How to Get Care. You can ask for a referral from your primary care doctor, your mental health care provider, or your health plan. In some plans, you may be able to make an appointment directly with a mental health care provider.
Patients with bigger defects or who have failed other types of surgery may be eligible for allograft transplants of donor bone and cartilage (Figure 3). In this method, cartilage defects are treated with tissue that is donated for transplantation, much like a liver or heart transplant.
Posterior endoscopic discectomy is the first approach, which is performed with a small skin incision made at the midline posterior lumbar region. A small trocar is inserted towards the herniated disc. The herniated disc material is removed under the direct endoscopic visualization.