LOOKING FOR AN ANSWER FOR
LOW BACK PAIN?


If the challenges of every day life invoice low back pain that limits your ability to perform and participate in the activities of daily life, this outpatient spine surgery may be the answer to end your suffering and pain.

Let’s Talk About Your Pain and Your Non-surgical Treatments!

Our Spine Surgeon and Pain Specialists are happy to discuss the possibilities of the latest and most advanced pain relief options.

Endoscopic and Direct Visualization Rhizotomy

We have answers and options to relieve pain from Herniated Discs, Disc Bulges, Spinal Stenosis, Sciatica, Pinched Nerve, Annular Disc Tear, Degenerative Disc disease, Spondylosis/Spine Arthritis, Radiculopathy, Bone Spurs/Osteophytes and Facet Joint Syndrome?

Whether a Endoscopic and Direct Visualization Rhizotomy is the best option, a non-surgical pain treatment or regenerative medicine, we are confident you are in the right place and we will take great care of you!

Free Pain Screening Quiz

Pain presents itself in many different ways, at different times and in many cases is triggered by specific activities.

Modern Spine Medicine will be happy to answer your questions in conjunction with a personal phone call follow up with one of our doctors.

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Endoscopic and Direct Visualization Rhizotomy Surgery

Endoscopic rhizotomy surgery is an outpatient surgery.

The surgery is done under conscious sedation. A small (7mm) incision is made in the surgical area and a tube with a camera is inserted into the spine, guided by fluoroscopic X-ray to place the camera in the correct position.

The camera allows for direct visualization to see the inside of the spine where the medial branch nerves usually reside. After identifying the nerve, a small section is cut from the nerve, preventing any regrowth in the future.

The camera is removed and the incision is closed with a single absorbable suture that is buried under the skin, so that no suture removal is needed. The procedure takes about 45 minutes to complete but may take longer depending on the number of nerves required to be treated.

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Do you experience any of the following?

• Lower back pain longer than 6 weeks with no response to conservative treatments
• Palpation of the facet joints causes muscle spasm and deep tenderness
• Restricted range of movement in the lumbar spine or low back, particularly when bending backwards

Endoscopic and Direct Visualization Rhizotomy Surgery

What is a minimally invasive endoscopic rhizotomy surgery?

An endoscopic rhizotomy is a minimally invasive endoscopic surgery that allows direct visualization of the medial branch nerves that supplies the facet joints in the back of the spine. This procedure may also be called a facet joint denervation.

Medial branch nerves are very small nerves that innervate the facet joints of the spine. Facet joints are the joints connecting the different vertebra of the spine to each other. The joints are present on both sides of the spine from the neck to the lower back.

The surgery takes the percutaneous radiofrequency ablation procedure (RFA), a common procedure where we use special needles and electrical current to turn off the nerves, an important step further by providing direct endoscopic visualization of the posterior spinal anatomy and nerves.

Different between a radiofrequency ablation and a rhizotomy

“A radiofrequency ablation is a procedure for back pain where we use special needles and electrical current to turn off the nerves and their ability to transmit pain signals. We get an average of 11 months of relief. By that time, the nerve may heal and the pain may return.

The surgical aspect of a rhizotomy is a little more invasive, but still considered an endoscopic minimally invasive surgery or procedure. The incision is smaller than a centimeter and involves the use of a camera through which we can use special tools to identify the nerves, and surgically remove those nerves, and then perform an ablative procedure under direct visualization.”
endoscopic-rhyzotomy-cross-section

The result of a rhizotomy is a little more invasive than a RFA but is still considered an endoscopic minimally invasive surgery or procedure. The incision is smaller than a centimeter and involves the use of a camera through which we can use special tools to clearly identify the nerves, and surgically remove those nerves, and then perform an ablative procedure under direct visualization. The incision site is closed with one or two stitches and a small bandage.

What are some of the advantages of a rhizotomy surgery?

• Minimally invasive procedure
• Small incision and minimal scar tissue
• Outpatient procedure
• Short recovery time
• High success rate and sustained success of the therapy
• No or minimal blood loss
• Possible use of local anesthesia
• Spinal mobility is maintained
• Visual endoscopic control of the treatment

When is rhizotomy recommended?

• Patient has lower back pain longer than 6 weeks with no response to conservative treatments
• Palpation of the facet joints causes muscle spasm and deep tenderness
• Patient has restricted range of movement in the lumbar spine, particularly when bending backwards
• Blocking the facet joint or medial branch nerve confirms that lower back pain is caused by the facet joint

What are the indications for a rhizotomy?

A rhizotomy is indicated if the diagnostic *medial branch block (MBB) procedure is successful in confirming back pain is originating from the facet joints. For the sacroiliac joint, a successful sacroiliac joint injection is needed.
endoscopic-rhyzotomy

*Medical branch block (MBB) is an injection of a local anesthetic directly near the medial branch nerve to temporarily block the pain signal carried from the facet joints to the brain. It is a diagnostic tool and provides only temporary relief from pain and is used in diagnosing the cause of your back pain.

After the medial branch block(MBB) your pain may:

• Go away for a few hours
• A few days or
• Not reduce at all

If the pain is relieved after the medial branch block, this indicates that the origin of the pain is the medial branch nerves that were numbed. Our team may recommend a radiofrequency ablation (RFA) or proceed to an endoscopic rhizotomy.

How Modern Spine Medicine Works

Since 1997, our multi-disciplinary team as been helping our community and changing lives.

Schedule a Phone Consultation with our Doctor

During your complimentary phone consultation with our Doctor, you will receive a personal one-on-one conversation about the symptoms you are currently experiencing and discover how we can be the perfect fit for you.


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This appointment is the next step in discovering the new treatments and procedures that we successfully offer every day. Our diverse team brings to you the latest techniques and an array of options for treatment.



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our care is ‘backed’ by our entire team and we are now ready to take amazing care of you! From our Minimally Invasive Spine Surgeries (similar to Laser Spine Surgery), to Non-Surgical Procedures and Non-Steroidal Injections, to custom Muscle Work Treatment, we promise you won’t be disappointed.

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Don't let pain get you down. Contact us today to see how we can help.

Pain presents itself in many different ways, at different times and in many cases is triggered by specific activities. Modern Spine Medicine will be happy to answer your questions in conjunction with a personal phone call follow up with one of our doctors.

Reviews

Congrats to another raving fan of Dr. Timothy Luke and the team at Minimally Invasive Spine AZ! The patient had an out-patient, decompression surgery of his lumbar spine at L3/L4! He is standing tall and feeling great again. “When I came to here my pain level was through the roof. And after the surgery the pain was small the first two weeks, but now I am getting stronger and my mobility has totally improved. Today I am in NO pain! I have my life back thanks to Dr. Timothy Luke.”
We love seeing our patients get back to living a life they love after a minimally invasive spine surgery. Dr. Luke performed an L4-L5 decompression surgery to alleviate back and leg pain. Carlos wrote, "Before my laminectomy with Dr. Luke I had been in terrible pain for 4 years. I tried everything from physical therapy to shots with little results. The pain kept me from enjoying the outdoors and working out. After the procedure I was hiking within a week. I’m in considerably less pain and I can once again be active. Thank you so much."
"As a medical doctor i recognize an excellent physician when I find a good balance of knowledge, skill, caring, compassion and understanding. I would only allow a physician with those qualities to perform my required invasive procedures. Without question, Dr. Nasser possess this balance. From the time of the first interview, until completion of my last surgery, Dr. Nasser and all this staff have gone great lengths to assure my successful recovery with the utmost professionalism, skill, knowledge, understanding, caring and compassion. Thanks again for being there."
I am very grateful that I took a chance on AZPTc. Dr. Nasser is the BEST! I've been having back pain for at least a decade but the last two years have been extremely bad. My really bad days were a 10 out of 10. After meeting Dr. Nasser for the first time and having him look at my MRI he immediately came up with a plan of attack to help me get my life back. Four weeks after having a Radio Frequency Ablation I have ZERO PAIN. I mean ZERO. In fact, immediately after my procedure I was pain free. I’m back to working out and doing the activities that I enjoy doing and not having to worry about how my back is going to feel the next day. I would recommend AZPTC to anyone especially Dr. Nasser but everyone in the office is really nice and professional. Many Thanks to Dr. Nasser and the whole AZPTC team. For people out there who think there is no hope and your just going to have to live with your pain please give AZPTC a chance.

About Modern Spine Medicine

As a multi-disciplinary team, we understand that pain can change and destroy a person’s life. It is discouraging to watch our patients, friends and family suffer in pain. We know we can make a difference and help provide the best education and options available. We offer Minimally Invasive Spine Surgery, namely Endoscopic Microdiscectomy and Endoscopic Rhizotomy procedures. Our non-surgical treatments offered are therapeutic and diagnostic injection medicine therapy. These include epidural steroid injections, non-steroidal injections, nerve blocks and ablations, joint injections, and trigger point injections. We also offer many other procedures for pain relief.

We are passionate about giving life back to our community every day. We specialize in most types of pain, including neck and back pain, arm and shoulder pain, leg, hip and knee pain, as well as headaches and migraines. We treat pain from Car Accident or Wreck Injuries, Sport Injuries, Workman’s Comp and daily wear and tear.

We are excited to be known by our patients and referring Primary Care Physicians as Top Doctors and Top Pain Specialists in Phoenix. We are also proud to have great relationships with other pain centers like Arizona Pain Specialists, The Pain Centers of Arizona, Arizona Pain Centers, Advanced Pain Management, Sonoran Spine, Barrow Neurosurgical Institute and many neurospine surgeons and orthospine surgeons.

Modern Spine Medicine at Arizona Pain Treatment Centers has been serving the greater Phoenix area since 1997. We have patients under our care that live in Phoenix, North Phoenix, Scottsdale, Peoria, Glendale, Maryvale, Tolleson, South Phoenix, Mesa, East Mesa, Tempe, Chandler, Ahwatukee, Gilbert, Queen Creek, San Tan Valley, Apache Junction, Tuscon, and even Globe.

We are commitment to making a difference and being the difference in all of our patient’s lives and their family and friends lives. Thank you!

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