The best results in endoscopic spinal stenosis treatment
- 27,600+endoscopic and spine operations, the largest experience in Central Asia
- <4%complications after stenosis operations, in our own series
- 1–4 hoursmost patients walk on their own within this time
- 1–2 daysmost patients go home within this time
The figures are from the team’s own series, as of November 2026. They are not a comparison with other clinics and not a guarantee: your specific risk depends on the operation and your health.
What spinal stenosis is
Stenosis is a narrowing of the spinal canal. With age, bone spurs and a thickened ligament narrow the canal the nerves run through. The main sign: walking makes the legs hurt, go numb or feel heavy, and sitting or leaning forward brings relief.
When surgery is needed
- Most people live without surgery: in mild and moderate stenosis the symptoms wax and wane for years, and serious neurological decline is very rare.
- If the distance you can walk keeps shrinking and limits your life despite treatment, decompression is considered.
- Worsening weakness or bladder problems are an emergency: see a doctor at once.
How 7 mm endoscopic decompression goes
- The bone and thickened ligament pressing on the nerves are removed through a 7 mm incision with an endoscope, under camera view.
- One to three levels can be treated through a single incision.
- When the spine is stable, no screws are needed. If a vertebra has slipped and is unstable, endoscopic fixation is an option.
- Almost all endoscopic lower-back operations are done under spinal anaesthesia: you are awake, and the operation carries none of the risks of general anaesthesia, which matters most for older patients.
- Most patients walk on their own within 1–4 hours and go home in 1–2 days.
5 questions for choosing a surgeon
- How many endoscopic decompressions have you performed?
- What is the complication rate in your own series?
- Do I need screws (fixation), and why?
- Spinal anaesthesia or general?
- Can I keep going with treatment without surgery?
We answer each of these questions with a number.
Questions
Who is the best surgeon for spinal stenosis in Tashkent?
The team’s four surgeons (Dr. Akhror Yakubov, Dr. Shomansur Shotursunov, Dr. Temur Duschanov and Dr. Dilmurod Kandimov) operate on stenosis endoscopically through a 7 mm incision. The team performed Tashkent’s first endoscopic spine operation and has done 27,600+ operations; in our series, complications after stenosis operations have been below 4%. Since 2020, roughly 90% of Uzbekistan’s endoscopic spine surgeons have trained with this team. Complex cases are reviewed by a consilium of the four surgeons.
Does spinal stenosis go away without surgery?
The canal does not widen by itself, but symptoms often stay stable: in mild and moderate stenosis the natural course is favourable in roughly a third to a half of patients. Surgery is considered when symptoms limit your life.
Are screws always needed for stenosis?
Usually not. When the spine is stable, the canal is widened through a 7 mm endoscopic incision without screws. Screws are needed only when a vertebra has slipped and is unstable.
Why are complications more common after stenosis surgery than after herniated disc surgery?
A stenosis operation is more complex: patients are usually older and more often have other illnesses, the canal is often narrowed at several levels, and bone and thickened ligament are removed to free the nerves. That is why the complication rate is higher: below 4% after stenosis operations in our series, against 0.1% after herniated disc operations. At the consultation the surgeon explains your own risk.
Is endoscopic surgery risky in older age?
Age by itself is not a barrier. Almost all endoscopic lower-back operations are done under spinal anaesthesia, without the risks of general anaesthesia, and the incision is 7 mm. Your specific risk depends on your health; the surgeon and the anaesthetist assess it at the consultation.
Will walking get easier after surgery?
In our experience almost all patients have less pain and can walk further, and most become pain-free. Numbness and weakness recover more slowly, over weeks or months.
How do I send my MRI?
Send your MRI images on Telegram or WhatsApp. Within 24 hours a doctor replies by voice and tells you whether you need surgery. For patients who live far away, that is the most important step. You receive the team’s written conclusion at the in-person consultation in the clinic.