Dr. Matthew Agam of Sierra Neurosurgery joins Sarah Johns to explain how endoscopic spine surgery is changing the way certain back and spine conditions can be treated with smaller incisions, less disruption to surrounding tissue and potentially faster recovery.

As the only fellowship-trained endoscopic spine surgeon in Northern Nevada, Dr. Agam discusses his “surgery last” philosophy and why physical therapy, injections and other conservative treatments should often be considered before surgery. When surgery is appropriate, he explains how an endoscope—a small surgical instrument equipped for a camera and specialized tools—allows surgeons to target the source of a patient's symptoms through an incision approximately one centimeter long.

The conversation explores how this ultra-minimally invasive approach can be used for conditions including herniated discs, spinal stenosis and pinched nerves. Dr. Agam also explains why understanding a patient's symptoms—not simply what appears on an MRI—is critical to determining the right treatment.

Plus, learn the warning signs that may mean back pain deserves medical attention, including new weakness, numbness, severe pain or loss of function.

🚨 Segment Highlights:

🩺 A “Surgery Last” Approach to Back Pain

• Surgery can be an effective option, but isn't always the first step

• Physical therapy and injections may provide less invasive alternatives

• Treatment begins by understanding the patient's symptoms and individual needs

🔬 What Is Endoscopic Spine Surgery?

• An endoscope allows a surgeon to access the spine through a small incision

• Cameras and specialized instruments help target the source of the problem

• Surrounding muscles and tissue can experience less disruption than with traditional open surgery

🏥 Smaller Incisions & Faster Recovery

• Many endoscopic procedures can be performed on an outpatient basis

• Patients may be able to return home the same day

• Smaller incisions can mean less pain and a faster recovery for appropriate patients

🦴 Treating Herniated Discs & Spinal Stenosis

• Endoscopic techniques can target herniated discs and compressed nerves

• Spinal stenosis may be treated by creating more room within the spinal canal

• Treatment can focus on the specific level responsible for a patient's symptoms

⚠️ When Back Pain May Need Medical Attention

• New weakness or numbness can be an important warning sign

• Severe back or shooting leg pain that limits normal activity deserves attention

• Changes in strength involving the arms, hands, legs or feet should be evaluated

🤝 Transparency & Individualized Patient Care

• Dr. Agam describes treating patients as he would members of his own family

• Imaging and symptoms are reviewed together step by step

• Patients are encouraged to understand their diagnosis and treatment options

🌐 Learn More:

Contact Sierra Neurosurgery to learn more about Dr. Matthew Agam, endoscopic spine surgery and available treatment options.

🌐 Stay Connected with 2 Plus You Nevada:
 
 
📺 Watch more episodes online
 
📸 Follow along on social media
 
📘 Connect with us for updates and highlights
 
 
👉 Search "2 Plus You Nevada" on YouTube for more interviews featuring Northern Nevada professionals, organizations, and local resources.
📢 Brought to You By:
 
911 Restoration

#SpineSurgery #BackPain #2PlusYouNevada