
Endoscopic Spine Surgery (PSLD)
Endoscopic Spine Surgery (PSLD – Percutaneous Stenoscopic Lumbar Decompression) is an advanced, ultra-minimally invasive technique that relieves pressure on spinal nerves through a small keyhole opening. Dr. Rahul Prasad uses high-definition endoscopic visualisation to treat disc and stenosis problems with minimal tissue damage, less pain, and a faster return to daily life.
What is Endoscopic Spine Surgery (PSLD)?
PSLD is a keyhole spine procedure performed through an opening of less than one centimetre. A thin endoscope with a camera and light is guided to the affected area of the spine, allowing the surgeon to view the nerves on a high-definition screen and remove the disc material, bone spurs, or thickened ligament that is pressing on them. Because muscles are gently separated rather than cut, patients experience less pain, minimal blood loss, and a much quicker recovery than with traditional open spine surgery.
Common Symptoms
- Persistent lower back pain
- Leg pain radiating from the back
- Numbness or tingling in the legs
- Weakness in the legs or feet
- Pain that worsens on walking
- Relief on bending forward or sitting
- Difficulty standing for long periods
- Heaviness or cramping in the calves


Conditions Treated
- Lumbar Spinal Stenosis
- Slipped Disc (Herniated Disc)
- Sciatica
- Foraminal Stenosis
- Degenerative Disc Disease
- Thickened Ligamentum Flavum
- Facet Joint Hypertrophy
- Recurrent Disc Herniation
Treatment Highlights
Our treatment combines advanced spinal imaging, high-definition endoscopic visualisation, keyhole percutaneous access, precise nerve decompression, muscle-preserving technique, and comprehensive post-operative rehabilitation for the best possible outcomes.
Why Choose Dr. Rahul Prasad?
Dr. Rahul Prasad holds a clinical fellowship in Minimally Invasive and Complex Spine Surgery and offers expert endoscopic spine care with advanced surgical technology, evidence-based treatment, personalised care plans, and a strong focus on patient safety and faster recovery.
Benefits
Endoscopic spine surgery offers a sub-centimetre incision, minimal muscle and tissue damage, very little blood loss, reduced post-operative pain, lower infection risk, day-care or short hospital stay, early mobilisation, and a faster return to work and normal activity.
Frequently Asked Questions
PSLD stands for Percutaneous Stenoscopic Lumbar Decompression, a keyhole endoscopic procedure that relieves pressure on spinal nerves through an opening of less than one centimetre.
Open surgery requires a larger incision and cutting of muscle, while PSLD works through a tiny opening with the muscles gently separated, resulting in less pain, less blood loss, and a faster recovery.
Yes. With high-definition endoscopic visualisation, advanced imaging, and experienced spine surgical care, the procedure is safe and highly precise.
Most patients walk within hours of surgery and go home the same or next day, with a return to routine activities typically within two to four weeks.
MS, MCh (Neurosurgery), Spine Fellowship (USA & South Korea)
Dr. Rahul Prasad
