Peter B. Derman, MD

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Peter B. Derman, MD

Timely, high-quality, minimally invasive, compassionate spine care.

02/11/2026

🤪 Well, this is different!

Watching “spinal energetics” is certainly entertaining, but I’ll continue providing treatments that are rooted in science. Because your spine deserves more than a “vibe” check.

02/04/2026

Moments like these are exactly why I chose this profession. 😊

There is no greater reward than seeing a patient experience instant relief after surgery — often before they even leave the surgical center. Knowing I can play a part in helping someone reclaim their quality of life so quickly is what keeps me going as a spine surgeon.

𝗪𝗵𝘆 𝘄𝗼𝘂𝗹𝗱 𝗜 𝗰𝗵𝗼𝗼𝘀𝗲 𝗮 𝗰𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗱𝗶𝘀𝗰 𝗿𝗲𝗽𝗹𝗮𝗰𝗲𝗺𝗲𝗻𝘁 𝗶𝗻 𝘁𝗵𝗶𝘀 𝗽𝗮𝘁𝗶𝗲𝗻𝘁?

Endoscopic posterior cervical foraminotomy and discectomy is my “go to” option for disc herniations in the neck that are located off to the side and pinching the nerves as they exit the spine. In this ultra-minimally invasive procedure, a narrow camera is inserted through a dime-sized incision in the back of the neck and micro-instruments used to clean out bone spurs and/or disc herniations pressing on the nerves.

However, this patient’s more central disc herniation was pushing on his spinal cord too and could therefore not be safely accessed from the back of the neck. While anterior cervical discectomy and fusions (ACDFs) were traditionally employed in these situations, cervical disc replacement is a great motion-preserving option for patients like this.

Ultimately, the goal is always to choose the best treatment for each individual patient. By tailoring care, we can minimize surgery and maximize recovery.

So happy that this patient is already well on his way! 🙌

01/27/2026

⚡️Still buzzing from the energy at Arthrex Spine Evolutions!

It was an honor to kick off the didactic sessions at the biggest endoscopic meeting in the Western Hemisphere last weekend. Addressing a room of 500 attendees from across the globe, we explored how endoscopic techniques are poised to fundamentally redefine our field.

Beyond the lecture hall, the excitement in the hands-on labs and small group sessions was palpable. There is an explosion of interest in ultra-minimally invasive solutions, and I’m proud to help lead the charge in training the next generation of endoscopic surgeons.

The movement is growing, the technology is evolving, and the big winners are ultimately our patients.

01/20/2026

🏔️ 𝗧𝗮𝗹𝗸𝗶𝗻𝗴 𝗦𝗵𝗼𝗽. 𝗦𝗵𝗿𝗲𝗱𝗱𝗶𝗻𝗴 𝗦𝗹𝗼𝗽𝗲𝘀. ⛷️

I participated in the Spine Base to Summit conference in Vail this year, speaking on topics including endoscopic spine surgery and subspecialty collaboration in spine care. I even made a cameo in one of Dr. Luis Tumialán’s talks. 😂 The quality of the lectures, dialogue, and networking over the course of the meeting were top notch.

While there were many examples of cutting edge surgical techniques, I was perhaps most impressed by the skiing and snowboarding prowess of these world famous spine surgeons. Despite suboptimal snowpack, we made the most of our proximity to the mountain and got in plenty of runs.

Looking forward to returning next year for more spine talk… on and off the slopes! 🎿

01/14/2026

A miracle cure for disc degeneration?? 🪄

In this video, I dig into a viral social media post to separate fact from fiction in the quest to reverse spinal aging.

🧠 Stay informed. Stay skeptical. Follow for evidence-based spine insights. And comment below if there are other spine health stories you’d like me to investigate. 🔎

01/07/2026

𝗣𝗮𝘁𝗶𝗲𝗻𝘁 𝘀𝘁𝗼𝗿𝘆: 𝗶𝗻𝘀𝘁𝗮𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳 𝗮𝗳𝘁𝗲𝗿 𝗰𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗱𝗶𝘀𝗰 𝗿𝗲𝗽𝗹𝗮𝗰𝗲𝗺𝗲𝗻𝘁!

“I am 57 years old, and after years of teaching several group fitness classes a day, I was diagnosed with spinal stenosis or bulging disks in my neck from overuse. The pain would flare up, and I would get on steroids or other anti-inflammatory meds and lay off of working out for a few days and the pain would usually dissipate to some degree. This went on for years.

Then in 2024, the pain got so severe I was put in contact with Dr. Derman, and he recommended having an epidural. The epidural gave me a year’s worth of relief, but the pain came back with a vengeance early August of 2025. I was leaving for a hiking trip in Colorado and hoping the anti-inflammatories would get me through the month-long trip, but nothing seemed to help. I ended up having to leave the trip early and come home for another epidural.

However, this time the epidural did not provide any relief, and Dr. Derman explained we were out of non-surgical options. He performed a disk replacement on my C5-6 disc on 10/30/25. I was extremely nervous about the procedure, but Dr. Derman took the time to talk to my husband and me for almost an hour going over what to expect. He put my mind at ease and made me feel comfortable with my decision to have a disc replacement instead of a fusion surgery (which the other 2 neurosurgeons I met with had recommended).

My surgery was so easy and my recovery has been amazing. The pain was gone instantly, and I was out walking for an hour in my neighborhood 2 days post surgery. I am back to working out daily and have already booked another hiking trip in Colorado in a few months. Dr. Derman is such an amazing spine doctor. He took the time to make me feel at ease. He treated me like I was important and not just another patient. Thank you so much Dr. Derman for relieving my pain and getting me back to my normal active life!”

01/01/2026

Happy New Year! 🥂 I’m briefly trading my surgical scrubs for swim trunks and taking a much-needed breather.

I plan on enjoying every second of this “peace and quiet”... because I know exactly what’s coming. We now have exactly 365 days until those insurance deductibles reset again!

The Surgeon’s Cycle:
• January – March: Slow season. Relax while we can.
• April – September: Steady pace.
• October – December: Buckle up for the “Deductible Dash.” 🏃💨

To my patients: If you want to beat the chaotic Q4 rush when everyone suddenly remembers they have a spine and wants “free” surgery, let’s chat well before then.

I’m resting up now to be ready for your 2026 goals. Let’s make it a great one! ✨

12/23/2025

My 2025 World Tour is complete! 🌍

It was a year of lectures, labs, and conferences…sharing my passion for endoscopic techniques with surgeons far and wide. Between engagements, I logged enough hours of airport delays to last a lifetime — and this isn’t even my day job! But it was also a year chock full of fun family travel and the rare (and coveted) free weekend at home.

I’m looking forward to a busy 2026. See you on the road! ✈️

12/17/2025

🎬 𝗡𝗲𝘄 𝗰𝗼𝗻𝘁𝗲𝗻𝘁 𝗶𝗻 𝘁𝗵𝗲 𝘄𝗼𝗿𝗸𝘀! 🎥

Last week, I had the opportunity to record new educational videos at Arthrex’s state-of-the-art media production studio in Naples, Florida.

We dove deep into endoscopic lateral recess decompression, an ultra-minimally invasive technique for relieving pressure from pinched nerves in the low back.

These videos are being crafted as a resource to help surgeons committed to mastering the latest procedures and delivering the best outcomes to their patients.

Stay tuned!

12/10/2025

𝗜𝗻𝘀𝗶𝗱𝗲𝗿 𝗧𝗶𝗽: When doctors get sciatica, I frequently get a call. That’s because those in the know seek out the latest in minimally invasive and endoscopic techniques.

𝗖𝗮𝘀𝗲 𝗶𝗻 𝗣𝗼𝗶𝗻𝘁: This busy orthopedic surgeon struggled for years with a pinched nerve in his low back. But he couldn’t put his own practice on hold for the prolonged recovery associated with traditional open spine surgery. Fortunately he didn’t have to! Here he is, pain free, three days after hanging out with me in the OR… glad to have helped him get right back in action!

12/03/2025

𝗪𝗵𝘆 𝗱𝗼 𝗜 𝗱𝗼 𝘄𝗵𝗮𝘁 𝗜 𝗱𝗼? 🤔

I dove into that question and others with Spinal Surgery News for their latest feature. We discussed the specific moments that make this job rewarding, the importance of preserving muscle through minimally invasive and endoscopic techniques, and why I’m optimistic that we are entering a new era of patient recovery. 🚀

Read the full interview here: https://www.spinalsurgerynews.com/2025/11/surgeon-in-focus-with-dr-peter-derman/153257

11/27/2025

Grateful. 🙏 What a way way to start the holiday! I’m so thankful to have a career where I can help people get back to doing what they love. Happy Thanksgiving, everyone! 🦃🍂

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Dallas, TX

Website

https://texasback.com/find-a-physician/name/peter-derman/#biography

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Less is More

“In spine surgery, less is generally more. I tailor my approach to each patient’s symptoms and goals, using the least invasive means to achieve the fastest and most reliable recovery possible.”

Dr. Peter Derman, a minimally invasive and endoscopic spine surgeon at the Texas Back Institute, graduated with honors from Stanford University, where he majored in Biological Sciences. He received his medical degree from the Perelman School of Medicine at the University of Pennsylvania and concurrently obtained a Master of Business Administration from the Wharton School of Business. Dr. Derman completed his residency at the Hospital for Special Surgery in New York City and underwent further fellowship training in spine surgery at Rush University Medical Center in Chicago, Illinois.

Beyond helping patients, Dr. Derman conducts medical research to better medicine for future generations. He enjoys spending his personal time with his wife and son, staying fit, sailing, and brewing craft beer.

Call 972-608-5000 to make an appointment. More information is available at https://texasback.com/find-a-physician/name/peter-derman/.