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  • Last Update: 08/08/2022


This procedure has just started to be applied for lower back pain and leg (radicular) pain caused by slipped disc. It is generally suitable for patients who do not benefit enough from conservative methods and who want to use less invasive methods in their treatment compared to traditional surgical treatment.

This procedure is also called “Percutaneous Discectomy”. The procedure is performed with the help of an x-ray device and in addition to local anesthesia, light sedation can be applied from time to time. This procedure is much less invasive than traditional surgery.

Details of Nucleoplasty Procedure

What types of pain can be treated?

Lower back and leg pains caused by slipped disc can be treated with this method. 

How is the procedure applied?

The decompressor discectomy probe removes the pressure around the nerves that causes pain by cleaning the protruding disc material. 

Is the procedure painful?

There is no pain from the decompressor discectomy probe. With this advancement in technology, operation can be performed with a single needle entry. 

How long does the process take?

In general, the total processing time varies between 15 minutes and 1 hour. 

Which doctors can perform this procedure?

The procedure can be performed by Anesthesia Reanimation and Algology specialists, orthopedic surgeons, neurosurgeons and radiologists. The doctor who will perform the procedure must be experienced. 

Will the pain get better after the procedure?

In some cases, complete resolution of pain has been reported. In some cases, it has been reported that pain decreased to acceptable levels with adequate care and treatment after percutaneous discectomy. 

Before Nucleoplasty Procedure

The rules that the patient should follow before the procedure and what they should do are as follows:

Bring your old x-ray, tomography and MR images with you.

Warn your doctor about the medicines you use every day; blood thinners (eg, coumadin, aspirin, plavix), vitamins, and other medications.

Inform your doctor if you have an allergic condition, if you have an existing infection, if you are hypertensive, if you have asthma, diabetes or if you have an abnormal condition related to your respiratory system and cardiovascular system.

Stop using aspirin or other similar drugs at least 5 days before the procedure.

Stop using herbal medicines containing gingko biloba at least 5 days before the procedure.

Do not use NSAIDs (such as ibuprofen) at least 3 days before the procedure.

Stop taking solid and liquid foods at least 6 hours before the procedure, if your treatment requires it, you can take your medications with a very small amount of water.

Be at the hospital at least 30 minutes before the procedure.

Make sure to bring a relative with you to accompany you after the procedure.

After Nucleoplasty Procedure

After the procedure, you must stay in the hospital for as long as the doctor deems necessary.

It would be helpful to have a relative accompany you to your home.

It will be useful to apply this to the area where the process is applied at certain intervals for at least 3 days.

Bed rest is required for at least 3 days and walking and sitting times should be limited to a maximum of 30 minutes during this period.

Lower back movements and weight lifting should be restricted for at least 3 days.

Pain relief therapy may need to be continued for 3 to 30 days.

It is helpful to gradually return to your normal daily life.

Depending on the influence of your job, you can return to work within 3 days.

Treatment can be started with stretching exercises, physical therapy and massage under the supervision of a doctor 7 days after the procedure.

Restricted physical activity can be started 30 days after the procedure.

Preventive physical therapy should be continued for at least 3 months.

Although waist corsets are not absolutely necessary, they are useful in accelerating healing and reducing pain.

The healing process differs for each patient.

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