Keyhole Surgery · Lumbar spine

Endoscopic Lumbar Decompression

Keyhole widening of a narrowed lumbar spinal canal. Less tissue damage and faster recovery than open decompression.

Endoscopic Lumbar Decompression — keyhole procedure

What the procedure is

Lumbar spinal stenosis narrows the canal that houses the spinal nerves, causing leg pain, cramping, or weakness when walking. Endoscopic lumbar decompression removes the tissue pressing on the nerves — ligament, bone spur, or thickened joint — through a narrow tube placed via a small skin incision.

On the day

You'll arrive and be prepared for theatre in the morning. The procedure takes 60–120 minutes depending on the levels being treated. Mr. Rath works with continuous fluid irrigation and high-definition camera magnification for precise removal of the compressing tissue.

We'll review your mobility and pain levels before discharge. Most patients walk to the car the same afternoon.

Why Mr. Rath's approach

Endoscopic decompression is technically demanding at the spinal canal level. Mr. Rath's high-volume practice in the North West means consistent technique and reproducible outcomes. We plan each surgery using pre-operative MRI and CT to target exactly the tissue causing your symptoms.

Risks and considerations

  • Dural tear (slightly higher risk with significant stenosis; almost always managed immediately)
  • Incomplete decompression requiring further procedure (uncommon)
  • Recurrence of stenosis over years (natural ageing process)
  • General anaesthetic risk

Mr. Rath will explain the specific risks relevant to your anatomy at your consultation.

Recovery timeline

  1. Day of surgery · Same day discharge

    Most patients walk out within a few hours and return home comfortably.

  2. Week 1 · 7 days

    Short walks encouraged. Avoid prolonged sitting or bending. Wound care is minimal.

  3. Week 2-4 · 21 days

    Return to low-impact activity. Physiotherapy begins around week 4 to rebuild strength and conditioning. Walking distance often improves noticeably.

  4. Week 6 · 6 weeks

    Phase-wise return to normal activity guided by Mr. Rath at the 6-week review.

Frequently asked
How does endoscopic decompression compare to traditional open laminectomy?

Open laminectomy requires cutting and stripping the back muscles. The endoscopic approach accesses the canal through a small tube, causing far less muscle damage and enabling same-day discharge.

Can both sides be treated in the same session?

Yes, Mr. Rath is able to decompress both sides of the canal in a single procedure where required.

Take the next step

Discuss this treatment with Mr. Rath.

Online and in-clinic consultations available across the North West.

Book Appointment