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Peter B. Derman, MD

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11/04/2026

I finally took my own advice.

For years, I’ve been recommending Pilates for core strength, mobility and preventative spine care. My wife goes religiously so I finally joined her for a class. It was an incredible low-impact, full-body workout, and I’m definitely going back!

For anyone not yet “in the know,” here’s the skinny on Pilates:

🔹 The History: Developed in the early 20th century by Joseph Pilates as “Contrology,” it focuses on controlled movement, breath and core stability to restore physical balance.

🔹 The Reformer: During WWI, Mr. Pilates attached springs and straps to hospital beds to help bedridden soldiers rehabilitate, creating the prototype for today’s Reformer. Spring-based resistance strengthens deep stabilizing muscles around the spine without high-impact joint stress.

🔹 The Evidence: Research backs it up. Systematic reviews show Pilates significantly reduces pain and disability for chronic low back pain, with the best results coming from consistency (aiming for ~20+ total hours over 8–12 weeks).

Huge shoutout to our instructor, Ashley, and the team at SESSION Pilates for a fantastic class. I can officially speak from experience now when I rave about it! 👏 💪

𝘋𝘪𝘴𝘤𝘭𝘢𝘪𝘮𝘦𝘳: 𝘍𝘰𝘳 𝘨𝘦𝘯𝘦𝘳𝘢𝘭 𝘦𝘥𝘶𝘤𝘢𝘵𝘪𝘰𝘯𝘢𝘭 𝘱𝘶𝘳𝘱𝘰𝘴𝘦𝘴 𝘰𝘯𝘭𝘺. 𝘕𝘰𝘵 𝘮𝘦𝘥𝘪𝘤𝘢𝘭 𝘢𝘥𝘷𝘪𝘤𝘦 𝘰𝘳 𝘢 𝘴𝘶𝘣𝘴𝘵𝘪𝘵𝘶𝘵𝘦 𝘧𝘰𝘳 𝘱𝘳𝘰𝘧𝘦𝘴𝘴𝘪𝘰𝘯𝘢𝘭 𝘦𝘷𝘢𝘭𝘶𝘢𝘵𝘪𝘰𝘯. 𝘊𝘰𝘯𝘴𝘶𝘭𝘵 𝘺𝘰𝘶𝘳 𝘱𝘩𝘺𝘴𝘪𝘤𝘪𝘢𝘯 𝘰𝘳 𝘴𝘱𝘪𝘯𝘦 𝘴𝘱𝘦𝘤𝘪𝘢𝘭𝘪𝘴𝘵 𝘣𝘦𝘧𝘰𝘳𝘦 𝘴𝘵𝘢𝘳𝘵𝘪𝘯𝘨 𝘢 𝘯𝘦𝘸 𝘦𝘹𝘦𝘳𝘤𝘪𝘴𝘦 𝘱𝘳𝘰𝘨𝘳𝘢𝘮 𝘪𝘧 𝘺𝘰𝘶 𝘩𝘢𝘷𝘦 𝘣𝘢𝘤𝘬 𝘱𝘢𝘪𝘯 𝘰𝘳 𝘴𝘱𝘪𝘯𝘦-𝘳𝘦𝘭𝘢𝘵𝘦𝘥 𝘪𝘴𝘴𝘶𝘦𝘴.

10/28/2026

𝗣𝗿𝗼 𝗧𝗶𝗽 𝗳𝗼𝗿 𝗘𝗻𝗱𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗦𝗽𝗶𝗻𝗲 𝗦𝘂𝗿𝗴𝗲𝗼𝗻𝘀: 𝗗𝗼𝗻’𝘁 𝗹𝗼𝘀𝗲 𝘆𝗼𝘂𝗿 𝘀𝘁𝗮𝗿𝘁𝗶𝗻𝗴 𝗽𝗼𝗶𝗻𝘁!💡

Getting that perfect transforaminal trajectory takes precision, but passing dilators can dislodge your guidewire and send you back to square one. Watch this video to see a quick, simple technique using a duplicate dilator as a “pusher” to lock in your trajectory and streamline your operative workflow.

💬 𝗔 𝗤𝘂𝗶𝗰𝗸 𝗡𝗼𝘁𝗲 𝘁𝗼 𝗣𝗮𝘁𝗶𝗲𝗻𝘁𝘀:

If this video seems a bit technical, don’t worry! For surgeons learning endoscopy, getting to the perfect spot in the spine can be a challenge. I share tips to help them develop their skills… because behind every safe, successful surgery are hundreds of subtle details like this!

10/14/2026

Excited to share the latest issue of 𝙉𝙚𝙪𝙧𝙤𝙨𝙪𝙧𝙜𝙞𝙘𝙖𝙡 𝙁𝙤𝙘𝙪𝙨 on Endoscopic Spine Surgery, where I had the privilege of serving as a Topic Editor! ✨

Endoscopic techniques are revolutionizing spine care — offering surgical precision and rapid recovery. This edition brings together cutting-edge research proving how these techniques continue to push boundaries and elevate patient outcomes:

🔹 Motion Preservation: Demonstrating how endoscopic decompression can reduce the need for fusion in grade 1 spondylolisthesis.

🔹 Tissue Preservation: Objective biomarker and registry data confirming significantly reduced muscle damage and accelerated mobility recovery compared to open approaches.

🔹 Economic Value: Strong evidence showing the cost-effectiveness and efficiency of full-endoscopic and biportal decompression for modern healthcare systems.

🔹 Tackling Complex Pathology: Expanding horizons to successfully treat challenging cases — including thoracic disc herniations and spinal metastases — with minimal invasiveness.

🔹 Pristine Visualization: Practical protocols (like TXA and epinephrine-containing irrigation) that give surgeons unmatched clarity and control in the OR.

🔗 Read the issue: https://thejns.org/focus/view/journals/neurosurg-focus/61/4/neurosurg-focus.61.issue-4.xml

10/07/2026

I enjoyed serving as faculty for the inaugural Latin American Endoscopic Spine Course at Arthrex headquarters in Naples, FL.

We hosted a group of talented Brazilian spine surgeons for a deep-dive into endoscopic techniques and next-generation spine technology. Training surgeons from across the globe is always a privilege — it’s inspiring to see how a shared passion for ultra-minimally invasive care transcends borders.

I left Naples with great memories, new friends and an even stronger commitment to advancing patient care worldwide. 🌎 🌍 🌏

10/01/2026

If sports surgeons, ENTs, gynecologists, and urologists rely on scopes every single day... why not spine surgeons?

I broke down why endoscopic spine surgery is on the verge of widespread adoption in my lecture at the 2026 Spine Evolutions meeting (the largest endoscopic spine conference in the Western Hemisphere). Among other factors, patient demand for faster, less painful recoveries will drive a massive shift — and endoscopy is set to become the standard of care for many spinal issues.

Check out the full lecture on my Youtube channel ()! 🎥

SciaticaRelief HerniatedDisc SpinalStenosis

09/23/2026

From severe sciatica and foot drop to hiking through national parks — swipe to see Paul’s amazing recovery! 🏔️✨

When Paul came to see me, a disc herniation in his low back was threatening his active lifestyle. Non-surgical care didn’t bring relief so I performed an ultra-minimally invasive endoscopic discectomy to remove the herniated disc fragment and decompress his nerves.

Fast forward a few months, and Paul is living life at full throttle again:

🏰 𝟮 𝗗𝗮𝘆𝘀 𝗣𝗼𝘀𝘁-𝗢𝗽: Having a blast at Medieval Times

✈️ 𝟭 𝗪𝗲𝗲𝗸 𝗣𝗼𝘀𝘁-𝗢𝗽: Comfortably walking miles on a family trip to Disney World

🚤 𝟴 𝗪𝗲𝗲𝗸𝘀 𝗣𝗼𝘀𝘁-𝗢𝗽: Boating in Panama City

🥾 𝟰 𝗠𝗼𝗻𝘁𝗵𝘀 𝗣𝗼𝘀𝘁-𝗢𝗽: Hiking national parks on a 6-week RV road trip

🏍️ 𝗕𝗲𝘆𝗼𝗻𝗱: Returning to stunt-riding motorcycles and competitive paintballing!

Seeing patients reclaim their strength and passion is why I do what I do. Here’s to living life without limits, Paul! 💙

09/16/2026

✈️ Quick day trip to Las Vegas for the Society for Minimally Invasive Spine Surgery Annual Meeting! Here are some highlights from a whirlwind agenda:

1. Presented my decision-making algorithm for the utilization of endoscopic posterior cervical foraminotomy
2. Participated in the SMISS Endoscopy Committee meeting
3. Connected with other surgeon and industry leaders
4. Sat in on some great academic sessions

I’m proud that our research team had a strong presence at the meeting, contributing original studies on approach selection for endoscopic lumbar discectomy, ultra-early outcomes of endoscopic posterior foraminotomy, improvements in sleep quality after surgery for cervical radiculopathy, and more.

We’re pushing ultra-minimally invasive spine surgery forward for better patient care everywhere — and having a blast along the way! 🤓

09/09/2026

😩 𝗣𝗲𝗿𝘀𝗶𝘀𝘁𝗲𝗻𝘁 𝘀𝘆𝗺𝗽𝘁𝗼𝗺𝘀 𝗮𝗳𝘁𝗲𝗿 𝗮 𝗰𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗱𝗶𝘀𝗰 𝗿𝗲𝗽𝗹𝗮𝗰𝗲𝗺𝗲𝗻𝘁? 𝗗𝗼𝗻'𝘁 𝘀𝗲𝘁𝘁𝗹𝗲 𝗳𝗼𝗿 𝗳𝘂𝘀𝗶𝗼𝗻!

Learn how an endoscopic posterior cervical foraminotomy relieves nerve pressure through a dime-sized incision without sacrificing motion or stability.

Full case breakdown & intraoperative footage on YouTube now: https://youtu.be/zbYSMw0OGv0?is=lL00IQe9vwM7qZ51 🎥

09/02/2026

Just when you think you’ve planned for everything... 🤯

My patients can rest easy knowing that the ground in Dallas stays nice and still!

08/26/2026

2 weeks. 3 cities (Naples, Kansas City, Dallas). And a slew of surgeons introduced to endoscopic spine techniques.

Balancing a surgical practice with traveling and teaching isn’t for everyone, but the impact makes every second worthwhile to me. Patient demand for endoscopic spine surgery is immense, yet true specialists remain rare. I’ve made this field my life’s work… not just to deliver optimal outcomes in my own OR, but to help elevate the standard of care everywhere.

Address

8230 Walnut Hill Lane, Professional Building 3, Suite 204
Dallas, TX
75213

Telephone

+12142397474

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