If after a period of 12 weeks the back pain is not beginning to be brought under control and there is no positive progress in regards to the injury then surgery is often considered.
Below is a list of some minimally invasive back surgeries that are available:
Foraminotomy
This is an arthroscopic approach to open up the foramen without the need for general anesthesia in an outpatient surgical setting. A foraminotomy is a medical operation used to relieve pressure on nerves that are being compressed by the intervertebral foramen, the space in the vertebra where a nerve root exits the spinal canal. A foraminotomy is performed to relieve the symptoms of nerve root compression in cases where the foramen is being compressed by bone, disc, scar tissue, or excessive ligament development and results in a pinched nerve.
Laminotomy
This is an arthroscopic approach to laminotomies used to open up the spinal canal, without the need for general anesthesia, in an outpatient surgical setting. A laminotomy is a surgical procedure that is used to relieve pressure off the spinal canal for the exiting nerve root and spinal cord, increasing the amount of space available for the neural tissue and thus releasing the nerve(s). The term laminotomy is derived from the Latin words lamina (bony plate that covers the posterior arch of the vertebra) and -otomy (act of cutting, incision).
Percutaneous Endoscopic Discectomy
Percutaneous Discectomy is the surgical removal of herniated disc/bulging disc material that presses on a nerve root or the spinal cord.
Facet Thermal Ablation
A Facet Thermal Ablation is a procedure very similar to a root canal a dentist performs. The surgeon uses a laser to clean the facet joint and deaden the nerve that innervates the joint and causes painful symptoms. The facet joints are the joint structures that connect the vertebrae to one another. Thermal ablation refers to the laser eradication of the effected nerve.
A Facet Thermal Ablation is used to treat the following conditions:
- Facet Disease
- Facet Joint Syndrome
- Facet Hypertrophy
- Facet Arthritis
- Degenerative Facet Joints



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