Advanced keyhole neck surgery to relieve arm pain without fusion.
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Expert neurosurgical care available at multiple convenient locations across Hyderabad.
Suffering from neck pain that shoots down your arm? You might have a pinched nerve (cervical radiculopathy). Historically, surgery for this meant removing the entire disc and fusing the bones (ACDF). Today, Cervical Endoscopic Spine Surgery allows Dr. Sayuj to free the nerve through a tiny incision, often preserving your disc and natural neck motion.
This "Keyhole" approach is performed at Yashoda Hospital, Malakpet, utilizing high-definition endoscopes for maximum safety and precision. It is the neck-focused part of our endoscopic spine surgery in Hyderabad programme, which also covers lumbar disc herniation and stenosis.
Endoscopic decompression of the nerve root from the back of the neck. Ideal for lateral disc herniations.
Targeted removal of central disc herniations from the front using an endoscope, often without needing fusion.
Credentials discussed in clinic: MBBS and DNB Neurosurgery. Germany-related training is a German observership in full endoscopic spine surgery (2024).
Clinical assessment
Examination and imaging
Suitability for this procedure is decided after history, neurological examination, and review of your MRI or CT — not from a published percentage.
Counselling
Risks and alternatives
If a procedure is considered, the visit covers expected recovery, alternatives including non-surgical care, and questions to ask before consent.
Next step
Book an OPD visit
Request a consultation to discuss your scans. Discharge timing and recovery are individual and are discussed after examination.
Ready to take the next step?
It is an advanced minimally invasive technique to treat neck pain and arm pain (radiculopathy) caused by disc herniations or stenosis. Using a high-definition endoscope and micro-instruments through a tiny incision (<1cm), Dr. Sayuj removes the compression while preserving the stability of the spine.
In many cases, NO. The primary advantage of endoscopic cervical foraminotomy is that it preserves the natural motion of your neck. Unlike ACDF (Anterior Cervical Discectomy and Fusion), we do not need to place screws, plates, or cages.
Yes, especially with the posterior approach. Traditional anterior neck surgery carries a small risk of temporary hoarseness or difficulty swallowing. The posterior endoscopic approach enters from the back of the neck, completely avoiding the throat and vocal cords.
It is highly effective for Cervical Radiculopathy (pinched nerve causing arm pain), Foraminal Stenosis, and Soft Disc Herniations. It may not be suitable for large central calcified discs or severe spinal cord compression (myelopathy), which may require other approaches.
Walking, neck movement, discharge, desk work, and driving are individual and decided after examination.
Dr. Sayuj Krishnan (MBBS and DNB Neurosurgery) performs anterior and posterior endoscopic cervical techniques at Yashoda Hospital Malakpet when imaging and symptoms support those approaches. Motion-preserving options are discussed at OPD when they are appropriate for the anatomy.
Dr. Sayuj will review your MRI to see if you qualify for motion-preserving endoscopic surgery.
Patient resources on cervical endoscopic spine surgery, indications, and recovery.
External links are provided for transparency and do not represent sponsorships. Each source was accessed on 19 Oct 2025.
Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 3 January 2026
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.