A pinched nerve is a condition in which spinal nerves are compressed, either due to bulging intervertebral discs, narrowing of the spinal canal, or displacement of the vertebrae. This condition can cause severe lower back pain, radiating pain to the legs, tingling sensations, and limited mobility that interferes with daily activities. This was the condition experienced by a patient with a pinched nerve at the L4–L5 and L5–S1 segments, which ultimately required advanced medical treatment.
To address these symptoms, the patient underwent Biportal Endoscopic Spine Surgery (BESS), a minimally invasive spinal surgical technique, performed directly by Dr. Mohammad Fachry Lubis, Sp.OT (K) Spine, at Mandaya Royal Puri Hospital. Using a biportal endoscopic approach, the BESS procedure aims to relieve nerve compression through minimal incisions, allowing for faster recovery and a lower risk of complications.
Contents
Severe L4–L5 and L5–S1 Pinched Nerve Pain Causing Inability to Perform Daily Activities
A pinched nerve in the lower spine can cause extremely disruptive pain, ranging from discomfort in the buttocks and lower back to pain radiating down the legs. In certain cases, the pain can be so intense that sufferers have difficulty sitting, walking, or even resting comfortably. This was the condition experienced by a patient from Brebes, who endured persistent pain for nearly two years due to a pinched nerve.
Initially, the pain was more dominant in the knee and buttock area, leading to suspicions of common joint degeneration. Various non-surgical treatments were attempted, including acupuncture, physiotherapy, and swimming therapy. However, the condition worsened significantly in August 2025, when the pain became so severe that the patient was unable to sit, sleep comfortably, or carry out daily activities. MRI examinations later revealed nerve compression caused by spinal narrowing and degeneration at the L4–L5 and L5–S1 levels.
Treated with the BESS Method by Dr. Mohammad Fachry Lubis at Mandaya Royal Puri Hospital
After receiving a referral for treatment in Jakarta, the patient underwent medical care at Mandaya Royal Puri Hospital under the supervision of Dr. Mohammad Fachry Lubis, Sp.OT (K) Spine, an orthopedic surgeon and spine consultant. Based on clinical evaluations and MRI results, the doctor recommended Biportal Endoscopic Spine Surgery (BESS), a minimally invasive endoscopic technique to relieve nerve compression.
The BESS procedure is performed through small incisions using endoscopic camera guidance, allowing precise removal of calcification and decompression of the affected nerves. Key advantages of this method include minimal bleeding, a lower risk of infection, and reduced postoperative pain, enabling patients to return to daily activities more quickly. Following the BESS procedure, the patient experienced significant improvement, with pain gradually subsiding, improved comfort, and a return to normal activities such as walking, sleeping, and eating.
This experience demonstrates that pinched nerve treatment using the BESS method, when performed by an experienced specialist, can deliver optimal outcomes. With a calm and reassuring approach, Dr. Mohammad Fachry Lubis provides not only effective medical treatment but also a sense of safety and comfort throughout the treatment and recovery process.
Profile of Dr. Fachry, Spine Specialist at Mandaya Royal Puri Hospital
Dr. Mohammad Fachry Lubis, Sp.OT (K) Spine, is an orthopedic surgeon and spine consultant currently practicing at Mandaya Royal Puri Hospital. He completed his general medical education at Universitas Sumatera Utara, followed by specialist training in Orthopedics and Traumatology, and further subspecialty training as a Spine Consultant at Universitas Indonesia.
As an orthopedic specialist with advanced expertise in spine disorders, Dr. Fachry has extensive clinical experience and a strong commitment to continuous professional development. He actively participates in national and international courses and training programs to stay updated with the latest medical techniques and technologies in spine care. These include AO Spine Asia Pacific Cadaveric Sydney (2017), AO Trauma Chengdu (2016), Paris Shoulder Course (2017), North America Spine Society Bali (2017), and AO Spine Advance Jakarta (2017).
In his clinical practice, Dr. Fachry treats a wide range of spinal conditions, including pinched nerves, scoliosis, and complex disorders such as spinal instability, spinal tumors, and vertebral fractures. He is also experienced in managing sports-related spinal injuries and various pain and nerve-related conditions, including lower back pain radiating to the legs, neck pain extending to the head, buttock pain, and chronic back pain that interferes with daily activities.
Dr. Fachry’s Practice Schedule at Mandaya Royal Puri Hospital
Dr. Mohammad Fachry Lubis, Sp.OT (K) is available at Mandaya Royal Puri Hospital on the following days:
- Tuesday: 5:00 PM – 8:00 PM (WIB)
- Thursday: 11:00 AM – 3:00 PM (WIB)
- Saturday: 2:00 PM – 4:00 PM (WIB)
To make your visit easier, you can use the WhatsApp Chat feature, Book Appointment, or the Care Dokter application, available for download on Google Play and the App Store, to manage appointments, check queue numbers, and access complete information.
