Endoscopic rhizotomy is a minimally invasive procedure used to relieve chronic low back (lumbar) pain caused by irritated or damaged facet joints. This procedure targets the small nerves that transmit pain signals from the joints to the spine.
What is Endoscopic Rhizotomy?
During the procedure:
- A small camera (endoscope) and specialized instruments are inserted through a tiny incision.
- The surgeon identifies and treats the medial branch nerves that cause pain.
- The nerves are carefully disrupted or cauterized to reduce pain signals while preserving surrounding tissue.
Who is a Candidate?
Endoscopic rhizotomy may be recommended for patients who:
- Have chronic lower back (lumbar) pain from facet joint arthritis or degeneration
- Have not responded to conservative treatments such as medications, injections, or physical therapy
- Are seeking a minimally invasive option with faster recovery and less tissue disruption
Your pain management specialist will evaluate your condition to determine if endoscopic rhizotomy is appropriate.
Recovery After Endoscopic Rhizotomy
- Most patients go home the same day of the procedure.
- Mild soreness at the incision site is common for a few days.
- Normal activities can often be resumed within a few days, but strenuous lifting or bending may be restricted initially.
- Pain relief can last months to years, and repeat procedures are possible if symptoms return.
Benefits of Endoscopic Rhizotomy
- Minimally invasive with a small incision
- Reduces chronic low back pain
- Faster recovery than traditional open surgery
- Preserves healthy tissue while targeting pain-causing nerves
If you suffer from chronic neck or back pain, schedule a consultation with our specialists to see if endoscopic rhizotomy can help restore your comfort and mobility.
Find a Endoscopic Rhizotomy specialist
Kevin L. Stevenson, MD
Neurosurgery
Neurosurgery (Neck, Back)
Neurosurgery: Neck, Spine
