PLEASE NOTE THAT OUR FACILITY WILL BE PERMANENTLY CLOSED EFFECTIVE DECEMBER 14, 2020.
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Contracted Insurance Companies
July 11, 2016
We are currently network providers for the following insurance companies:
Worker's Compensation - Florida
If you have a health insurance plans that allows for an out-of-network provider, we will bill your insurance on your behalf as well.
Transforaminal Endoscopic Discectomy
June, 10, 2016
For more information regarding this state-of-the-art procedure, please contact Spine Diagnostics & Interventional Center at (813) 872-9200
Transforaminal Endoscopic Discectomy (TED) is performed in at our Facility licensed by AHCA, and CMS, state and federal licensing agencies. The procedure is divided into the following components
Needle placement for entering the spinal canal performed under local anesthesia and IV sedation with Versed and Fentanyl.
Discography and Chromography identify the damaged disc under x-ray fluoroscopy and colors the disc for easy visualization during endoscopic surgery
Entering the soft tissues with tissue dilators performed under local anesthesia and IV sedation with Versed and Fentanyl.
Expanding the canal neuroforamina opening with reamers when it is determined to be necessary, performed under local anesthesia and IV sedation with Versed and Fentanyl.
Placement of "working channel" for endoscope and performance of disc removal or remodeling the bones to open the foramen to take the pressure off of the nerve.
Performance of nucleoplasty to assist with prevention of further herniation, and performance of a selective nerve root block with steroids to impede nerve root swelling and minimize post operative discomfort.
1. Identifying the surgical site
2. Performance of Discography and Chromography
3. Performance of Tissue Dilation
4. Reaming to enlarge the foramen for placement of working channel, or treating spinal stenosis at the foramen
5. Insertion of endoscope to begin removing the herniated disc material identified by the blue indigo carmine dye
Performing the surgery
rom this point forward surgery is performed using the direct vision endoscope to manipulate the instruments. Position and depth are monitored on the fluoroscope. The patient communicates directly with the surgeon and follows commands for leg and spine movement. The patient can communicate when nerve pressure is present and released. In addition to a variety of graspers, high speed drills and hand held reamers with chisels may be employed to remove osteophytes and improve the direct vision for the surgeon. A constant flow of low pressure fluid with antibiotics cleans the surgical debris and maintains visibility. At the conclusion of the surgery steroids are passed into the working channel to decrease post operative swelling and pain. The incision is the size of your small fingernail width. Postoperatively, a back brace is worn for 4 weeks. Back strengthening program with MedX is initiated on Week 5 and continues for 12 sessions.
Transforaminal Endoscopic Discectomy or T.E.D., is the primary procedure performed with the JOIMAX Transforaminal Endoscopic Surgical Systems or TESSYS, originated from Germany under the design team of Maxwell Reis a german medical doctor and mechanical medical engineer. This system is widely used in the USA, Germany, The Netherlands, France, Spain, Italy, and South Korea. The surgery is performed in an outpatient setting under "algoanesthesia", defined as the patient is able to respond to the surgeon, but comfortable and with minimal discomfort during the surgery. The communication between surgeon and patient creates a safe environment for the patient and enables the patient to give feedback on the progress of the surgery and notify the surgeon when the nerves are stimulated. The patient is on their side.
The incision is less than the width of your fingernail. Recovey time is minimal with work restrictions for the first month followed by a vigorous spine muscle reconditioining program. Dr. Flynn and his staff follow a defined clinical algorithm to direct your care
Other Procedures Performed at our Center
July 11, 2016
Epidural Neurolysis of Adhesions
Facet Joint Injections Medial Branch Block
Lumbar Facet Radiofrequency Ablation
Sacral Iliac Joint Injection
Cervical Epidural Steroid Injections
Lumbar Sympathetic Block
Cervical Facet Radiofrequency Ablation
Lumbar Transforaminal Epidural Steroid Injections
Caudal Epidural Steroid Injections
Stellate Ganglion Block
Percutaneous Disc Nucleoplasty
Sacral Iliac Joint Radiofrequency Ablation
Lumbar Transforaminal Selective Nerve Root Injection
Wednesday's: 8:00AM - 5:00pm
In case if an emergency please call "911"