical activity for up to 3
months.
Back braces or supports are not necessary but may
improve your recovery.
Your physician may recommend other specific post-procedure
instructions.