Phone Dr Lewis: (716) 677-6000      Phone Dr Egnatchik: (716) 677-5005 Make an Appointment Today


Back - Thoracic and Lumbar Spine

Five percent of the United States population experiences back pain each year (1). Over your lifetime, you have a 60-80% chance of experiencing at least one episode of back pain. Most episodes are not severe and resolve without medical care. Some, however, are severe and disabling. But even the more severe cases which cause patients to seek medical or chiropractic care are usually transient. It has been estimated that 90% of patients who seek professional treatment for back pain will be pain free within 1-3 months. In this group of patients, after ruling out an underlying systemic cause such as a malignancy or infection, appropriate care consists of providing conservative treatment.

The gold standard of conservative treatment consists of management with NSAIDS (Non Steroidal Anti Inflammatory Drugs) and exercise therapy (chiropractic or physical therapy). If these modalities fail after a 3-6 week trial, referral to a specialist (neurosurgeon or orthopedic surgeon) is appropriate. Often, we as specialists will continue conservative measures. When this fails, surgery can be extremely effective. Surgery is only performed when conservative measures fail and diagnostic tests demonstrate abnormalities.

In our practice, the most frequently encountered causes of nerve impingement in the lumbar spine are herniated disk, spinal stenosis and painful mechanical instability with degenerated disk.

Percutaneous Diskectomy

A lumbar percutaneous diskectomy is performed for the removal of offending disk fragments in a minimally invasive manner. The procedure has a number of benefits including a quicker return to normal activities, less post-op pain, less damage to muscle tissue and skin, an easier rehab, smaller scars and less blood loss.

With the patient asleep, the surgeon is guided by an x-ray fluoroscopic view, and a guide wire is placed in the appropriate location over the herniated disk. Dilators are then placed over the inserted guide wire in progressively larger sizes. A tube is placed over the dilator, which is then removed with fluoroscopy used to confirm the appropriate positioning. The offending disk fragments are then removed through the tube. The tube is then removed and the skin incision is neatly closed.

This description is a general overview. Your Buffalo Neurosurgery Group doctor will provide the details of the correct procedure for you. He will also explain the health benefits, risks and special pre and post-op care instructions.

15 comments (Add your own)

1. wrote:
Amazing! Its actually amazing piece of writing, I
have got much clear idea concerning from this paragraph.

Thu, October 4, 2018 @ 3:10 PM

2. wrote:
You can definitely see your expertise in the article you write.

The world hopes for more passionate writers such as
you who aren't afraid to mention how they believe. Always follow your heart.

Fri, October 5, 2018 @ 1:39 AM

3. wrote:
I'm curious to find out what blog platform you are working with?
I'm having some small security problems with my latest site
and I'd like to find something more secure.

Do you have any recommendations?

Fri, October 5, 2018 @ 12:16 PM

4. wrote:
I'm curious to find out what blog platform you have been using?

I'm experiencing some small security problems with my latest site and I'd
like to find something more secure. Do you have any

Wed, October 24, 2018 @ 8:05 AM

5. wrote:
That is a really good tip especially to those fresh to the blogosphere.
Short but very precise information… Thank you for
sharing this one. A must read post!

Sun, October 28, 2018 @ 11:59 PM

6. wrote:
Descargar facebook descargar facebook
Hmm it seems like your site ate my first comment (it was extremely long) so I guess I'll just sum it up what I
submitted and say, I'm thoroughly enjoying your blog.
I as well am an aspiring blog blogger but I'm still new to everything.
Do you have any suggestions for beginner blog writers?
I'd really appreciate it. Descargar facebook descargar facebook

Sun, November 4, 2018 @ 9:08 AM

7. wrote:
Descargar facebook descargar facebook
whoah this weblog is fantastic i love studying
your posts. Stay up the good work! You know, a lot of individuals
are hunting round for this info, you can help them greatly.
descargar facebook descargar facebook

Sun, November 4, 2018 @ 5:47 PM

8. wrote:
I have been exploring for a bit for any high quality articles or weblog posts on this
kind of space . Exploring in Yahoo I ultimately stumbled upon this
site. Reading this information So i am happy to show that I've a very
good uncanny feeling I came upon exactly what I needed.
I most without a doubt will make sure to do not omit
this site and provides it a look on a continuing basis.

Thu, November 8, 2018 @ 9:12 PM

9. wrote:
May I simply just say what a comfort to find someone who
truly knows what they are talking about on the net.
You actually realize how to bring an issue to light and make
it important. More people must read this and understand this side of your story.

It's surprising you aren't more popular because you most certainly possess the gift.

Tue, November 13, 2018 @ 3:29 PM

10. wrote:
This article is in fact a good one it assists new the web users, who are wishing for blogging.

Wed, November 14, 2018 @ 4:22 PM

11. wrote:
This paragraph is genuinely a pleasant one it helps new web people, who are
wishing for blogging.

Wed, November 14, 2018 @ 6:30 PM

12. wrote:
Sling tv coupons and promo codes for november 2018
Hi there, just became alert to your blog through
Google, and found that it is really informative.
I am going to watch out for brussels. I'll be grateful if you
continue this in future. A lot of people will be benefited from your writing.
Cheers! Sling tv coupons and promo codes for november 2018

Sat, November 17, 2018 @ 5:41 AM

13. wrote:
I enjoy reading through an article that will make men and women think.
Also, many thanks for permitting me to comment!

Tue, November 20, 2018 @ 10:10 AM

14. wrote:
Thanks for sharing your thoughts about descargar
facebook. Regards

Tue, December 4, 2018 @ 3:47 PM

15. wrote:
Asking questions are genuinely fastidious thing if you are not understanding anything completely,
except this paragraph offers fastidious understanding yet.

Wed, December 5, 2018 @ 4:29 AM

Add a New Comment


Comment Guidelines: No HTML is allowed. Off-topic or inappropriate comments will be edited or deleted. Thanks.


West Seneca

Western New York Medical Park
550 Orchard Park Road
West Seneca, NY 14224