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TREATMENT OPTIONS

NON SURGICAL

Based on your doctor's recommendation, the first option will usually be a non-surgical action such as short periods of bed rest or medications that can reduce swelling and decrease pain. Physical and chiropractic therapy can also be turned to, as well as customized exercises or epidural steroid injection therapy. Patients experiencing pain post auto accident should meet with a doctor to discuss their symptoms in full detail and then explore these non-surgical options.

MINIMALLY INVASIVE PROCEDURES

Standard micro-surgical procedures or endoscopic procedures usually involve a very small incision and the use of micro surgery devices. partial disc removal or discectomy. Fortunately, these procedures can often be done utilizing minimally invasive techniques. Minimally invasive or endoscopic surgery does not require the disruptions associated with larger incisions, but instead use small incisions and tiny specialized instruments and devices such as a microscope and endoscope during certain operation. As an example, one of the most common surgeries are those performed to repair a disc herniation. Many of us remember the term “Slipped Disc”. These require a procedure known as “discectomy surgery”. Open surgery for a complete discectomy used to be the norm for these cases; However, discectomies are now exclusively done in a minimally invasive microsurgery, often as outpatient and finished nicely with a Band-Aid! Below is a comparison of the older open discectomy compared to the new minimally invasive microdiscectomy.

ENDOSCOPIC SURGERY

PROS

  • Small size (2.8.mm-5mm skin opening to be closed with a steri-strip - No stitches)
  • Microscope visualization while working
  • No access damage
  • Local anesthesia
  • Costs less, often outpatient
  • Faster Recovery
  • Reduced incision site complications

OPEN SURGERY

CONS

  • The extensive surgical exposure and prolonged periods of retraction can seriously disrupt the major muscles of the back and, in turn, cause considerable post-surgical pain
  • Naked Eye Visualization
  • Disruption of muscles
  • General anesthesia
  • Higher Cost
  • Longer recovery
  • Greater chance of wound complications normally associated with large scars

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