Endoscopic lumbar spine surgery for selected lower-back and leg-nerve problems
Where suitable, nerves in the lower back can be freed through a very small opening using an endoscope. Dr. Rajesh Pathi will explain whether this fits your problem and how it compares with other options.

When to seek emergency care. New loss of bladder or bowel control, numbness around the saddle area, or rapidly worsening weakness in the legs need emergency care. Call 108 or go to the nearest emergency department.
Many back problems never need an operation
Lower-back and leg symptoms often improve with time and non-surgical care. Surgery is for specific, well-defined problems that suit it.
What to know about endoscopic lumbar spine surgery
General information to help you ask the right questions — not a substitute for your own consultation.
What is lumbar nerve pressure?
A disc or narrowing in the lower back that presses on a nerve, causing leg pain, numbness or weakness.
What does endoscopic surgery do?
It relieves that pressure through a narrow working tube.
Who might be considered?
Selected people whose scans and symptoms match.
Are there alternatives?
Yes, including non-surgical care and other surgical techniques.
What shapes the recommendation
Your symptoms
Leg pain, numbness, weakness, walking tolerance.
Scan findings
Where and how the nerve is pressed.
Response so far
What has helped or not.
Health & activity
General health and daily needs.
What the operation involves
The method is tailored to the problem found on your scans.
A small incision is made and a narrow tube is placed.
The camera and instruments are used to see and reach the problem.
The pressure on the nerve is relieved.
Early movement and recovery guidance follow.
Your journey, stage by stage
Assessment & scans
Your symptoms, examination and imaging are reviewed together.
Options & risks discussed
An honest conversation about surgery, alternatives and risks.
Preparation
Clear instructions about medicines, fasting and what to expect.
Anaesthesia & set-up
Careful preparation with continuous monitoring.
The operation
Carried out with precision, tailored to your case.
Close observation
Monitoring straight afterwards.
Early recovery
Guidance on movement, wound care and warning signs. Timelines vary.
Rehabilitation
Support to regain strength and function where needed.
Follow-up
Review of how you're recovering, with scans if appropriate.
Want to be sure before deciding?
A second opinion before an operation is common and welcome. Learn how second opinions work at Anoki.
Learn About Second Opinion Services
Dr. Rajesh Pathi
Dr. Pathi is a Fellow of the Minimally Invasive Spine Surgery society and explains honestly whether an endoscopic approach suits you.
Questions people often have
No. Many conditions need other approaches.
Your team will tell you what to expect for your case.
Back pain alone is often managed without surgery.
Yes.
Want to talk through endoscopic lumbar spine surgery?
Book a consultation with Dr. Rajesh Pathi at our Pragathi Nagar clinic.

