This article explores minimally invasive laser therapy for lumbar disc herniation, highlighting its history, techniques, and proven effectiveness through clinical studies. It emphasizes how laser decompression offers a safe and efficient alternative to traditional surgery, improving patient recovery and outcomes.

Minimally Invasive Laser Therapy for Lumbar Disc Herniation Relief

Spinal stenosis caused by aging or congenital conditions can lead to narrowing of the spinal canal, resulting in pain and nerve compression. It may affect areas like the foramina, lateral recesses, or central canal. Effective management is essential to reduce symptoms and prevent further issues. Since the 1930s, spinal surgeries have transitioned from open procedures to minimally invasive techniques aimed at enhancing patient recovery.

Discs can be classified as contained or non-contained herniations. Traditional open surgeries often have limited success with contained herniations, prompting the advent of less invasive options like percutaneous laser disc decompression. Introduced in the 1980s, this procedure uses laser energy to reduce the size of the herniation, alleviating nerve pressure.

The pioneering case was performed in 1986 by Choy and colleagues, earning FDA approval in 1991. Today, many laser spine centers globally utilize this technique for effective lumbar disc treatment.

Research supports laser decompression’s efficacy. In 2000, Duarte and Costa's study using CT-guided laser therapy showed that 67% of patients experienced substantial improvement, with others achieving satisfactory outcomes. In 2002, Knight and Goswami reported an 80% success rate. Zhao et al. in 2005 found that 82% of carefully selected patients had excellent or good results, demonstrating the procedure’s success in appropriate candidates. Overall, laser disc decompression provides significant relief for lumbar herniation sufferers.