Portland Pain And Spine
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Endoscopic Lumbar Decompression

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The concept of Endoscopic Laser Decompression & Foraminoplasty is the reduction of lumbar segmental pain by removal of causal pain sources whilst preserving motion at the segment by:

  • Mobilisation of the nerve from the annulus (Disc wall)
  • Enlargement of the foramen (Undercutting decompression)
  • Removal of disc compression (Discectomy)
  • Removal of osteophytes impacting upon the nerve (Osteophytectomy)
  • Removal of ligaments tethering or impinging upon the nerve (Neurolysis)
  • Shrinkage of redundant annulus (Annuloplasty)
  • Removal of perineural scarring or granulation tissue

The concept underlying Posterior Lumbar Interbody Fusion is reduction of lumbar segmental pain by addressing pain arising from the disc and nerve by:

  • Stopping pathological motion
  • Removing compression from the nerve
  • Restoring disc height
  • Opening the foraminal height
  • Preventing progressive deformity

The concept underlying Posterior Decompression is reduction of lumbar segmental pain by addressing pain arising from the disc and nerve by:

  • Enlargement of the foramen (Undercutting decompression)
  • Removal of disc compression (Discectomy)
  • Removal of osteophytes impacting upon the nerve (Osteophytectomy)
OsteoArthritis Of The Knee

Portland Pain And Spine Providers

Dr. Carl Balog Physician

Dr. Carl Balog is Board-certified in anesthesiology, interventional pain management, and addiction medicine with substantial clinical management and consultative experience. He is the CEO/Medical Director of Cornell Surgery Center and has been on the Board of Managers since its inception. In his off time, Dr. Balog enjoys classical music, local cuisine, Dragonboating, and travel.

As the son of a judge and a registered nurse, Joseph Knaus has had a lifelong passion for helping people. After becoming a Gerontological Nurse Practitioner in 1998 and later a Family Nurse Practitioner in 1999 in Missouri, Joseph relocated to Oregon in 2000, and has been practicing in the field of pain management for the past 14 years. An eternal student, when Joseph is not helping his patients, he is often studying new and alternative healing methods from the typical healthcare model.

Joe Knaus
Nurse Practitioner

12672 NW Barnes Rd #100
Portland, OR 97229
Phone:(503) 238-7246
Fax: (503) 238-7248