Endoscopic Spine Surgeon for Montana Residents

Endoscopic spine surgery is considered one of the least invasive ways to perform spinal surgery, using a slender camera called an endoscope and specialized instruments inserted through an incision no larger than a pencil’s width. At ESINY, we are the only center in the United States focused exclusively on endoscopic spine care.

Endoscopic spine care provides a more targeted and gentle alternative to conventional spine surgery. By concentrating treatment on the exact source of pain, it helps lower the risk of complications, reduces the impact on surrounding tissue, and often results in a shorter recovery period than open surgery or series of injections. For many patients, this means they can safely go home just a few hours after the procedure.

Conventional spine surgery typically demands a larger incision and considerable work on muscles, ligaments, and bone to expose the spine fully. This type of surgery often uses metal hardware and can result in more blood loss, more postoperative pain, and a prolonged recovery period. Endoscopic spine surgery uses a very small entry point, spares most of the muscles and soft tissues, and lets many patients return home the same day with a shorter, smoother recovery.

If you have undergone spinal injections in the past, you know how beneficial a less invasive treatment can be compared with major surgery. Endoscopic spine surgery shares that same goal of minimizing disruption, but instead of just reducing inflammation or numbing nerves temporarily, it focuses on correcting the problem area that is causing your symptoms.

Many patients see us after injection series no longer bring meaningful relief or stop working altogether. For them, endoscopic spine surgery becomes a targeted, minimally disruptive option that blends the gentle experience of an injection with the potential for more lasting change, allowing them to walk more easily, feel less pain, and return to everyday routines.

Yes. When performed by highly trained specialists, endoscopic spine surgery has an excellent safety record. It generally causes less disruption to muscles and tissues, which lowers risks and helps patients return to normal activities sooner than with open surgery.

Not always. Many endoscopic procedures can be done with local anesthesia and light sedation, so you avoid deeper anesthesia when it is not necessary. If general anesthesia is the safer choice for you, your team will discuss this in advance.

Most patients are able to walk out of the clinic the same day and return to light activities right away. In cases involving leg or arm pain, patients often experience immediate relief after the procedure. Recovery time is typically much shorter than with traditional spine surgery.

Endoscopic techniques are used to treat a variety of spine conditions, such as herniated discs, sciatica, spinal stenosis, and certain forms of chronic back pain. The endoscope allows for precise targeting of the problem area, minimizing disruption to surrounding tissue.

After the procedure, most patients feel minimal pain, significantly less than what is expected with traditional surgery. Often, patients do not need prescription pain medication, as mild pain relievers or over-the-counter options are enough to manage any discomfort.

The incision is generally smaller than 1 cm, about the size of a pencil eraser. The healing process is quick, and the scar is often so faint it’s hard to see. Medical glue is used to close the incision, and it is covered with a custom ESINY bandage for optimal healing.

While endoscopic spine surgery is becoming more widely recognized globally, only a small number of surgeons have the training required to perform it to the highest standard. Even with proper education, achieving proficiency in this technique depends on years of experience and handling a high volume of cases. The procedure itself requires advanced skills and precise equipment, which is why only a few surgeons can perform it effectively. At ESINY, we are the only institute in the U.S. dedicated to this field, with four experts trained internationally in endoscopic spine care. Our concentrated team of specialists ensures we are the highest-volume facility for this advanced procedure in the United States.

If you live in Montana and have been told that traditional open surgery is your only solution, or that surgery is not an option at all, you may still qualify for endoscopic spine treatment. Even if previous injections, medications, or spine procedures have provided little relief, the specialists at ESINY can evaluate your situation in detail. Our experienced endoscopic spine surgeons and pain management experts will build a treatment strategy customized to your condition and lifestyle. Through refined endoscopic methods, we focus directly on the painful area while limiting trauma to surrounding structures, potentially allowing you to experience less pain and a quicker return to normal activities.

Yes, many patients report that their results are on par with those of open surgery, and some experience superior outcomes. At ESINY, our endoscopic techniques are designed to combine accurate targeting of the problem area with a safer, faster recovery that supports long term quality of life.