Minimally Invasive Nerve Pain Relief from Trusted Spine Experts
Endoscopic nerve ablation offers long-lasting relief from sacroiliac joint dysfunction with less downtime and faster healing.
Get evaluated by leading neuro spine experts in New Jersey with years of experience in minimally invasive back pain solutions.
What Is Sacroiliac Endoscopic Rhizotomy?
Sacroiliac Endoscopic Rhizotomy is a minimally invasive outpatient procedure used to alleviate chronic lower back and leg pain caused by Sacroiliac (SI) joint dysfunction. Unlike traditional radiofrequency ablation, this technique allows direct visualization of spinal nerves via an endoscope, improving precision and outcomes.
By targeting the medial branch nerves that transmit pain from the SI joint, the procedure effectively disrupts these signals, helping patients regain mobility and improve quality of life.
Sacroiliac Joint
Conditions
Procedures
Who Is a Candidate for SI Endoscopic Rhizotomy?
Sacroiliac Rhizotomy may be recommended if you:
- Are diagnosed with Sacroiliac Joint Dysfunction or other degenerative spine disorders.
- Experience persistent lower back pain, especially when leaning or arching backward.
- Have undergone conservative treatments (e.g., physical therapy, medications, injections) with little to no relief after 8–12 weeks.
- Have shown positive response to diagnostic injections (e.g., medial branch blocks or SI joint injections).
How Is the Procedure Performed?
Sacroiliac Endoscopic Rhizotomy is performed under local anesthesia and involves the following steps:
- Small Incision: A tiny cut is made near the affected area in the lower back.
- Endoscopic Access: A small metal tube (cannula) is inserted to access the SI joint, and an HD camera provides clear visuals of the medial branch nerves.
- Nerve Ablation: Using microscopic instruments, the surgeon cauterizes the nerve fibers, stopping pain signals from reaching the brain.
- Closure: After removing the instruments, the incision is closed using steri-strips—no large sutures are required.
- Recovery: Patients are typically discharged within 24 hours, barring complications.
Advantages of Sacroiliac Rhizotomy
- Minimally Invasive – Less tissue damage and scarring
- Outpatient Procedure – No overnight hospital stay
- Faster Recovery – Return to routine activity more quickly
- Precise Pain Targeting – Enhanced accuracy using endoscopic imaging
Serving Locations in New Jersey & New York
Frequently Asked Questions
The procedure is performed under local anesthesia and sedation. Most patients report minimal discomfort during and after surgery.
Relief duration varies, but many patients experience long-term improvement, especially when paired with post-procedure rehab.
Most patients can resume light activities within a few days and return to work in about a week, depending on the job.
As with any procedure, risks exist but are rare. These may include minor bleeding, infection, or temporary nerve irritation.
Endoscopic rhizotomy offers direct visualization of the nerves, increasing accuracy and reducing the risk of targeting the wrong area.
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Take control of your chronic SI joint pain with expert spine care.
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