Non-Traumatic Procedure.

Most Advanced Procedure

At the Back Institute, we perform the most advanced non-traumatic procedures available, using state of the art tools and equipment. Some of our technology is only available here.

In a Non-Traumatic Discectomy, there is no cutting, no bleeding and no scarring. So patients are left with only a dot opening that is covered with a band aid.

Outpatient Procedure
A Non Traumatic Discectomy is an outpatient procedure done to physically remove the offending disc material. The procedure is performed in the operating room. Patients are administered local anesthesia; IV sedation is given by the anesthesiologist.

Using a x-ray fluoroscopy and a magnified video for guidance, a small,specially designed nano probe is inserted through the skin of the back, between the vertebrae and into the problem disc location. Nano tools are then used through the hollow center of the probe to remove the offending disc. The Nano tools can be used to push the bulging disc back into place; they can also be used to remove disc fragments and small bone spurs.

No Stitches
On average, the procedure takes about 45 minutes to an hour. Typically, there is no pain. Upon completion, the probe is removed and a small band-aid is placed over the incision. There are no stitches.

Tiny Opening
The amount of nucleus tissue removed varies, and the supporting structure of the disc is not affected by the surgery. In comparison to large incisions required for open surgery, the access route to the disc in non-traumatic procedures consists of only the probe's small puncture site; usually the size of a freckle.

No Bone Removal
A Non Traumatic Discectomy is very different from an open lumbar disc surgery: there is no traumatic back muscle dissection, no bone removal, and no large skin incision. At the Back Institute, complications are almost non-existent.

Higher risk operations--such as laminotomy, foraminotomy, MED, and microdiscectomy--are done at other facilities around the country. Meanwhile, the description "minimally invasive" that many hospitals and centers employ has become misleading. For these so-called minimally invasive procedures are actually very invasive: surgeons are cutting muscle and removing bone in order to get to the disc. They are just doing it through a smaller opening, so they call it minimally invasive. But here at the Back Institute, we do Non-Traumatic procedures, where there is no muscle cut, no bone removed, and no stitches. Only this technique is really minimally invasive, and only it results in a speedy recovery time.

Difference between
LUMBAR Non-traumatic procedure and Minimally invasive procedures


  • Muscle, Bone and Joint are cut/removed.
  • Scar Tissue Develops Throughout the Surgical Area.
  • Annulus Disrupted; High Recurrence Rate (10-15%).
  • Bone Remains Open.
  • Hospital Stay-Long Recovery Period.
  • Ill Effects May Be Permanent-Constriction From Scarring, etc.

  • Muscle, Bone and Joint are not cut.
  • Relieves Nerve Pinching.
  • Herniated Disc Material Removed.
  • Annular Barrier Wrapping Remains.
  • No Stitches.
  • Band Aid only.
  • No Inpatient Hospital Stay

Why don't more surgeons around the country perform Non-Traumatic Discectomy?
Again, many surgeons around the country, even at the biggest centers, claim to do minimally invasive spine surgery. In reality, they are just beginning to learn how to do it. The advancements in proprietary equipment and totally non-traumatic techniques that the Back Institute has made in the last 20 years make us the unique leader in performing Non-Traumatic Spine Procedures.

It is a source of confusion that the words "minimally invasive" have lost their original meaning since the Back Institute pioneered the techniques. Today, surgeons around the country are using smaller openings in their procedures, but many are still missing the point of "minimally invasive," which is not to cut muscle, not to remove bone, not to cause scarring, and not to alter the normal anatomy of the spine in order to get to the problem disc area.

As spine centers around the country rely on clever marketing and catchy words like "laser" to attract patients, they continue to lack the experience, expertise, credentials and technology to do a truly Non-Traumatic Procedure. In fact, a laser is rarely needed in any of these procedures, whether done at the Back Institute or elsewhere.

No Cutting - No Bleeding - No Scarring
  • Major Breakthrough
    By Leading neurosurgeon, Board Certified; Yale Fellowship

  • Non Cutting Surgical Technique

  • Preven Irreversible damage from Old Style Cutting Spine Surgery

  • Home Same Day, No Stitches

  • Many thousands successfully treated since 1986.

  • Highly effective & Safest method

Breakthrough Procedure Uses Tiny Scope - NBC

A breakthrough procedure may cure the problem without major surgery.

Easing that Pain in Your Back without Undergoing a Major Operation - ABC

It is an outpatient surgical procedure to remove herniated disc material. Most herniated disk patients can benefit from this procedure.

Where do Medical Doctors have their procedures done?

Physicians and Surgeons come to The Back Institute for their personal care of their spine.


With the help of x-ray fluoroscopy and a magnified video for guidance, a small specially designed probe is inserted through the skin into the problem disc location. Non-traumatic tools are then used through the hollow center of the probe to remove the offending disc.
*(Cervical spinal cord is not shown in this drawing.)

Actual Patient's Skin open - small as freckle

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