Selective endoscopic discectomy, or SED, is a minimally-invasive procedure that's designed to treat disc conditions, including herniated, extruded, protruded and degenerated discs that cause symptoms such as chronic back or leg pain. The technique uses an endoscope, a special instrument that can be inserted through a small incision to visualize the injured disc and the space around it. Laser energy and specially-designed instruments developed to be used through small incisions are used to perform the corrective procedure. Because it uses small incisions and avoids cutting through tissues, SED patient have faster recovery times, reduced pain and fewer complications compared to patients who undergo open procedures.
SED is performed using local anesthesia. Once the area is numbed, a thin needle is inserted into the disc using a type of x-ray called fluoroscopy to guide it into the correct position. A small “keyhole” incision is made to enable a hollow tube, or cannula, to be inserted, followed by the endoscope. The endoscope has a small camera on the end which can be used to transmit images to a computer screen. Once the treatment area has been assessed, a laser probe is used to remove the damaged area, seal the outer portion of the disc and shrink the disc to relieve pressure on neighboring nerves. Most procedures take from 30 to 60 minutes. Patients can return home the same day.
Dr. Gross will use diagnostic imaging techniques like x-rays or MRI to evaluate your spine prior to your procedure to ensure you're a good candidate. Generally speaking, patients with extensive spinal stenosis or significant spinal instability may not be good candidates for SED, and other techniques can be used to achieve optimal results.
We accept assignment from Medicare, Worker's Compensation, and most PPO's. Here is a short list of just some of the plans we accept. Unfortunately, we do not accept HMO or Medi-Cal.
We accept cash, checks and most credit cards for your convenience. We will bill your insurance company; however, payment is the patient's responsibility. We will help in every way we can to assist in handling claims. Insurance co-payments are due at the time of service.
For billing or insurance questions, please contact our office.
"Dr. Gross took a pragmatic approach and looked first to be the least invasive as possible, which i always suspected surgeons to do the opposite."
"Dr. Gross is the best. Nice man but no nonsense when it comes to our health and his profession. I trust him with my body, hence, my life."
"I am now once again playing college baseball and doing very well. Thank you for your help and your concern and for doing such a great job healing my back."
"I'm moving around without any tension, pain or medications and I feel great about that. I am extremely thankful to Dr. Gross and his team."
"After Dr. Gross and his team were finished most of my back pain was gone. Now 3 weeks later, after my nerve endings have had time to heal, my back pain has disappeared."