Sciatica can be extremely painful, often affecting your ability to sit, walk, or perform everyday tasks. With advancements in spine care, modern surgeries like Microscopic and Endoscopic Discectomy have become highly effective, minimally invasive options for treating sciatica caused by a slipped disc.
This comprehensive guide is written with insights from Dr. Sandeep Dubey, Consultant Orthopedics & Robotic Joint Replacement Surgeon in Lucknow, to help patients understand safe and advanced treatment options.
Sciatica refers to pain that radiates along the path of the sciatic nerve—from the lower back down to the legs.
The most common cause is a herniated (slipped) disc, where disc material compresses the nerve root.
Sharp, shooting pain in the lower back or legs
Tingling or numbness
Muscle weakness
Pain that worsens while sitting, standing, or coughing
Microscopic and endoscopic discectomy are advanced spine surgeries designed to remove the portion of the disc that compresses the nerve—without disturbing surrounding tissues.
Microscopic discectomy involves:
A very small incision in the lower back
Use of a surgical microscope
Removal of herniated disc material with high precision
Minimal muscle damage
Shorter hospital stay
Faster pain relief
Reduced risk of complications
Quick return to daily activities
This technique is widely recommended by expert surgeons like Dr. Sandeep Dubey in Lucknow for patients with moderate-to-severe sciatica.
Endoscopic discectomy uses a tiny camera (endoscope) to access and remove the herniated disc.
Ultra-small incision
Less blood loss
Minimal postoperative pain
Very fast recovery (often same-day discharge)
Excellent visualization of the nerve and disc
Endoscopic techniques are gaining popularity among orthopedic and spine specialists in Lucknow due to their safety and efficiency.
These treatments are ideal for patients who:
Do not improve with medications, physiotherapy, or injections
Have persistent leg pain for more than 6–8 weeks
Have MRI-confirmed disc herniation
Experience severe nerve compression symptoms such as weakness
If you are experiencing ongoing sciatica, Dr. Sandeep Dubey can evaluate whether microscopic or endoscopic discectomy is suitable for your condition.
Clinical examination
MRI evaluation
Medical fitness clearance
Minimally invasive approach
Precision removal of disc pressure
No extensive bone removal
Walking within a few hours
Discharge typically within 24 hours
Return to office work in 1–2 weeks
Complete recovery in 4–6 weeks
As a highly experienced Consultant Orthopedics & Robotic Joint Replacement Surgeon in Lucknow, Dr. Sandeep Dubey is known for:
Expertise in minimally invasive spine surgeries
Accurate diagnosis and patient-centric care
Use of modern microscopic and endoscopic techniques
Evidence-based treatment protocols
His approach focuses on restoring mobility, reducing pain, and helping patients return to normal life faster.
Yes, it is one of the safest minimally invasive spine procedures with very low complication rates.
Most patients resume daily activities within 1–2 weeks.
If caused by disc herniation, surgery often provides long-term relief.
If pain persists beyond 6–8 weeks or leads to weakness, surgical treatment is recommended.
With proper care and physiotherapy, recurrence rates are very low.
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