Transforaminal Endoscopic Discectomy (TED) is performed in an outpatient surgical center licensed by AHCA, and CMS, state and federal licensing agencies. The procedure is divided into the following components
From this point forward surgery is performed using the direct vision endoscope to manipulate the instruments. Position and depth are monitored on the fluoroscope. The patient communicates directly with the surgeon and follows commands for leg and spine movement. The patient can communicate when nerve pressure is present and released. In addition to a variety of graspers, high speed drills and hand held reamers with chisels may be employed to remove osteophytes and improve the direct vision for the surgeon. A constant flow of low pressure fluid with antibiotics cleans the surgical debris and maintains visibility. At the conclusion of the surgery steroids are passed into the working channel to decrease post operative swelling and pain. The incision is the size of your small fingernail width. Postoperatively, a back brace is worn for 4 weeks. Back strengthening program with MedX is initiated on Week 5 and continues for 12 sessions.