Spinal Endoscopy is also an advanced pain management procedure. It is indicated for patients suffering from chronic back pain with radculopathy of radiculitis and who failed conservative therapy. Many of the patients have nerve roots encapsulated with adhesive scar tissue or clinical inflammation.

Spinal endoscopy allows direct visualization of the spinal canal, epidural space and its related struc-tutes. The physicians visualize some of the potential pain generators, including epidural adhesions, nerve root edema, extrinsic and intrinsic compressions to the epidural space, anatomical variations, nerve root cystic lesions, mal-aligned spinal cord stimulators, and vascular abnormalties. This followed by lysis of adhesions & deposition of medication right at the site of inflammation. Rather than going from epidural injections directly to surgery, this minimally invasive technique should be tried first. Spinal endoscopy is a half-way measure that may cure the leading cause of sciatic pain, the nerve inflammation.