Dr Shanu Gambhir | Neurosurgeon & Spine Surgeon Sydney
Dr Shanu Gambhir | Neurosurgeon & Spine Surgeon Sydney
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Endoscopic cervical foraminotomy Sydney

What is endoscopic cervical foraminotomy, and how can it relieve neck and arm pain?

“Endoscopic cervical foraminotomy is a precise, minimally invasive way to relieve pressure on nerves in the neck, helping you move freely again with less pain and a quicker recovery.”
Dr Shanu Gambhir | Neurosurgeon Sydney

Dr Shanu Gambhir

Neurosurgeon Sydney

Endoscopic cervical foraminotomy is a minimally invasive procedure used to treat nerve compression in the neck. By carefully widening the foramen—the bony passage where spinal nerves exit the spine—it relieves pressure on the nerves, reducing pain, numbness, and weakness. My approach prioritises advanced techniques to ensure a faster, less painful recovery while targeting the root cause of your symptoms.

Endoscopic cervical foraminotomy Sydney

3 reasons why endoscopic cervical foraminotomy might be right for you

Here’s why this procedure could be the solution to your neck and arm pain:

Effective nerve pain relief

If a narrowed foramen is compressing your nerves, causing neck pain or radiating symptoms like tingling or weakness in your arm, this surgery can relieve pressure and improve your quality of life.

Minimally invasive technique

Endoscopic cervical foraminotomy uses a tiny incision and advanced imaging to treat the affected area without the need for a larger, open surgery, leading to faster recovery and less post-operative discomfort.

Targeted, long-lasting results

By directly addressing the area causing the nerve compression, this procedure provides precise, lasting relief, allowing you to get back to your daily activities.
Neurosurgeon Sydney FAQs

What conditions can endoscopic cervical foraminotomy treat?

This procedure is often recommended for conditions that cause nerve compression in the cervical spine, such as:

  • Cervical foraminal stenosis or disc herniations: Narrowing of the foramen in the neck, which can pinch spinal nerves and lead to pain or weakness in the neck, shoulders, or arms.
  • Cervical radiculopathy: Irritation or compression of the spinal nerve roots in the neck, causing radiating pain or numbness down the arm.
  • Bone spurs (osteophytes): Overgrowths of bone that reduce space for nerves and lead to nerve irritation or compression.
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How does endoscopic cervical foraminotomy work?

This advanced procedure relieves nerve compression while preserving the surrounding tissues. Here’s how it’s performed:

Small incision

A tiny incision, usually less than 1 cm, is made near the affected area of the neck.

Endoscope insertion

A thin tube with a camera is inserted through the incision, giving me a clear, magnified view of the nerve and foramen. During the procedure, I also use advanced imaging techniques like intraoperative fluoroscopy or real-time X-ray guidance to ensure precise targeting and safety.

Precise decompression

Using specialised tools, I carefully remove the bone or tissue causing the nerve compression, widening the foramen to relieve pressure.

Closure

The incision is closed with a dissolvable stitch, leaving a minimal scar.

Recovery from endoscopic cervical foraminotomy is usually faster and smoother compared to traditional open surgery. Here’s what to expect:

  • Quick discharge: Most patients go home the same day or within 24 hours.
  • Early mobility: Gentle neck movements are encouraged soon after surgery to aid healing and prevent stiffness.
  • Back to daily activities: Many patients resume light activities within 1–2 weeks, though strenuous tasks may take longer. Full recovery typically takes longer.
  • Follow-up care: Regular check-ups ensure proper healing. Physiotherapy or specific exercises may be recommended to strengthen your neck and maintain flexibility.

Following post-operative instructions is key to achieving the best outcome and avoiding complications.

The risk of complications is quite low, but as with any surgery, there are still some risks like infection, bleeding, blood clots, or anaesthesia reactions, alongside specific spine-related risks:

  • Nerve damage: Potential for nerve injury, leading to weakness, numbness, or even paralysis.
  • Spinal fluid leak: A tear in the membrane around the spinal cord can cause headaches and require further treatment.

I take every step to minimise these risks and ensure a safe, effective recovery, with the likelihood of significant complications being very low.

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Spine Surgeon Sydney

Why I became a spine surgeon

I became a spine surgeon because of something I experienced as a child. When my mum dislocated her shoulder, I saw how much pain affected her life and felt helpless to do anything. That inspired me to become a doctor. Later, during my training, I was drawn to neurosurgery because I wanted to help people with serious spine problems and make a real difference.
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Why choose me as your spine surgeon

Choosing the right spine surgeon is about finding someone who understands and supports you. I always explore non-surgical options first and only suggest surgery if it’s truly needed. When surgery is necessary, I use minimally invasive techniques like endoscopic spine surgery to help you recover quickly and with less pain. My focus is on giving you the personalised care you need to get back to your life. 

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