Endoscopic Spine Surgery (RIWO)

Endoscopic spine surgery uses a narrow camera and instruments passed through a small skin opening to treat disc herniation, nerve compression, and some forms of spinal stenosis. Compared with traditional open surgery, the approach aims to disturb less muscle and tissue, which often translates to less post-operative pain and a quicker return to daily activity.

RIWO (full-endoscopic) technology allows direct visualisation of the compressed nerve root or disc fragment. The surgeon removes the material causing sciatica or arm pain while preserving stabilising structures wherever possible. Not every spinal problem suits an endoscopic approach — factors such as disc size, level, previous surgery, and instability all influence the recommendation.

At Medinova Super Speciality Hospital, Nashik, Dr. Nikhil Bhamare selects endoscopic spine surgery when anatomy and symptoms align with this minimally invasive pathway. A thorough clinical examination and MRI review determine whether endoscopic decompression, microdiscectomy, or another technique offers the safest and most durable relief.