An endoscopic rhizotomy is a minimally invasive surgery designed to relieve chronic back pain, often caused by arthritis in the spine’s facet joints. Using a small camera called an endoscope, the doctor locates and cuts tiny nerves that send pain signals from the back to the brain. This is done through a small incision and guided with a special X-ray machine for precision.

The procedure can help with ongoing back pain, especially discomfort that worsens when leaning backward or twisting. It may also ease pain that radiates to the buttocks or legs. Before considering surgery, other treatment options are usually explored. These include facet joint injections for short-term relief, radiofrequency ablation, which uses heat to disrupt pain signals for 6 to 12 months, physical therapy to strengthen spine muscles, and pain-relief medications such as muscle relaxants.

Since the procedure is minimally invasive, risks are low. Still, there is a small chance of infection, temporary numbness, or pain returning if the nerves grow back quickly. You may be asked to stop certain medications like blood thinners and to fast for 8 hours before the procedure.

Endoscopic rhizotomy is typically performed as an outpatient procedure, so you’ll go home the same day. Recovery usually takes a couple of weeks, during which heavy lifting and strenuous activity should be avoided. The benefits can last for several years. This option is generally recommended when tests confirm the facet joints as the source of pain. Our team will guide you through the decision and explain whether this procedure is right for you.