Surgical widening of the lumbar spinal canal to relieve nerve compression. Mr. Rath performs decompression endoscopically wherever possible, with open or microscopic approaches available when the anatomy requires.
Lumbar decompression widens the spinal canal by removing the tissue pressing on the spinal nerves — typically thickened ligament, bone spurs, and overgrown joint tissue. Mr. Rath performs this endoscopically wherever possible. When the severity or extent of stenosis, coexisting instability, or revision anatomy makes a wider exposure more appropriate, he can also use open or microscope-assisted approaches.
The procedure is performed under general anaesthetic. A regional block is given to the spine to help with post-operative pain control. Mr. Rath uses intraoperative imaging to confirm adequate decompression before closing the wound.
Physiotherapy begins on the day — usually within 1–2 hours of surgery — and most patients are walking within 2 hours. Discharge is typically the following morning.
Even when an open approach is required, Mr. Rath favours muscle-sparing technique where anatomy allows — limiting the resection to what is strictly necessary and preserving spinal stability. When decompression and fusion are required together, these can be combined in a single procedure.
Mr. Rath will explain which approach — endoscopic, microscopic, or open — best suits your particular anatomy and the extent of your stenosis.
Day of surgery · 1 day
Walking encouraged within 2 hours of surgery. Physiotherapy begins on the day, and discharge is typically the following morning.
Week 1-2 · 2 weeks
Home recovery. Short regular walks. Avoid prolonged sitting. Pain managed with prescribed medication.
Week 3-4 · 2 weeks
Return to light activity including desk work. Physiotherapy begins around week 4 to rebuild strength. Driving after 2–3 weeks subject to comfort and safety.
Week 6 · 6 weeks
Phase-wise return to normal activity guided by Mr. Rath at the 6-week review.
Online and in-clinic consultations available across the North West.
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