What are the Advantages of an Endoscopic Rhizotomy?

Introduction to Dr. Dariusz Nasiek, MD

Dr. Dariusz Nasiek, MD, is a fellowship-trained and board-certified anesthesiologist and pain management physician. He is dedicated to collaborating closely with his patients to identify their pain source and find the least invasive treatment option that suits their needs.

Understanding the Importance of Our Spine

The spine is a crucial musculoskeletal organ that supports every movement we make. When its structures malfunction or cause discomfort, the effects can be widespread. Chronic lower back pain, which affects 60 to 80% of the population at some point, is a significant issue that needs addressing. A practical solution to this problem is endoscopic rhizotomy.

What Is an Endoscopic Rhizotomy?

An endoscopic rhizotomy is a minimally invasive surgical procedure that targets the medial branch nerve extending from the spinal cord’s nerve roots. This procedure provides relief by severing or removing these nerves, which are responsible for transmitting pain signals from the facet joints to the brain.

Conditions Treated by Rhizotomy

Endoscopic rhizotomy can effectively treat various chronic back pain conditions such as arthritis of the spine, chronic lower back pain, facet joint syndrome, failed back surgery syndrome, sacroiliac joint disorder, and spinal stenosis.

Differences Between Endoscopic Rhizotomy and Radiofrequency Ablation (RFA)

The primary differences between endoscopic rhizotomy and RFA include the procedures’ invasiveness, the pain relief duration, and the techniques used to achieve nerve ablation. RFA is less invasive but offers shorter-term relief, while endoscopic rhizotomy provides longer-term relief by surgically severing the nerves.

The Procedure: Before, During, and After

Before the Procedure

Preparation for an endoscopic rhizotomy includes intravenous sedation and specific pre-surgical measures, such as fasting. Patients are made comfortable in a private room before being sedated and taken to the operating room.

During the Procedure

The procedure involves the use of fluoroscopy for guidance, local anesthetic injection, and the insertion of a small metal dilator and cannula through which the endoscope and surgical instruments are introduced to sever the problematic nerve root.

After the Procedure

Endoscopic rhizotomy is an outpatient procedure with a relatively short recovery time. Patients can usually return to work the following day but should avoid strenuous activities and follow their surgeon’s post-operative instructions for care.

Who Needs an Endoscopic Rhizotomy?

Ideal candidates for endoscopic rhizotomy include individuals with chronic lower back pain related to the facet joints, those who have not found relief through other treatments, and those looking for a less invasive alternative to spinal fusion surgery.

Advantages of Endoscopic Rhizotomy

Endoscopic rhizotomy offers several benefits over other procedures, including its minimally invasive nature, short recovery time, high success rate, and preservation of spinal mobility. It provides long-lasting pain relief while maintaining the spine’s flexibility.

Conclusion: Should You Get an Endoscopic Rhizotomy?

If you are experiencing chronic lower back pain and have not found relief through other treatments, an endoscopic rhizotomy may be a suitable option. Discussing with a qualified physician like Dr. Dariusz Nasiek, MD, can help determine if it is the proper procedure for you.

Schedule a Consultation

Dr. Dariusz Nasiek, MD, at Allied Neurology and Interventional Pain Practice, has provided successful, minimally invasive spine procedures to patients in NY, NJ, and surrounding areas since 2006. If you are interested in learning more about endoscopic rhizotomy, scheduling a consultation is the first step toward finding relief for your back pain.

For additional information, please call or text:
Dariusz Nasiek, MD: tel. 201-894-1313, SMS: 973-773-7730
Allied Neurology & Interventional Pain Practice
Englewood Office: 185 Grand Ave. Englewood, NJ 07631
[email protected]


Victor M.
Best doctors i ever been too, i went one and never stopped going. His office is so clean and well organized, they are also very professional. Dr. Darius J. Nasiek is a great MD, he had no problem finding what is wrong and helping the area. I would recommend this place to everyone, if you don’t believe me see for yourself.
Alex Hernandez
Dr. Nasiek is a very knowledgeable physician who cares about his patients. I have worked with him for over ten years, and he gives patients many options. His facility is organized and up to date. He is also a great teacher and hosts valuable seminars I have attended. He is also the author of a second edition of the PRP book. You will feel comfortable and at ease with Dr. Nasiek.
A. Y.
Dr. Nasiek introduced me to PRP injections & the results have been nothing short of amazing. His deep knowledge in this field is evident & he patiently explained the procedure & its benefits every step of the way! Thank you Dr.Nasiek !
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Dr. Nasiek specializes in Interventional Pain, identifying the source of pain and providing solutions with expertise in anesthesiology and Interventional Pain Practice.