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Whether it’s caused by herniated discs, spinal stenosis, pinched nerves, or other spinal conditions, chronic back pain can cause discomfort that ranges from mild to debilitating. Chronic back pain often disrupts daily activities and negatively affects one’s quality of life. When conservative treatments like physical therapy and medications fail to provide relief, spinal surgery may be the best solution. In recent years, laser spine surgery has emerged as a minimally invasive option that offers effective relief for various spine-related conditions.

What Is Laser Spine Surgery?

Laser spine surgery is a minimally invasive procedure that uses focused laser technology to treat certain conditions of the spine. During the surgery, a laser beam is used to remove or shrink soft tissues in the spine that may be compressing nerves, causing pain, or contributing to spinal instability. Unlike traditional open back surgery, which requires large incisions and extensive recovery time, laser spine surgery typically involves smaller incisions, less tissue damage, and a quicker recovery process.

Laser spine surgery is often used as an alternative to traditional spine surgery methods for addressing conditions such as herniated discs, bone spurs, and spinal stenosis. With its precision and minimal disruption to surrounding tissues, laser spine surgery offers patients a faster and less invasive option to alleviate their chronic back pain.

How Does Laser Spine Surgery Work?

The effectiveness of laser spine surgery lies in the precision of laser technology. A laser is a focused beam of light that can cut or vaporize tissue with extreme accuracy. In laser spine surgery, the surgeon uses the laser to carefully target and remove damaged or diseased tissue, such as parts of a herniated disc that may be pressing on a nerve.

Here’s a step-by-step breakdown of how laser spine surgery typically works:

1. Small Incision: The surgeon begins by making a small incision in the skin, usually no more than a few millimeters. This incision is used to insert a tiny tube (called a cannula), through which the laser and other surgical instruments will pass.
2. Targeting the Problem Area: With the help of advanced imaging technology, such as fluoroscopy or an endoscope, the surgeon locates the area of the spine that is causing pain, such as a herniated disc or bone spur.
3. Laser Application: Once the problem area is located, the surgeon uses the laser to remove or vaporize the damaged tissue. For example, in the case of a herniated disc, the laser can precisely remove the portion of the disc that is bulging and pressing on a nerve, relieving the patient’s pain.
4. Closing the Incision: After the procedure is complete, the surgeon removes the cannula and closes the small incision with a few stitches or surgical glue. Since the incision is minimal, scarring and recovery time are significantly reduced compared to traditional spine surgery.

The Science Behind Laser Spine Surgery

Laser technology has revolutionized various medical fields, including spine surgery. One of the key reasons laser spine surgery works is the ability of lasers to remove or shrink tissue with extreme precision. The heat from the laser breaks down molecular bonds in the tissue, effectively vaporizing it without causing extensive damage to surrounding areas.

This targeted approach minimizes trauma to muscles, ligaments, and other nearby tissues, resulting in less postoperative pain, quicker recovery times, and a lower risk of complications. In contrast, traditional back surgery often requires cutting through muscles and tissues, leading to longer recovery periods and a higher chance of infection or other complications.

Another advantage of laser spine surgery is its ability to be performed as an outpatient procedure. In many cases, patients can go home the same day and experience significant pain relief within a short time. While not all spinal conditions are suitable for laser treatment, for those that are, it offers a less invasive and more efficient solution.

Conditions That Benefit the Most from Laser Spine Surgery

Laser spine surgery is not a one-size-fits-all solution, but it is highly effective for certain conditions. Here are some of the most common spinal issues that can benefit from this minimally invasive approach:

1. Herniated Discs

A herniated disc occurs when the soft, jelly-like material inside a spinal disc pushes through a tear in the outer layer, pressing on nearby nerves and causing pain, numbness, or weakness. Laser spine surgery can effectively remove the portion of the herniated disc that is compressing the nerve, alleviating symptoms and restoring mobility.

2. Spinal Stenosis

Spinal stenosis is a condition characterized by the narrowing of the spinal canal, which can put pressure on the spinal cord and nerves. This condition often leads to pain, tingling, and muscle weakness, particularly in the legs. Laser spine surgery can help by removing excess tissue or bone spurs that are contributing to the narrowing of the spinal canal, thereby relieving the pressure and reducing symptoms.

3. Degenerative Disc Disease

As we age, the discs in our spine can deteriorate, losing their cushioning ability and causing pain. Laser spine surgery can be used to treat degenerative disc disease by removing or shrinking damaged portions of the disc that may be irritating nearby nerves. This procedure can help reduce pain and improve mobility in patients with degenerative conditions.

4. Bone Spurs

Bone spurs, or osteophytes, are bony projections that can form along the edges of bones, particularly in the spine. These spurs can press on nerves, leading to pain, numbness, and weakness. Laser spine surgery can precisely remove bone spurs, relieving pressure on the nerves and reducing symptoms.

5. Pinched Nerves

Pinched nerves can occur when surrounding tissues, such as bones or muscles, apply too much pressure on a nerve. This pressure disrupts the nerve’s function, causing pain, numbness, or tingling. Laser spine surgery can alleviate this condition by removing the tissue that is causing the compression.

Advantages of Laser Spine Surgery Over Traditional Back Surgery

While traditional back surgery is sometimes necessary for more complex spinal issues, laser spine surgery offers several advantages:

• Minimally Invasive: With smaller incisions, there is less damage to surrounding tissues, less scarring, and faster recovery times.
• Outpatient Procedure: Most laser spine surgeries can be performed as outpatient procedures, meaning patients can go home the same day.
• Quicker Recovery: Due to the less invasive nature of the procedure, patients often experience faster recovery and less postoperative pain compared to traditional spine surgery.

Is Laser Spine Surgery Right for You?

Laser spine surgery is a highly effective treatment for many spinal conditions, but it’s not suitable for everyone. Candidates for laser spine surgery typically suffer from conditions like herniated discs, spinal stenosis, or bone spurs, and have not found relief from conservative treatments. At International Spine & Sports Institute, we are dedicated to providing cutting-edge treatments like laser spine surgery to help our patients overcome chronic back pain. With its minimally invasive approach, laser spine surgery offers an effective alternative to traditional back surgery, helping patients recover more quickly and return to their active lifestyles. If you’re struggling with back pain or considering spine surgery, contact us today to see if laser spine surgery is the right solution for you.

Chronic pain in the coccyx, or tailbone, is a condition that can be debilitating for those who suffer from it. The coccyx, a small triangular bone at the base of your spine, plays a crucial role in supporting your body when sitting. However, injuries or conditions affecting the coccyx can lead to persistent discomfort that interferes with daily activities. For individuals who have exhausted other treatment options without relief, a surgical procedure known as a coccygectomy, or tailbone removal surgery, may be recommended.

What Exactly is a Coccygectomy?

A coccygectomy is a surgical procedure that involves the removal of the coccyx, commonly known as the tailbone. The tailbone is the last segment of the vertebral column and consists of three to five small vertebrae fused together. Although small, the coccyx serves as an attachment point for ligaments, tendons, and muscles that assist with sitting, stabilizing your pelvis, and supporting bowel movements.

The decision to undergo tailbone removal surgery is usually made after all other conservative treatments, such as physical therapy, medications, and injections, have failed to alleviate the pain in the coccyx. This surgery is considered a last resort for individuals suffering from chronic tailbone pain, also known as coccydynia.

Why is a Coccygectomy Performed?

Tailbone removal surgery is primarily performed to relieve chronic pain in the coccyx, which can be caused by various factors, including:

1. Trauma or Injury

One of the most common reasons for coccyx pain is trauma, often caused by falls, direct blows to the area, or prolonged pressure on the tailbone (such as sitting on hard surfaces for extended periods). These injuries can lead to inflammation, bruising, or fractures in the coccyx, which, in some cases, result in chronic pain that persists for months or even years.

2. Repetitive Strain

Activities that involve prolonged sitting or repetitive motion, such as cycling or rowing, can place stress on the coccyx and lead to inflammation or injury. This can result in coccydynia, where the pain may worsen over time if left untreated.

3. Hypermobile or Misaligned Coccyx

In some individuals, the coccyx is more mobile than normal, or it may be misaligned due to a previous injury. This can cause persistent discomfort and pain, particularly when sitting or moving from a sitting to standing position.

4. Bone Spurs or Tumors

Occasionally, bone spurs (bony projections) or tumors can develop on the coccyx, leading to irritation and pain. In these cases, removing the tailbone through surgery may be necessary to alleviate symptoms and improve quality of life.

5. Degenerative Changes

Like other parts of the spine, the coccyx can undergo degenerative changes over time, like those seen with  arthritis. These changes can contribute to pain and discomfort, especially when sitting.

Who Can Benefit from a Coccygectomy?

For patients who have tried non-surgical treatments like anti-inflammatory medications, corticosteroid injections, physical therapy, or ergonomic adjustments without experiencing significant relief, tailbone removal surgery may be considered as a treatment option.

A coccygectomy is not a first-line treatment for pain in the coccyx, but it is an option for patients who have not responded to other therapies. Patients with chronic tailbone pain, especially those whose pain worsens when sitting or who have conditions like bone spurs or fractures, are potential candidates for this surgery. For those who have not found relief from non-surgical treatments, tailbone removal surgery can offer significant pain reduction and improve quality of life. At ISSI, we evaluate each case individually to ensure that tailbone removal surgery is the best solution for our patients.

How is a Coccygectomy Performed?

A coccygectomy is generally a straightforward procedure, where the damaged or broken tailbone is surgically removed. The coccyx is considered vestigial, meaning it no longer serves a necessary function in the body.

At International Spine & Sports Institute, our outpatient coccygectomy is completed in about an hour. By utilizing the latest minimally invasive techniques, our surgeons carefully move the surrounding muscles and tissues instead of cutting them, which significantly reduces trauma, pain, and bleeding during the procedure.

If you’ve been experiencing long-term or chronic tailbone pain, International Spine & Sports Institute, under the leadership of Dr. Scott Katzman, is one of the few practices in the U.S. specializing in the treatment of painful coccyx fractures. At ISSI, we’re proud to hold a 99% success rate and are ranked #1 in the country. Through our simple and effective tailbone removal surgery, our surgeons have successfully treated and resolved more coccyx-related pain than any other center 

Reach out today to book your consultation!

Chronic pain affects millions of New York and New Jersey residents every year, significantly diminishing their quality of life. Whether it’s persistent back pain, joint discomfort, or nerve issues, chronic pain can make even simple tasks feel overwhelming. At International Spine & Sports Institute (ISSI), we specialize in providing effective, minimally invasive pain management treatments designed to help alleviate pain and restore your quality of life without subjecting you to potentially addictive pain medications. How do we do this? By using one of the most effective methods for pain management—spinal and joint injections.

Why Choose Pain Management Injections?

Injections have become a vital part of modern pain management strategies because they deliver medication directly to the source of pain. Unlike oral medications, which must pass through the digestive system and bloodstream before reaching the painful area, injections provide almost immediate relief by delivering medication precisely where it’s needed.

Oral pain medications, such as NSAIDs or opioids, can sometimes lead to systemic side effects, like stomach issues, drowsiness, or dependency, especially when used long-term. In contrast, pain management injections target pain at its root and can significantly reduce the need for oral medications. This makes them a safe, effective option for patients dealing with chronic pain, including knee pain, back pain, and other musculoskeletal issues.

Types of Pain Management Injections

At ISSI, we offer several types of pain management injections, each designed to alleviate specific types of pain. Here’s a look at some of the most common injections we provide:

1. Epidural Injections

Epidural injections are used to alleviate pain caused by inflamed spinal nerves, often due to conditions like herniated discs, sciatica, or spinal stenosis. This injection is administered in the epidural space of the spine, and it delivers anti-inflammatory medication to reduce swelling around the irritated nerves.

Epidural injections can be highly effective in reducing pain and improving mobility, allowing patients to regain their range of motion and resume daily activities without discomfort. Patients who suffer from severe back pain or radiating pain in the legs often benefit from this treatment.

2. Facet Block

Facet joints are located in the spine and allow for movement, such as bending, twisting, and turning. When these joints become inflamed or damaged, they can cause significant pain and discomfort. A facet block involves injecting a local anesthetic directly into these joints to relieve pain.

Facet blocks are particularly beneficial for individuals who experience chronic back or neck pain due to arthritis or other degenerative conditions affecting the spine. The injections can provide relief from pain, helping patients move more freely and with less discomfort.

3. Lumbar Sympathetic Block

The lumbar sympathetic nerves, located on both sides of the lower spine, help regulate involuntary bodily functions and blood vessel responses. When these nerves become irritated, they can cause pain, especially in the lower back or legs.

A lumbar sympathetic block involves injecting medication near these nerves to block pain signals from being transmitted to the brain. This treatment can be especially effective for patients suffering from complex regional pain syndrome (CRPS) or other chronic pain conditions affecting the lower body.

4. Nerve Root Block

Nerve root blocks are another targeted approach to pain management. When spinal nerves are compressed or inflamed, they can cause pain, numbness, or tingling in the areas served by those nerves, such as the arms or legs. A nerve root block involves injecting a local anesthetic near the affected nerve root to reduce inflammation and block pain signals.

This treatment is particularly beneficial for patients with conditions such as spinal stenosis, herniated discs, or nerve impingements. By providing relief at the exact site of nerve irritation, patients can experience significant improvements in pain and function.

5. Radiofrequency Ablation

Radiofrequency ablation, also known as neurotomy, is a minimally invasive procedure that uses heat to reduce or eliminate pain signals from the nerves. During the procedure, a specialized needle is inserted near the affected nerve, and heat is applied to disrupt the transmission of pain signals to the brain.

This treatment is commonly used for patients with chronic back pain or arthritis who have not responded to other forms of treatment. Radiofrequency ablation provides long-lasting relief, often lasting six months or longer.

6. Sacroiliac Joint Injections

The sacroiliac (SI) joint connects the spine to the hips and is responsible for transferring the load between your upper body and legs. Inflammation or dysfunction of this joint can lead to significant pain in the lower back or buttocks. Sacroiliac joint injections deliver medication directly to this joint, helping to reduce inflammation and relieve pain.

Patients suffering from SI joint pain often benefit from these injections, especially if conservative treatments such as physical therapy or oral medications have not provided sufficient relief.

7. Trigger Point Injections

Trigger points are tight bands of muscle or knots that can cause pain, tension, and even spasms. Trigger point injections use a combination of anesthetic and anti-inflammatory medication to relax these muscles and relieve pain.

These injections are especially helpful for patients who suffer from chronic myofascial pain syndrome or muscle-related pain. By targeting the specific muscles causing pain, trigger point injections provide localized relief and help patients regain normal muscle function.

When Should You Consider Pain Management Injections?

Pain management injections may be an excellent option if you suffer from chronic pain that hasn’t responded well to other treatments like physical therapy or oral medications. Injections can provide significant relief from knee pain, back pain, and other musculoskeletal conditions that limit your mobility and quality of life.

If you find that pain is affecting your ability to perform daily activities, injections may be the right choice to help you get back to an active lifestyle. Our experienced physicians at ISSI will work with you to develop a personalized treatment plan, ensuring you receive the best care possible. Our board-certified, award-winning physicians are experts in diagnosing the source of your chronic pain and developing individualized treatment plans tailored to your specific condition.

At International Spine & Sports Institute, we’re committed to helping you manage your pain and regain your quality of life through innovative pain management techniques. With a variety of injection therapies tailored to your specific needs, we can provide effective, minimally invasive solutions for managing chronic pain. Reach out to us today to explore your options and take the first step toward a pain-free future.