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Related Experiment Video

Updated: May 9, 2026

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
01:24

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Published on: September 8, 2023

Microendoscopic discectomy in athletes.

Mitsunori Yoshimoto1, Tsuneo Takebayashi, Kazunori Ida

  • 1Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, Sapporo, Hokkaido, 060-8543, Japan, myoshimo@sapmed.ac.jp.

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
|July 23, 2013
PubMed
Summary

Microendoscopic discectomy (MED) allows athletes with lumbar disc herniation to return to sport quickly. This study found that 82.6% of athletes returned to their previous level of competition after MED.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Minimally Invasive Procedures

Background:

  • Lumbar disc herniation management in athletes is challenging due to prolonged rehabilitation.
  • Microendoscopic discectomy (MED) has a long history, but clinical results in athletes are not well-documented.
  • Early return to sport is crucial for athletes to maintain competitive form.

Purpose of the Study:

  • To evaluate the efficacy of MED in athletes.
  • To assess the ability of athletes to quickly resume sports activity after MED.
  • To determine the time frame for returning to competitive levels post-MED.

Main Methods:

  • A study of 25 competitive athletes who underwent MED.
  • Assessment of the level of sporting activity achieved post-surgery.

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Last Updated: May 9, 2026

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  • Evaluation of time to complete return to competition using Japanese Orthopaedic Association (JOA) and SF-36 scores.

    • Main Results:

    • 19 out of 23 athletes (82.6%) successfully returned to their original sporting levels.
    • The average time to return to competition was 10.8 weeks (range 5-16 weeks).
    • Significant improvements were noted in JOA scores (80.4% improvement) and most SF-36 subscales.

    Conclusions:

    • MED is a well-balanced technique for athletes with lumbar disc herniation.
    • MED offers a high probability of return to sport at the same competitive level.
    • MED facilitates an early return to sporting activity, a key goal for athletes.