Microdiscectomy Surgery

Medically reviewed by Dr. David L. Greenwald, MD, FAANS, FACS — dual board-certified spine surgeon & neurosurgeon. Last reviewed October 2026.

A minimally invasive microdiscectomy removes the herniated fragment pressing on a spinal nerve through a small tube that splits — rather than cuts — the back muscles. It delivers the same fast sciatica relief as a traditional microdiscectomy, with even less tissue disruption.

Book a Consultation — (602) 566-9500

The Muscle-Sparing MIS Approach

Procedure Overview

This is the minimally invasive version of a microdiscectomy: instead of a traditional open incision, a small tubular retractor is passed between the back muscles to reach the herniated disc, which is then removed from the nerve under magnification. Splitting the muscle rather than cutting it means less pain and an even quicker recovery, while achieving the same goal — fast relief of sciatica.

Conditions We Treat

Am I a Candidate?

It's considered for a herniated disc causing persistent or severe sciatica or leg weakness that hasn't responded to conservative care and an injection. Imaging confirms the herniation matches your symptoms. Most patients with a focal lumbar disc herniation are good candidates for this muscle-sparing approach.

Book a Consultation — (602) 566-9500

Benefits & Risks

Expected Outcomes

Minimally invasive microdiscectomy is highly effective for sciatica from a herniated disc, with prompt relief of leg pain for most patients and a quick recovery. As with any discectomy, a small percentage can re-herniate; we discuss how to minimize that and what to realistically expect.

Life Beyond the Pain

How It's Performed

Under anesthesia, a small incision is made and a series of dilators create a path between the back muscles, through which a tubular retractor is placed. Using an operating microscope or endoscope, the surgeon removes the herniated fragment pressing on the nerve, confirms the nerve is free, and removes the tube — the muscles close back naturally. Most patients go home the same day.

Recovery & Return to Activity

The muscle-splitting MIS approach typically means less post-operative pain and a quicker return to activity than a traditional open microdiscectomy. We guide a sensible return to lifting to reduce the small risk of re-herniation.

Insurance, Out-of-Network & Cost

Cost and coverage shouldn't stand between you and relief. Desert Spine and Pain welcomes out-of-network patients and will walk you through what your evaluation and treatment are likely to involve before anything is scheduled — so there are no surprises. We'll help you understand your benefits and options, whether you're using insurance, paying out-of-pocket, or being treated under a personal-injury claim.

Proudly Serving the Greater Phoenix, Arizona Area

Why Choose Our Spine Specialists in Phoenix

Choosing the right spine specialist in Phoenix matters. At Desert Spine and Pain, your care is led by Dr. David L. Greenwald, MD, FAANS, FACS — a physician who is both a board-certified spine surgeon and a neurosurgeon. That dual expertise is rare, and it means one expert can guide you across the full spectrum of care — from a simple injection to complex surgery — and recommend what is genuinely best for you, whether you need a spine doctor for conservative care or a surgeon when surgery is truly the answer.

Minimally Invasive Microdiscectomy: Frequently Asked Questions