Lumbar Disc Herniation Minimally Invasive Endoscopic TreatmentUniportal Technique · Biportal UBE Technique

What Is a Lumbar Disc Herniation?

Between each vertebra are intervertebral discs, structures that contribute to spinal mobility and help absorb the loads placed on the spine.

When part of a disc protrudes from its normal position, it may come into contact with a nerve root, causing pain and neurological symptoms.

Having a disc herniation does not automatically mean that surgery is necessary.

The choice of treatment depends on the symptoms, neurological examination, imaging findings and response to conservative treatments.

Do You Have a Lumbar Disc Herniation? The Most Common Symptoms

Lumbar disc herniation can compress or irritate a nerve root and cause different symptoms depending on its location.

The most common include:
lower back pain
sciatica or cruralgia (pain radiating from the buttock down the leg)
tingling or loss of sensation
weakness in the leg or foot
difficulty sitting or standing for long periods
pain that limits work, sports and daily activities

Do you have these symptoms? Request an assessment

Lower back pain, sciatica or cruralgia radiating down the leg?

Find out whether your condition can be treated with a conservative approach or with minimally invasive endoscopic spine techniques.

Dr. François Lechanoine

Neurosurgeon specializing in minimally invasive and endoscopic brain and spine surgery.

First, We Evaluate Conservative Treatment

Surgery Is Not Always the First Option
When clinically appropriate, the treatment pathway may begin with conservative treatments and rehabilitation.

The goal of NeuroNEC is to identify the treatment that is truly necessary for each patient, avoiding unnecessary surgical procedures.
The pathway may include:

neurosurgical assessment
physiotherapy and rehabilitation
pain management
recovery of mobility
clinical monitoring
specialist reassessment

When May Surgery Be Necessary for a Lumbar Disc Herniation?

Surgery may be considered when pain persists despite adequate conservative treatment, when symptoms significantly affect quality of life, or when neurological deficits are present.

NeuroNEC prioritizes minimally invasive and endoscopic techniques aimed at treating the cause of nerve compression while reducing trauma to the surrounding tissues.

Benefits of the Minimally Invasive Endoscopic Approach

Surgery Designed to Reduce the Impact on the Patient

When indicated, the minimally invasive endoscopic approach allows for:

smaller surgical access
less impact on surrounding tissues
early mobilization
personalized anesthesia pathway
early rehabilitation
gradual return to normal activities

Find out whether your condition can be treated with a Minimally Invasive Endoscopic Approach

Xperience: Not Just Surgery, but a Complete Care Pathway

Spine treatment does not end with surgery.
The NeuroNEC Xperience Program integrates into a single pathway:

Specialist Assessment

Analysis of the patient’s medical history, symptoms and diagnostic examinations.

Preparation for Treatment

Functional preparation and personalized organization of the care pathway.

Minimally Invasive Surgery

When indicated, endoscopic treatment of the condition using the latest technologies.

Personalized Anesthesia

Anesthesia protocol tailored to the patient and the procedure, generally using an “awake” approach.

Early Rehabilitation

Mobilization and Functional Recovery.

Follow-up

Continuity of care through the NeuroNEC network.

Have You Already Been Recommended Spine Surgery?

Have you already been recommended spine surgery?

Before making a decision, you can request a specialist second opinion.
If you have already undergone an MRI or CT scan, you can send your medical documentation to the NeuroNEC Patient Manager.
Dr. Lechanoine will assess your clinical condition and imaging to determine which treatment pathway may be most appropriate.
REQUEST A SECOND OPINION

Dr. François Lechanoine

Neurosurgeon specializing in minimally invasive and endoscopic brain and spine surgery.

Dr. Lechanoine developed his professional career at neurosurgical centers in Europe and abroad, specializing in modern minimally invasive and endoscopic techniques.

He was the first neurosurgeon to introduce and perform UBE – Unilateral Biportal Endoscopy in Italy, subsequently contributing to its adoption across Europe and worldwide through clinical practice, training and scientific research.
MEET DR. LECHANOINE

Frequently Asked Questions About Lumbar Disc Herniation

Does a lumbar disc herniation always require surgery?

No. Many disc herniations can initially be treated conservatively. The need for surgery is assessed on an individual basis.

When should I see a neurosurgeon?

When pain persists, significantly limits normal activities, or neurological symptoms such as loss of strength or sensation develop.

Can I send my MRI scan?

Yes. Your radiological imaging can be sent to the Patient Manager to arrange a specialist assessment.

Can a disc herniation be treated with endoscopic surgery?

In most cases, yes. However, a specialist assessment is required.

Does surgery necessarily mean having a spinal fusion (with an implant)?

No. When indicated, endoscopic techniques can preserve disc function and therefore avoid spinal fusion surgery, helping to maintain mobility.

Is recovery after endoscopic spine surgery a long process?

Every patient has their own recovery time and each case is different. However, in general, endoscopic surgery can allow for a faster recovery thanks to the preservation of anatomical structures, the minimally invasive approach and the preservation of movement in the spinal segment.