Non-traumatic endoscopic spine surgery in progress
    Established 1995 · Beverly Hills · Los Angeles · New York

    No Cutting. No Drilling with Nano.
    No Scarring.

    The world's smallest endoscopic spine procedure. Walk in with pain. Walk out the same day.

    No Cutting
    No Drilling
    No Scarring
    Same Day
    4mm Opening
    96% Success
    As seen on:ABCNEWSNBCNEWS

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    Years Experience

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    Success Rate

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    Procedures Completed

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    Procedure Opening

    Why Choose Us

    Why Choose Back Institute

    We perform the best non-traumatic procedures available using the most advanced tools and equipment. Some of our technology is only available here.

    Ultra-Small Scope

    The world's smallest endoscope. Dot skin opening so small, only a small bandaid is needed.

    Zero Damage

    No cutting causes no bleeding. No bleeding causes no scarring. Preserve your natural spine structure.

    Rapid Recovery

    Walk out the same day. Return to normal activities faster than any other spine procedure available.

    96% Success Rate

    Highest non-traumatic access success rate. Other techniques have a much lower success rate.

    Doctors Choose Us

    Physicians, surgeons, and medical professionals come to Back Institute for their personal spine care.

    30+ Years Experience

    Pioneering non-traumatic spine surgery since 1995 with peer-reviewed publications and proven results.

    30+

    Years Experience

    96%

    Success Rate

    10K+

    Procedures Done

    3

    Locations

    Conditions We Treat

    Is Your Condition Treatable With NANO?

    Back Institute specializes in endoscopic treatment of a wide range of spinal conditions — without the damage of traditional open surgery. Most patients are surprised to learn they're ideal candidates.

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    Lumbar / Cervical

    Herniated Disc

    A tear in the outer fibrous ring of an intervertebral disc allows the soft central portion to bulge out, pressing on nerves and causing pain, numbness, or weakness. This is frequently posterior in nature and can result in severe pain even without nerve root compression.

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    Lumbar

    Spinal Stenosis

    Narrowing of the main spinal canal that compresses spinal nerves. Sometimes caused by bone growth, ligament tissue growth, or significant disc bulge. Disc components causing stenosis may be treatable with our nano non-traumatic access approach. For severe spinal stenosis, decompression may require an 8 mm small endoscopic approach.

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    Lumbar

    Sciatica

    Pain caused by compression or irritation of spinal nerve roots giving rise to the sciatic nerve. Pain is felt in the lower back, buttock, and leg. May include numbness, muscular weakness, pins and needles, and difficulty controlling the leg.

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    Lumbar / Cervical

    Degenerative Disc Disease

    Age-related wear on spinal discs causing chronic low back pain that sometimes radiates to the hips, pain in the buttocks or thighs while walking, and sporadic tingling or weakness. Can also cause chronic neck pain radiating to shoulders, arms, and hands.

    Recovery Timeline

    72 Hours to a New Life

    Our non-traumatic approach means dramatically faster recovery. Here's what to expect after your NANO procedure.

    45–90 min

    Procedure Complete

    The NANO procedure takes under 90 minutes. Local anesthesia with light sedation — no general anesthesia required.

    Same Day

    Walk Out

    Most patients walk out of our facility the same day. No hospital stay. A small bandaid is all you leave with.

    1–3 Days

    Light Activity

    Return to light daily activities within days. Many patients are surprised at how quickly they feel normal again.

    2–4 Weeks

    Full Recovery

    Full activity is typically restored within weeks — not months. Compare that to 6–12 weeks for traditional open surgery.

    2–4 Weeks

    NANO Full Recovery

    6–12 Months

    Traditional Surgery Recovery

    3

    Board-Certified Spine Surgeons

    2 Ivy League

    Trained Surgeons on the Team

    50+ Years

    Combined Nano Endoscopic Experience

    Typically, endoscopic procedures are done with two of the spine surgeons present. Not available anywhere else.

    Back Institute Surgery Staff

    Dr. Ditsworth with Visiting Doctor

    Dr. Ditsworth with Visiting Doctor

    Visiting Student from Slovakia

    Visiting Student from Slovakia

    Visiting Student from Brazil

    Visiting Student from Brazil
    Dr. David Ditsworth, Lead Neurosurgeon at Nano Back Institute
    Lead Surgeon

    Dr. David Ditsworth

    Neurosurgeon & Founder, Nano Back Institute

    A board-certified neurosurgeon, Dr. Ditsworth developed the Non-Traumatic Discectomy for treating herniated and bulging discs in the spine. In contrast to traditional approaches to spine surgery, which frequently do damage to a healthy spine, this procedure truly is beyond "minimally invasive."

    Dr. Ditsworth has written more than 40 peer-reviewed abstracts, articles, and book chapters. He is a member of the Congress of Neurological Surgeons and has been on staff at Cedars Sinai Medical Center for many years.

    Education & Training

    • B.S. & M.D. — University of Utah, School of Medicine (Honors Surgery Program, accelerated)
    • Internship — University of Miami, Jackson Memorial Hospital
    • Fellowship — Yale University School of Medicine (Neurosurgery)
    • Residency — University of California, Irvine School of Medicine (Neurosurgery)

    Diplomate, American Board of Neurosurgery

    Board Certified in Neurosurgery

    Yale Fellowship

    Fellowship in neurosurgery at Yale University School of Medicine

    Pioneer of Non-Traumatic Discectomy

    Developed the procedure for treating herniated and bulging discs without cutting

    40+ Peer-Reviewed Publications

    Abstracts, articles, and book chapters on endoscopic spine surgery

    Cedars Sinai Medical Center

    On staff at Cedars Sinai Medical Center for many years

    Congress of Neurological Surgeons

    Member of the Congress of Neurological Surgeons

    Medical doctors in surgery
    Medical Professionals Trust Us

    Where Do Medical Doctors Have Their Own Surgery?

    When physicians, surgeons, and nurses need spine surgery for themselves, they choose Back Institute. They understand the science. They see the outcomes. And they trust us with their own bodies.

    This is the highest endorsement any medical practice can receive — the trust of the medical community itself.

    "As a physician myself, I was extremely particular about where I would have my spine procedure done. The Back Institute's NANO technique was exactly what I was looking for."

    Dr. Michael S.

    Orthopedic Surgeon · Houston, TX

    "When I told my colleagues I was having endoscopic spine surgery at Back Institute, they were skeptical. When they saw me back at work two weeks later, they were asking for the referral."

    Dr. Sarah L.

    Emergency Medicine · Seattle, WA

    "As a spine surgery nurse, I've seen patients struggle through long recoveries from conventional procedures. When I needed my own surgery, I chose Back Institute."

    NP J.K.

    Spine Surgery NP · Los Angeles, CA

    Patient Stories

    Real Patients. Real Results.

    From USA locals to international travelers, from everyday patients to physicians — hear what they say about choosing Back Institute. All patients shown have been followed up to the present time.

    Video Testimonials (101)

    Lumbar Disc Herniation

    "I am Andrew from Alaska, and I had a nano procedure at the Back Institute., then walked several miles the next morning."

    A

    Andrew

    Patient · USA

    Disc Herniation

    "I am Douglass from Canada, and I had non-traumatic back surgery at the Back Institute."

    D

    Douglass

    Patient · Canada

    International Patient
    Disc Herniation

    "I am Rodney and I had non-traumatic back surgery at the Back Institute."

    R

    Rodney

    Patient · USA

    Disc Herniation

    "I am Jeremy and I had non-traumatic back surgery at the Back Institute."

    J

    Jeremy

    Patient · USA

    Disc Herniation

    "I am a Gastroenterologist from New York, and I had non-traumatic back surgery at the Back Institute."

    R

    Robert

    M.D., Gastroenterologist · New York

    Medical Professional
    Disc Herniation

    "I am a Bariatric Surgeon from New York, and I had non-traumatic back surgery at the Back Institute."

    W

    William

    M.D., Bariatric Surgeon · New York

    Medical Professional
    In The News

    Back Institute in the News

    Our innovative approach to spine care has been featured in major news outlets nationwide.

    ABC News
    Featured Segment

    Easing that pain in your back without undergoing a major operation

    About 400,000 Americans may be getting highly invasive back surgery unnecessarily. A local doctor says he's found great success with an outpatient procedure to remove herniated disc material. Most patients can benefit from this procedure.

    NBC News
    Featured Segment

    Breakthrough Procedure Uses Tiny Scope

    Four out of five Americans suffer low back pain at some point in their lives. When therapy and medicine fail, a new procedure may be the simplest surgical solution yet.

    Back Institute's non-traumatic approach has been featured in national news since our founding in 1995.