Percutaneous Nucleotomy (PN)

Belonging to the category of minimally invasive methods of treatment, percutaneous nucleotomy is primarily suited to eliminate protrusions and small to medium prolapses of the intervertebral disc. By using this method, we eliminate the causes of pain without unnecessarily damaging the surrounding tissues.

Process of Treatment

With local anesthesia, we make a cut on the respective intervertebral disc. Through a one-millimeter-thin hollow needle, we introduce a thin, rotating spiral needle. This needle then removes the tissue parts protruding between the vertebrae and pressing the nerves of the bone marrow. Constant monitoring of the precise position of the needle is made by means of a screen. Sometimes we use a special forceps for relief.

Since this method does not harm any surrounding structures – be they bones, ligaments or bone marrow canal – there is hardly no risk of scar tissue forming after the treatment. For the patients, there is an additional advantage of a short rehabilitation period. The PN can be carried out by means of endoscopic viewing.

Duration of treatment: around 30 minutes

Permanence in clinic: 3 to 4 days

Work incapacity: 2 to 4 weeks

Sports: immediately after release: Swimming

after 6 to 10 weeks: Golf

after 3 to 4 weeks: Bicycle riding

LSC bandage: wear it for 3 to 4 weeks