Keyhole decompression of a pinched nerve in the neck through a minimal incision. We preserve the disc and avoid the risks of fusion surgery.
Endoscopic cervical foraminotomy widens the bony opening (foramen) through which a nerve root exits the spinal canal. A small bony spur or soft-disc fragment pressing on the nerve is removed using a specialised 4K camera scope and precision instruments through a 1cm incision — no bone fusion required, and the disc is preserved.
We'll see you in our pre-operative suite in the morning. The procedure takes approximately 60–90 minutes under general anaesthetic. You'll be in a prone or semi-sitting position. Mr. Rath works through a single 1cm incision in the posterior neck.
After a brief recovery period, we'll discharge you with instructions and pain management. Most patients are home by early afternoon.
Cervical foraminotomy requires meticulous technique at a small target deep within the neck. Mr. Rath's volume of endoscopic cervical practice in the UK means consistent, refined technique on every procedure. His goal is to relieve nerve compression while preserving as much natural anatomy as possible.
Risks specific to endoscopic cervical foraminotomy include:
Mr. Rath will walk through your individual risk profile at consultation.
Day of surgery · Same day discharge
Most patients go home the same day with minimal discomfort at the incision site.
Week 1 · 7 days
Rest and gentle neck movement. Avoid driving and heavy lifting. Dressing is minimal.
Week 2-4 · 21 days
Gradual return to desk work and light daily activity. Physiotherapy begins around week 4 to restore neck strength and mobility. Arm symptoms often resolve quickly.
Week 6 · 6 weeks
Phase-wise return to normal activity guided by Mr. Rath at the 6-week review.
Most patients do not require a rigid brace. We may recommend a soft collar for comfort in the first week, but this is not always necessary.
For many patients with cervical radiculopathy, yes. Mr. Rath will assess your imaging and symptoms to determine whether endoscopic decompression avoids the need for fusion.
Online and in-clinic consultations available across the North West.
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