Nucleoplasty: For Slipped Disc and Nerve Pain Relief
Information reviewed by: Dr. Foo Gen Lin | Last updated: Dec 11, 2025
Nucleoplasty helps relieve nerve-related lower back pain by decompressing the affected disc. Dr Foo provides careful assessment and treatments to support your return to comfortable movement.
MBBS (University of London) | MMed (Ortho) | FRCSEd (Ortho) | FAMS (Ortho)
What Is Nucleoplasty?
Nucleoplasty is a minimally invasive spine procedure used to relieve nerve-related
back or leg pain caused by small to moderate disc
herniations.
It involves removing a small portion of the intervertebral disc using radiofrequency energy
to decompress the disc and reduce pressure on surrounding nerves.
By targeting the nucleus pulposus (the soft inner core
of the disc), the procedure helps to relieve symptoms like sciatica, localised
back pain, or radiating leg pain that has not responded to conservative treatments.
Who May Be Suitable for Nucleoplasty?
Nucleoplasty may be considered for individuals experiencing persistent disc-related back or
leg pain that has not improved with conservative treatment such as rest, medication, or
physiotherapy.
Suitable individuals typically present with:
- Disc bulges that press on nearby spinal nerves
- Disc herniations where the outer disc layer is still intact
- Nerve irritation from the disc that causes symptoms such as pain, numbness, tingling, or weakness in the limbs
- A spine that remains stable without significant narrowing of the spinal canal
Nucleoplasty is generally not recommended for severe degenerative disc disease, spinal fractures, spinal tumours, or large disc herniations that may require more extensive surgical procedures.
How Is Nucleoplasty Performed?
Nucleoplasty is performed as a minimally invasive
procedure using a specialised radiofrequency probe to remove a small volume of tissue
from the affected disc, thereby reducing pressure on nearby nerves and easing-related
symptoms.
The procedure is guided by fluoroscopy (real-time X-ray) and is
carried out under local anaesthesia with light sedation.
During the procedure:
- You will lie on your stomach, and a fine needle is inserted through a small skin incision and guided into the affected disc.
- A radiofrequency probe (also known as a coblation wand) is then passed through the needle into the centre of the disc.
- The probe delivers controlled plasma energy to dissolve a small channel within the disc material.
The procedure typically takes 30 to 60 minutes and is performed as a day surgery.
What Are the Potential Side Effects and Risks of Nucleoplasty?
Nucleoplasty is generally well tolerated, but it carries potential side effects and risks that you should be aware of. These may include:
- Temporary soreness or increased pain after the procedure
- Bleeding or bruising
- Infection at the insertion site
- No improvement in symptoms or symptoms returning over time
- Cerebrospinal fluid (CSF) leakage
- Nerve injury
Disclaimer: This is not an exhaustive list of potential side effects or risks. It is best to discuss your individual situation with your orthopaedic specialist or surgeon.
Nucleoplasty Recovery Time and Aftercare
Recovery after nucleoplasty is usually gradual, with most people able to return to light activities within a few days while fuller improvement develops over several weeks.
Typical recovery process might involve:
Always follow the specific instructions provided by your orthopaedic surgeon and physiotherapist.
How Does Nucleoplasty Compare to Other Spine Procedures?
Nucleoplasty differs from several other spine procedures because it removes only a small amount of disc material using a needle-based, minimally invasive approach. This allows the disc to be decompressed without creating a large incision or surgically opening the disc.
Microdiscectomy / Open Disc Surgery
Microdiscectomy and open disc surgery involve removing part of the herniated disc through a larger
incision to directly relieve nerve pressure.
They are more invasive than nucleoplasty but are typically used for larger disc herniations or
severe nerve compression that cannot be managed with minimally invasive techniques.
How Much Does Nucleoplasty Cost in Singapore?
The cost of nucleoplasty in Singapore generally starts from around $10,000.
This usually covers the procedure and standard post-operative care, while additional expenses may
arise from pre-procedural imaging, consultations, follow-up visits, and rehabilitation.
| Services & Procedures | Estimated Cost (SGD) |
|---|---|
| Initial Consultation | From $200 |
| Follow-Up Consultation | From $150 |
| Second Opinion Consultation | From $200 |
| Nucleoplasty | From $10,000 |
In Singapore, nucleoplasty is MediSave-claimable, with the claimable
amount depending on the procedure's complexity. Integrated Shield Plans may offer additional coverage.
For more information on financing options or to book an appointment, please contact
us.
Every patient deserves a treatment plan tailored to their needs. We start with non-surgical approaches before considering more invasive interventions.
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Frequently Asked Questions (FAQs)
Nucleoplasty is considered a minimally invasive surgical procedure because it uses specialised instruments to remove a small amount of disc tissue through a needle rather than an open incision. It is performed under imaging guidance and local anaesthesia, and most patients return home the same day. Recovery is usually gradual, with many people resuming light activities within a few days.
The success rate of nucleoplasty varies because outcomes depend on factors such as the size of the disc problem, the extent of nerve irritation, and individual healing responses. Many studies report meaningful symptom relief for selected patients with small to moderate disc bulges.
Nucleoplasty is a minimally invasive procedure that removes a small amount of disc tissue through a needle, while discectomy involves surgically removing part of the disc through a larger incision to address more significant nerve compression. Because of this, nucleoplasty is usually considered for smaller disc bulges, whereas discectomy is often reserved for larger or more complex disc problems.
The most suitable surgery for spinal stenosis or sciatica depends on what is causing the nerve compression. Laminectomy is often performed for spinal stenosis to create more space around the nerves, while discectomy is commonly used for sciatica caused by a slipped or bulging disc. Minimally invasive approaches may be possible for selected cases, and the choice of procedure varies with the severity and location of the problem.
You may be able to climb stairs after spine surgery, but this varies widely depending on the type of procedure, your strength, and your pain levels. Many patients can manage a few steps with support, while others may need more time before doing so safely. Stair use is usually introduced gradually and only when appropriate for your recovery stage. Always follow the guidance of your orthopaedic surgeon or physiotherapist.
Your back may improve significantly after a herniated disc, but complete return to how it felt before the injury varies between individuals. Many people regain good function with treatment, rehabilitation, and lifestyle changes, although some may continue to experience occasional stiffness or discomfort. The extent of recovery depends on the severity of the disc problem and your body's healing response.
Spinal decompression procedures are typically performed with anaesthesia to keep discomfort to a minimum, although some soreness can occur during recovery. Pain levels vary depending on the specific procedure, the amount of nerve compression, and individual healing responses. If you are concerned about post-procedural pain, it is best to seek guidance from your spine specialist and surgeon.
Nerve decompression surgery may be beneficial for selected individuals when significant nerve compression causes persistent pain, numbness, or weakness that has not improved with conservative treatment. Its potential value depends on the underlying cause, the severity of symptoms, and overall health factors. It is advisable to consult your orthopaedic or spine specialist to determine whether this approach is suitable for your condition.
You may recover well from a herniated disc, but complete return to pre-injury function varies widely between individuals. Many people improve through rest, physiotherapy, exercise, and lifestyle adjustments, while others may continue to experience mild discomfort, stiffness, or occasional flare-ups. Recovery depends on the size of the disc problem, your activity level, and how your body heals over time. Most individuals regain good daily function even if some mild symptoms occasionally persist.
A relatively small percentage of bulging discs require surgery, as most improve naturally or with conservative treatment such as medication, physiotherapy, lifestyle changes, and activity modification. Surgery is generally considered only when symptoms persist despite adequate non-surgical care or when nerve compression causes weakness, numbness, or difficulty with daily activities.