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Frequently Asked Questions

At Deuk Spine Institute, we provide the very latest procedures and techniques to help our patients achieve freedom from pain. Among these procedures is endoscopic Deuk Laser Disc Repair™. Through this procedures, many of our other patients who might otherwise require open back surgery and spinal fusion are able to obtain a resolution to pain with an incision only the size of a dime, and no spinal fusion! To make learning more about this and the other procedures we provide easier than ever, we offer free reviews of MRI reports. And, should you have any questions about the care we provide, you can always contact us at 1-800-Fix-My-Back.

1. Why is Deuk Laser Disc Repair™ so special?

Imagine the most perfect treatment for eliminating your back & leg or neck & arm pain. That treatment would be effective, safe, fast, durable, affordable, minimally invasive, convenient and painless. Of all the different types of spine surgery available only one has all of these qualities, Deuk Laser Disc Repair™. Deuk Laser Disc Repair™ is the next generation in minimally invasive spine surgery and it is available now exclusively at Deuk Spine Institute. Better than a spinal fusion or artificial disc for treating pain, Deuk Laser Disc Repair™ is done naturally without use of fusion or implants into your body. Our surgeries are so gentle and natural that hospitalization is not needed. By having the surgery done in our state of the art surgery center rather than a hospital, you will heal safer and more quickly. Unlike fusion or artificial disc surgery, complications are rare with Deuk Laser Disc Repair™. For the safest, least painful and most convenient way to fix herniated or bulging discs in the spine, the clear choice is Deuk Laser Disc Repair™.

2. What does “invasive” mean in the context of spinal surgery?

The more invasive a surgery is to treat the painful disc, the higher the risk of “collateral damage”. Collateral damage is damage to your body’s tissues that is unintended or incidental to the intended outcome. The damaged disc(s) are located at the center of the spine between vertebrae. Layers of tissue (skin, muscle, ligaments, bones and nerves) lie between your skin and the damaged disc. The more invasive a surgery is, the higher the risk of complications, surgical failure, collateral damage to normal surrounding tissue, greater use of painkillers and a prolonged recovery. Fusions, artificial discs and laminectomy with discectomy account for over 95% of surgeries performed today for treatment of a painful disc. These procedures are highly invasive and usually require months to years for full recovery, large scars, permanent muscle damage, destabilization of the spine, months “off work”, loss of normal spinal alignment or motion with fusions, and prolonged use of powerful pain killers. Fortunately, there is now a breakthrough in minimally invasive spinal surgery using a revolutionary technology, Deuk Laser Disc Repair™. Deuk Laser Disc Repair™ reduces collateral damage by 95% and is the next step in the evolution of minimally invasive endoscopic spinal surgery – leagues ahead of other “minimally invasive” technologies.

3. What does Deuk Laser Disc Repair™ do to take away the pain?

By using an endoscope, a very precise laser, and the smallest surgical incision performed anywhere, the painful disc is repaired – not removed – by eliminating the “pain generator” from the disc. Pain generators are found in the damaged part of the disc and are responsible for producing back and leg or neck and arm pain. Deuk Laser Disc Repair™ works by removing only the disc’s pain generator, leaving you with a painless disc, allowing the disc to heal naturally without placing any metal or plastic, and without fusing. For starters, compare the surgical incision size of Deuk Laser Disc Repair™, only ¼ inch, with any other minimally invasive surgery you have heard about and you will understand why our procedure is the least traumatic to your body. Deuk Laser Disc Repair™ is actually performed without damaging muscles or ligaments in the neck or back and does not require removal of bone from the spine to perform the disc repair. This fact alone is truly revolutionary as all other types of spinal surgery require the surgeon to drill away or remove bony structures in your back to gain access to the disc space. Performing a Deuk Laser Disc Repair™ allows the surgeon to remove only the pain generator in the damaged part of the disc – the herniation or bulge – without compromising the functional integrity of the disc. Deuk Laser Disc Repair™ is, without exception, the most natural form of spinal motion preservation surgery. I believe over 90% of people suffering with back and leg or neck and arm pain originating from a herniated or degenerated spinal disc can be successfully treated with my proprietary, outpatient, 30-minute Deuk Laser Disc Repair™.

4. Describe the Deuk Laser Disc Repair™ procedure?

Patients undergoing a Deuk Laser Disc Repair™ will receive either IV sedation or general anesthesia from our board certified anesthesiologist throughout the surgery. While asleep, the smallest minimally invasive spinal surgical incision possible, between 4 - 7 millimeters, is made in the skin over the spine. A small tube is gently inserted down to the herniated or bulging disc. Unlike other minimally invasive spine surgeries, the muscles, ligaments and bone around the spine are not permanently damaged during the Deuk Laser Disc Repair™. Remember, all other types of spine surgery do cause irreversible damage to these structures which can lead to spinal instability and require fusion.

Laser energy is then directed at the bulge or herniation to repair the damaged disc. Removing the herniated disc allows the nerve root to heal. Most patients experience immediate pain relief. The spinal disc requires several months to completely heal. “In my years of experience performing all types of complex spinal surgery, Deuk Laser Disc Repair™ is the most effective surgery for the treatment of an injured spinal disc without using fusion or implants or removing bone and ligament from the spine,” concludes Dr. Deukmedjian.

5. What causes chronic back & leg or neck & arm pain?

Chronic pain is pain that has been present for more than two months. The most common causes of pain are the spinal joints, muscles and ligaments. Examples of spinal joints include the spinal disc and facet joints. Uncommon causes of pain include tumors, infection, fractures, fibromyalgia and other rare disorders. Most people have more than one cause of their back or neck pain. Successful treatment of back or neck pain usually requires a combination of treatments directed at the sources of pain. Your world class team of physicians at the Deuk Spine Institute are experts in the diagnosis and treatment of all causes of back and neck pain.

6. How common is back pain?

Back pain is the most common reason patients see the doctor. Over 80% of Americans suffer from back pain at least once in their lifetime.

7. What is Radiculopathy?

Pain shooting from the neck into the arm or from the back down the leg, loss of feeling, tingling or “pins & needles” sensations, or weakness can all be symptoms of radiculopathy due to a pinched nerve.

8. Is there a “cure” for back & neck pain or radiculopathy?

Yes, 90% of the time if you are treated at the Deuk Spine Institute. Success is highly dependent on where you get treated. Please don’t be discouraged by the failure of others to fix your problem. I only ask that you give our team of experts a chance to get you Back in Motion™ with our 3 day transformation, the Deuk Spinal Rejuvenation™.

9. What treatments are available?

The Deuk Spine Institute offers proprietary, “state of the art” treatments not available elsewhere. These treatments have proven success in our patients treated in our facilities. They are the most minimally invasive procedures that can be found anywhere in the world. Dr. Deukmedjian has pioneered the Deuk Laser Disc Repair™ to repair herniated or bulging discs. In essence, returning the disc back to a painless state while preserving your natural disc without metal implants and without fusion. We offer a full spectrum of treatments that really work to rejuvenate your spine without overly invasive surgery.

10. Tell me about Deuk Spinal Rejuvenation™: The 3-Day Transformation.

Imagine your life without the back or neck pain and discomfort you have now. Now imagine it gone in 3 days. Enrollment in the Deuk Spine Institute’s 3 day transformation program enables you to complete your entire treatment in just 3 days. This is ideal for international and out of state travelers. Your first day involves registration, testing and a surgical consultation. On day two your outpatient surgery is performed. A therapy session is scheduled for day three and you are then free to return home in the afternoon. Most patients return to work within 1-3 days depending on which surgery they have performed. Hotel and transportation assistance is available.

11. When is surgery necessary?

Herniated spinal discs are the most frequent cause of chronic, debilitating neck or back pain, radiculopathy and may even cause headaches. When the symptoms of a painful disc fail to resolve with 6 weeks of non-operative treatment including therapy, surgery is generally considered an appropriate alternative to continued suffering. The Deuk Spine Institute’s procedures are so successful at treating back and neck pain with minimal recovery needed that there is really no reason to defer treatment. Let us help you get Back in Motion™.

12. What does “invasive” mean in the context of spinal surgery?

The more invasive a surgery is to treat the painful disc the higher the risk of “collateral damage”. Collateral damage is damage to your body’s tissues that is unintended or incidental to the intended outcome. The damaged disc(s) are located at the center of the spine between vertebrae. Layers of tissue (skin, muscle, ligaments, bones and nerves) lie between your skin and the damaged disc. The more invasive a surgery is, the higher the risk of complications, surgical failure, collateral damage to normal surrounding tissue, greater use of painkillers and a prolonged recovery. Fusions, artificial discs and laminectomy with discectomy account for over 95% of surgeries performed today for treatment of a painful disc. These procedures are highly invasive and usually require months to years for full recovery, large scars, permanent muscle damage, destabilization of the spine, months “off work”, loss of normal spinal alignment or motion with fusions and prolonged use of powerful pain killers. Fortunately, there is now a breakthrough in minimally invasive spinal surgery using a revolutionary technology, the Deuk Laser Disc Repair™. The Deuk Laser Disc Repair™ is the next step in the evolution of minimally invasive endoscopic spinal surgery; leagues ahead of other “minimally invasive” technologies for reducing collateral damage by 95%.

13. What is Deuk Laser Disc Repair™?

The most advanced surgery available in the world to successfully treat a painful, herniated spinal disc in the neck or back. By using an endoscope, laser and the smallest surgical incision the painful disc is repaired by removing the “pain generator”. Pain generators are found in the damaged part of the disc and are responsible for producing back & leg or neck & arm pain. Deuk Laser Disc Repair™ works by removing only the disc’s pain generator, leaving you with a painless disc; allowing the disc to heal naturally without placing any metal, plastic or fusing. For starters, compare the surgical incision size of the Deuk Laser Disc Repair™ (1/4 inch) with any other minimally invasive surgery you have heard about and you will understand why our procedure is the least traumatic to your body. The Deuk Laser Disc Repair™ is actually performed without damaging muscles or ligaments in the neck or back and does not require removal of bone from the spine to perform the disc repair. This fact alone is truly revolutionary as all other types of spinal surgery require the surgeon to drill away or remove bony structures in your back to gain access to the disc space. Performing a Deuk Laser Disc Repair™ allows the surgeon to remove only the pain generator in the damaged part of the disc (herniation/bulge) without compromising the functional integrity of the disc. Deuk Laser Disc Repair™ is without exception the most natural form of spinal motion preservation surgery. I believe over 90% of people suffering with back & leg or neck & arm pain originating from a herniated or degenerated spinal disc can be successfully treated with my proprietary, outpatient, 30 minute Deuk Laser Disc Repair™.

14. What does the Deuk Laser Disc Repair™ treat?

Painful herniated or bulging spinal discs in the neck or back, spinal stenosis, radiculopathy, sciatica, pinched nerve, degenerated spinal disc.

15. I was told I need a spinal fusion. Is there an alternative to fusion?

Yes. The newest alternative to spinal fusion is the Deuk Laser Disc Repair™ offered only at the Deuk Spine Institute. Spinal fusion surgery is most commonly performed to treat symptomatic Degenerative Disc Disease including herniations, spinal stenosis, and radiculopathy. Symptoms of Degenerative Disc Disease targeted by fusion include back & leg pain, weakness, numbness and sciatica. Deuk Laser Disc Repair™ is a revolutionary new technology with a 90% success rate for treating these same symptoms by repairing the damaged parts of the disc causing these bothersome symptoms. No fusion is needed in over 90% of cases. Deuk Laser Disc Repair™ is performed with laser technology and precision. The entire surgery is performed with only a ¼ inch skin incision (scar), no hospital stay, minimal pain and you can return to normal activities the very next day. With the Deuk Laser Disc Repair™, there are no metal or plastic implants used, no cadaver bone, no fusion, no loss of spinal motion, no hospital, no “down time” after surgery, no big scars, no screws or rods, no “adjacent segment” disease, almost no blood loss, no “going thru your belly” to get to your spine and the procedure can be done on just about anyone. Recovery from spinal fusion surgery can take months to years and most people must take several months off of work. With Deuk Laser Disc Repair™ you can be back to work in a few days with minimal restrictions.

16. How is the Deuk Laser Disc Repair™ better than other types of spinal surgery?

For starters, almost all types of spine surgery require a hospital stay but the Deuk Laser Disc Repair™ does not because it is performed as an outpatient procedure in the comfort and safety of our state of the art surgery center. Our patients are discharged home from the center on average 1 hour after surgery ends. Patients may return to work within 1-3 days after the Deuk Laser Disc Repair™. When it comes to safety, Deuk Laser Disc Repair™ is in a “league of its own” as no other spinal surgery used to treat spinal stenosis or disc herniation can be performed thru a single ¼ inch skin incision on the back or neck. Our goal is to ensure the fastest recovery from surgery by minimizing surgical trauma to the body’s delicate tissues. Deuk Laser Disc Repair™ is performed without disrupting spinal muscles or their blood supply. Another key distinguishing feature of the Deuk Laser Disc Repair™ is that no structural bone (lamina, facet or spinous process) is removed from the spine during the surgery. Structural bone is needed to stabilize the spine. Almost all other types of surgery performed thru the back require removal of structural bone (lamina) and stabilizing joints (facet joint) to reach the herniated or bulging disc. Ask the spine surgeon if they plan on removing any of the “lamina” bone or facet joint during back surgery. Beware of back surgery that requires bone to be removed (laminectomy, laminotomy, partial facetectomy) to reach the level of the disc unless you plan to have a fusion performed for the resulting instability.

Traditional surgery on the discs in the neck requires the entire disc to be removed to fix a painful herniated or bulging disc. Removing the entire disc is the only way most surgeons are able to reach the damaged part of the disc pressing on a nerve root or spinal cord. Unfortunately, removing the entire disc necessitates a spinal fusion or artificial metal disc. A revolutionary breakthrough in technology now allows for the spinal disc to be repaired without removing the entire disc. With the Deuk Laser Disc Repair™ only the damaged part of the disc is removed along with the pain generator. By only removing the pain generator or disc herniation, the spinal disc can heal naturally and pain free. With the Deuk Laser Disc Repair™ there is no fusion, no artificial disc, no metal screws or plate, no loss of motion, no adjacent segment disease, no hospital stay, no cadaver bone, no collar, no “down time” and almost no time off work.

17. What is the Deuk Spine Institute?

The Deuk Spine Institute is a “State of the Art” facility created for the sole purpose of providing the most advanced treatment in the world to date for diseases of the spine. The latest technological advances are available at the Deuk Spine Institute. Our spinal surgeries can be performed thru incisions smaller than the radius of a dime. No hospitalization is needed. Patients are discharged home 30 minutes after their surgery. You may return to light duty work as soon as the day after your surgery. Endoscopic spinal surgery is the most successful and least damaging spinal surgery available in the world. The lasers used during surgery are accurate to ½ mm. Over 90% of our procedures result in 90% relief of pain originating from the spine. There is no surgery or treatment offered elsewhere more successful. You deserve to have the best medical care available. Visit one of our offices and meet with our world class staff of neurosurgeons, neurologists, physiatrists and interventional pain specialists. Second best is never an option when it comes to your health.

18. What are the benefits of spine surgery?

Imagine your life without back or leg pain. Imagine being able to do the things you enjoy doing without “paying a price” in suffering with pain afterwards. We can help you make it happen. Our procedures work 95% of the time to accomplish your goal of getting back to enjoying life without pain. The relief you get will last unlike most other treatments that don’t really address the problem correctly.

Other benefits include getting off of pain medications, being able to work comfortably and getting back to doing the things you enjoyed doing before the back pain took control of your life. Most people with debilitating back pain are limited in their activities by the pain or fear of “setting off” the pain. We can help you get your quality of life back. You just need the courage to contact us and come in for an evaluation.

 

19. Who should consider having a consultation at the Deuk Spine Institute?

If you are suffering with back pain and/or leg pain we can help. Our treatments are directed at your specific problem. Most people have more than one cause of back pain and each cause needs to be investigated and treated appropriately. If you have back pain for more than 1 month you will most likely need specialized treatment to completely recover. If you have been treated for back pain by your doctor and still have pain we can help you conquer the pain, this is what we specialize in.

20. What are the risks of treatment at the Deuk Spine Institute?

Our procedures are the most minimally invasive and successful available in the world. Complications with our procedures occur less than 1% of the time.

21. What can you expect from your care at the Deuk Spine Institute?

You will be treated courteously and professionally. Our physicians will take a detailed history of your back and leg pain and perform a focused physical exam. We will review any pertinent diagnostic studies you have had and order any additional testing needed to make the right diagnoses. Next, we will educate you on your specific diagnoses and discuss your treatment options along with the associated risks and potential benefits you will achieve from our treatment. All of our physicians are experts in diagnosing and treating back and leg pain. Once we have decided on the right treatment course for your condition we work together toward a cure. Some causes of back and leg pain lend themselves to treatments that cure your pain immediately while others require more than one treatment. Overall, 95% of patients will have 90% pain relief within 1 month from their first visit.

22. I had back surgery and still have pain. Can you help?

Absolutely. We are a beacon of hope for all who suffer from back pain and sciatica, even after having an unsuccessful surgery. Unfortunately, there are many people like you that had the wrong type of procedure performed and we can certainly help. We have successfully fixed many unsuccessful surgeries performed by other physicians.

22. Do I need an MRI before you will see me?

No. We will order and schedule any testing needed after your first visit.

23. What insurances do you accept?

We accept most insurance including: work comp, commercial, medicare, auto accidents, private plans, VA, Tricare, self pay and many others.

24. Why can’t I just take ”pain killers” for my back and leg pain?

Pain killers commonly used to treat back and leg pain include non-steroidal anti-inflammatories (eg motrin, naproxen, celelbrex, Vioxx), muscle relaxers (eg valium, flexeril, soma, robaxin) and narcotics (eg lortab, Percocet, oxycodone, hydromorphone, Darvocet). These medications can be toxic to your body if used for prolonged periods of time.