Our Treatments

What is Percutaneous Laser Disc Decompression?

Percutaneous laser disk decompression (PLDD) is a minimally invasive treatment for contained lumbar disk herniation. The treatment is performed percutaneously, through a small needle cannula under local anesthesia and monitored anesthesia care.

How does this procedure work?

The herniated disc is localized under fluoroscopy.  Then a hollow needle is inserted toward the center of the affected disk. When the needle is in place, its correct position is verified by using bi-planar fluoroscopy, sometimes in combination with CT imaging. A laser fiber is inserted through the needle into the center of the nucleus pulposus. Laser energy is then delivered into the nucleus pulposus to vaporize its content and reduce intradiscal pressure.

What are the goals of this Procedure?

The goal of this procedure is to reduce pain associated with a lumbar disc herniation most commonly “sciatica” through a minimally invasive procedure so that you may resume normal activities and a physical therapy program.  Given the procedure is minimally invasive, return to work is usually possible within a few days after treatment. In the appropriate candidate PLDD is an alternative to conventional surgery.

How many treatments will i need?

The best candidate for the procedure is one with a symptoms due to a single contained disc (Often identified through, history, physical and diagnostics). Most commonly patients with a single contained disc will require one treatment to reduce pain and improve quality of life.

What is the recovery time of this procedure?

Once the procedure is complete, a band aid will be applied and the patient will be escorted to a recovery room where they will be monitored for a short time, and will be able to leave the office shortly after. Rarely temporary leg weakness or numbness can occur; therefore, you should have a driver attend the appointment with you to drive you home.

You will be able to walk immediately after the procedure and may feel slight discomfort, so it is recommended to take it easy for 24 hours and may resume full activity the next day. Soreness around the injection site is normal and may be relieved by using ice and taking a mild analgesic. It is a good idea to keep a record of your pain level during the next few weeks. You may notice a slight increase in pain, numbness or weakness as the numbing medicine wears off and healing begins. Follow-up is usually scheduled in 1-2 weeks and immediate rehabilitation therapy is recommended to return to normal life.