Percutaneous Disc Decompression and Endoscopic Discectomy

Summary

This treatment is used for back pain and/or sciatica due to damage to an intervetebral disc, one of the most common causes of back pain.  Usually a slightly torn or bulging disc causes more back pain than leg pain while if the disc tears and the centre  (or nucleus) protrudes and contacts a nerve, there is more sciatica (this is usually referred to as a slipped disc).

  • Arranging your Treatment

    Before going ahead with this treatment, you will need to have an initial consultation with a specialist Consultant to go through your medical history and diagnosis. At this appointment, your consultant will confirm the exact treatment you require. If you would like to have an initial consultation, you can call us and we can help you find the consultant best for you. Alternatively, if you have already been diagnosed as needing a particular operation or treatment, our Reservations team can give you a guide price for this to be carried out at KIMS Hospital and book an appointment for you to meet a consultant. Call our sales advisors on 01622 237 727 or email enquiries@kims.org.uk.

  • Paying for your Treatment

    You can be treated at KIMS by using your private medical insurance or by paying for yourself. If you have private medical insurance, you will need to contact your insurer to ensure you are covered for the initial consultation prior to making an appointment and obtain an authorisation number. The insurance company will then need to be advised if you require further treatment. The insurance company usually settles bills on your behalf. If you are paying for your own treatment, you will need to pay for an initial consultation. This will be confirmed at the time of booking but is typically £150-£250. You will also need to pay for any associated diagnostic tests your consultant recommends (for example x-rays and blood tests). Following this consultation, if you don’t need any further treatment or if you decide paying for yourself isn’t the right option, there is no commitment to proceed further. If you require the operation or procedure to be carried out, you will receive a quote for your treatment. In most case this will be the fixed price package quoted on this website. If this quote is different for any reason, we will provide an explanation (see what’s included below). This quote is also subject to pre-assessment checks prior to your admission to hospital. Payment is required 7 days prior to admission.

This treatment is a day case procedure which means you are admitted and allowed home on the same day.  The procedure takes place in the operating theatre with continuous sedation and live x-ray.  You will be assisted onto the operating table and made comfortable with pillows, identity and other checks made then sedation given via a needle in a vein.  Sedation means you are conscious and can respond if there are any problems but you will be sleepy and not anxious or in pain.  Many patients don’t remember the procedure.

For bulging discs the procedure is called percutaneous disc  decompression using an instrument system called DiscFX which allows a small volume of the disc nucleus to be removed, reducing disc pressure and also to heat-seal the back of the disc.  Recovery usually takes place over 4 weeks with one week at home, one week very light duties or local working and no heavy lifting for 4 weeks.  Physio starts at week 4.

“Slipped” or protruded discs can be removed by placing an endoscope (an internal telescope) to the disc under x-ray guidance and removing the protruded disc under direct vision.  On the protruded material is removed, the remainder of the disc is left untouched.  Both of these treatments are minimally invasive or “percutanious” which means they require only a skin incision and do not need open, surgical access to the deep spinal tissues so reducing the trauma, recovery time and some aspects of safety compared to conventional surgery.  

Cases have to be carefully selected and not everybody can be treated by these means.  Dr Hammond works in partnership with Mr Mike Sharr, Consultant Neurosurgeon for endoscopic discectomies and KIMS is one of the few hospitals in the country to offer these new minimally invasive treatments.

To find out more:

If you would like to come to KIMS, contact our sales advisors on 01622 237 727 or email enquiries@kims.org.uk.

Our Consultants

  • Dr Anthony Hammond

    BSc MBChB MD FRCP

    • Dorsal Root Ganglion Block
    • Epidural Injection (lumbar/caudal)
    • Facet Joint Injection
    • Percutaneous Disc Decompression and Endoscopic Discectomy
    • Radiofrequency Denervation or Pulsed Radiofrequency