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Orthopaedics Department

Transforaminal Endoscopic Lumbar Discectomy (TELD) – Stork Hospital, Hyderabad

Minimally Invasive Spine Surgery for Faster Relief & Recovery

Advanced side-approach endoscopic repair to relieve nerve compression without major muscle disruption or stitches.

Persistent lower back pain or sciatica caused by a slipped disc can severely impact your mobility and quality of life. When conservative treatments fail, Transforaminal Endoscopic Lumbar Discectomy (TELD) offers a highly advanced, minimally invasive solution to relieve nerve compression and restore normal function—without the need for open surgery. At Stork Hospital, Hyderabad, we specialize in precision-guided endoscopic spine procedures that ensure maximum relief with minimal tissue damage and faster recovery.

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What is TELD?

TELD is a modern spine procedure where a thin endoscope (camera-guided instrument) is inserted through the transforaminal route (side of the spine). It is highly effective for:

Removing herniated or slipped disc portions pressing on spinal nerves
Avoiding major muscle cutting and preserving spinal stability
Inserting camera-guided instruments through a small side incision
Immediate decompression of the spinal nerve for rapid pain relief
Addressing disc bulges not responding to medication or physiotherapy

Conditions Treated with TELD

  • Herniated or slipped lumbar discs
  • Sciatica (radiating leg pain)
  • Nerve root compression
  • Disc bulges not responding to medication or physiotherapy
  • Chronic lower back pain with neurological symptoms

Precision-Guided Mobile Decompression

1

Side-Approach Access

A small tube is inserted through the natural side opening of the spine (foramen) under C-arm fluoroscopic guidance.

2

HD Visualization

High-definition endoscopes provide detailed internal views, allowing for precise identification of the compressing fragment.

3

Stitch-less Repair

The herniated fragment is removed with tiny instruments, leaving such a small incision that stitches are typically not required.

Key Benefits of TELD

Ultra-minimally invasive with a tiny incision and no stitches required
Performed under local anesthesia in most cases for added safety
Minimal muscle and tissue damage compared to open methods
Reduced risk of surgical complications and faster healing
Short hospital stay with frequent same-day discharge
Immediate post-procedure decompression leading to rapid pain relief

Recovery & Outcomes

Patients typically walk within a few hours after the TELD procedure
Significant reduction in leg pain (sciatica) immediately or within days
Return to routine activities and light work within a few days
Structured rehab plan ensures long-term spine health and prevention

Common Questions Answered

Q.Is TELD better than open spine surgery?

Yes. It offers similar or better outcomes with much less tissue damage and much faster recovery.

Q.Is the procedure painful?

No. It is typically done under local anesthesia or light sedation with minimal discomfort during and after the procedure.

Q.How long does the procedure take?

The entire procedure typically takes between 45 minutes to 1 hour depending on the complexity of the case.

Q.Who is the right candidate?

Patients with confirmed disc herniation causing nerve compression (sciatica) who have not improved with at least 6 weeks of conservative treatment.

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