NANO Procedure

    Nano Procedure (NANO)

    Ultra-Small Endoscopic Non-Traumatic Discectomy — NO Cutting, NO Drilling, NO Scarring. Only available at Back Institute.

    Where Do We Make Our NANO Skin Nick?

    See examples of the precise positions used during the NANO procedure

    Example — 4mm nick in the skin, picture taken one day after procedure
    See Examples
    Position 1 — Starting point between 0 and 5 degrees from midline
    Position 2 — Nano probe insertion angle
    Position 3 — Lateral approach position

    Internally Nano Lumbar Spine Procedure

    Watch the non-traumatic lumbar spine procedure performed at Back Institute

    Procedure Details

    How the NANO Procedure Works

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

    Outpatient Procedure

    A Nano 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.

    Technique

    Using 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 nano procedures consists of only the probe's small puncture site; usually the size of a freckle.

    No Bone Removal

    A Nano 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.

    Traditional Surgery vs NANO

    See the dramatic difference between our nano approach and conventional spine surgery

    "Minimally Invasive"

    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.

    Nano Procedure

    But here at the Back Institute, we do nano procedures, where there is no muscle cut, no bone removed, and no stitches.

    Why Don't More Surgeons Perform Nano Discectomy?

    They are simply not able to do a zero access damage procedure. They do not have the correct technology available to them and they have no experience with the use of this technology. Many surgeons around the country, even at the biggest centers, claim to do minimally invasive spine surgery, when, in reality, they are performing surgery that, by comparison, is actually old fashioned traumatic spine surgery.

    The advancements in proprietary equipment and totally nano techniques that the Back Institute has made in the last 20 years make us the unique leader in performing Nano Spine Procedures.

    It is a source of confusion that the words "minimally invasive" have lost their original meaning. Today, many surgeons around the country are still missing the real point of what "minimally invasive" should be, 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. In fact, "minimally invasive" is not specific, clear or understandable language at all, but "zero damage in getting to the problem" is clear.

    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 Nano 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

    No Cutting – No Bleeding – No Scarring

    • Major Breakthrough — By Leading neurosurgeon, Board Certified; Yale Fellowship
    • Non Cutting Surgical Technique
    • Prevent Irreversible damage from Old Style Cutting Spine Surgery
    • Home Same Day, No Stitches
    • Many thousands successfully treated since 1986
    • Highly effective & Safest method