Before the tremendous advancements made in minimally invasive spine surgery, your only option to relieve back pain was either taking dangerous opioids or facing open surgery that often left you with a long recovery and lingering side effects. Now you can find relief at a pain clinic near you at NYC pain management. Our pain specialists more often focus on non-invasive or less-invasive spine treatments to provide a number of safe, effective options.

The minimally invasive back surgery performed by our spine specialists is done on an outpatient basis, which allows you to recuperate at home. Don’t wait to seek help because you’re afraid of needing back surgery, call today for an evaluation and to learn your options.

At pain management clinic NYC, the first line of treatment is always the least invasive when combating acute or chronic pain. Following a thorough examination, your pain management doctor may order additional tests with the most advanced diagnostics in New York. Once the cause of your pain is determined, you may begin with conservative treatments, such as behavior modifications and over-the-counter medicine to alleviate your pain.

But if your pain lingers, the top pain clinic in Manhattan offers a wide range of treatments for back pain that include:

You may find pain relief from chronic back pain or muscle and joint pain with trigger point injections or nerve blocks. But when those treatments don’t fully resolve your discomfort, you can rely on the experience and skills of pain doctors who also provide safe and effective minimally invasive spine surgery procedures.

What is minimally invasive spine surgery?

minimally invasive spine surgeryMinimally invasive spinal surgery (MISS) is a type of back surgery performed through small incisions. This less invasive type of spinal procedure is done with a specialized hollow tube known as a tubular retractor. The spine surgeon uses this tool to visualize and treat the targeted spine area. This results in less trauma being caused to the nearby muscles and surrounding tissue.

When the tube-shaped tool is inserted into the small incision, it gently pushes aside the muscle and soft tissue, creating a tunnel to the problem area of the spine. This enables the spine surgeon to insert small tools through the retractor and work on your spine. During the entire minimally invasive spine surgery, a special operating X-ray is used (fluoroscopy) that provides the doctor with real-time images of your spine.

This less invasive back surgery technique gives your surgeon great precision to repair and treat the targeted area. Another advantage it has over standard surgery is less pain and faster recovery times after surgery. MISS can be used for various types of spine surgery.

What is minimally invasive spinal surgery used for?

The primary focus of minimally invasive spine surgery is to relieve the pressure that may be pushing on nerves in your back and to stabilize joints and the vertebrae in your spine. It’s important to note that MISS may not be a suitable treatment option for your individual situation. A thorough evaluation by a spine surgeon is needed to determine which type of surgery will be best for your specific needs.

Conditions that may end up requiring minimally invasive spinal surgery include:

What are the types of minimally invasive spine surgery?

Minimally invasive surgery techniques can be applied to various types of spine surgery. Our spine doctors have extensive experience with MISS procedures.

Most common types of back surgery we perform on a regular basis include:

What happens during minimally invasive spine surgery?

Most of the time, the surgical procedures are performed in the New York pain control clinic offices. Depending on what part of the spine being treated, you may be given localized numbing with sedation or general anesthesia. During the minimally invasive back surgery, your vitals will be carefully monitored by your spine surgeon. Antibiotics may be given both before and after the procedure to help prevent infection.

The vertebra, nerves, and discs in your spine are located deep under your skin. To reach the damaged or diseased portion of your spine, your pain doctor relies on a fluoroscopy, which is like a live x-ray video machine. It shows real-time images that guide his movements as he performs the necessary procedure.

Soft tissues — like muscles and ligaments that are in the way — may be diluted instead of cut, which is done during more invasive open back surgery. For minimally invasive surgery, the incisions are tiny and only require a couple stitches.

If you need screws or rods to support your spine, your physician may use guidewires that run through your skin to slide the instrumentation into place. Accessing your spine from the side, especially for lumbar procedures, drastically reduces post-surgical pain. Instead of opening your chest to perform a thoracic procedure, multiple tiny incisions can provide sufficient access.

What are the benefits of minimally invasive spinal surgery?

The biggest benefit of minimally invasive spine surgery is that you don’t have to be hospitalized and suffer from being cut open. When performed by a skilled spine surgeon, the risks of complications are greatly reduced and you can go home shortly after the procedure. Other significant advantages include:

  • Less blood loss, since incisions are so minor
  • Little to no scarring, so you heal and look better afterward
  • Much less muscle damage, since your muscles usually aren’t cut
  • Less post-operative pain, requiring even less pain medication
  • Minimized safety risks
  • Less downtime
  • Faster recovery
  • Less physical therapy and rehab needed afterward

What are the risks of minimally invasive spine surgery?

As with any surgical procedure, there are certain possible risks. The risks of this less invasive spinal surgery include:

  • Infection
  • Nerve damage
  • Excess bleeding
  • Anesthesia complications

These risks may vary according to your general health, age, and the types of back surgery performed. You can greatly reduce your risks and side effects when you rely on the top New York pain management doctors.

Surgery, even minimally invasive surgery, is rarely the first treatment option offered by any doctor. But if you’re in pain, come visit Pain Management NYC.  Whether you need surgery or not, you’re in capable hands. You’ll receive the most appropriate treatment for your condition, all the way up to surgery.

This page was published on Aug 3, 2019, modified on Jan 2, 2022 by Dr. Leon Reyfman, MD (Pain Management Doctor) Leon Reyfman, MD | Interventional Pain Management Doctor in New York City

Leon Reyfman, MD, is a top-rated, best-in-class interventional pain management doctor. He is a nationally recognized pain relief specialist and is among the top pain care doctors in New York City and the country. He is an award-winning expert and contributor to prominent media outlets.

Dr. Leon Reyfman has been recognized for his thoughtful, thorough, modern approach to treating chronic pain. He has been named a "top pain management doctor in New York" and one of "America's Top Doctors™" for advanced sports injury treatments. Among other accolades, he was voted by peers as a "Castle Connolly Top Doctors™" and "New York Super Doctors™". Dr. Leon Reyfman was a part of the medical team at the 2016 Summer Olympic Games in Rio de Janeiro, Brazil.

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The information on this website is to provide a general information. In no way does any of the information provided reflect a definitive treatment advice. It is important to consult a best in class pain management specialist in NYC regarding ANY questions or issues. A thorough evaluation should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call your pain doctor in Manhattan, to schedule a consultation.

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