Here at North Downs Hospital we have some of the best neurosurgical consultants in the UK. We specialise in a range of techniques to help ease your back pain and discomfort. We offer non-surgical solutions in the treatment of back pain, in the form of pain management plans. However, if you are experiencing severe symptoms and there is a clear cause for your discomfort, surgery may be an option for you.
Neurosurgery is the medical field of study of the conditions and disorders affecting the nervous system e.g. the peripheral nerves, spinal cord and brain. Here at North Downs Hospital we specialise in spinal neurosurgery.
A caudal epidural is an epidural injected into the base of the spine. An epidural is an injection which is a mixture of a local anaesthetic and steroid. You may require a caudal epidural if you suffer from chronic back and neck pain.
The caudal epidural has a variety of positive effects which includes increasing the space around the compressed nerves and the reduction of the inflammation around the nerves.
You may have another caudal epidural dependent on how effective the treatment is for you and may be part of a treatment course prepared by your pain management consultant.
Lumbar Decompression Surgery
The purpose of a lumbar decompression surgery is to relieve the pressure off the spinal cord or nerves alongside maintaining the strength of your spine. There are a number of surgical procedures which can take place during decompression surgery dependent on the severity and complexity of your case. Procedures which we offer at North Downs Hospital includes a discectomy and the spinal fusion.
During a lumbar decompression the muscles in your back are lifted in order for surgeons to gain access to the back of the spine. Any nerves or tissues that are affected may be removed, decompressing the spinal cord or nerves. The surgeon will then proceed to stitch the muscles and original incision back together.
As a standard the procedure is performed under general anaesthetic and takes a minimum of an hour, dependent on the severity of your case.
Read more about Lumbar Decompression Surgery
Prolapsed Disc (Lumbar Discectomy)
You may need a discectomy if you have pressure on your spinal nerves caused by a slipped or bulging disc.
During the discectomy, the surgeon will make an incision and pull the nerve away in order to get to the slipped/bulging disc. They will then remove part of the disc to relieve pressure on the nerves, a substantial amount of the disc is left intact in order to absorb shock. The surgeon will then proceed to stitch up the incision.
Read more about a Lumbar Discectomy
A spinal fusion is used in order to fix problems with the bones within the spine. It takes place in order to join two or more vertebrae together, this is done through adding a section of bone or synthetic bone substitute in the gap between them. Screws or rods can be used in order to secure the bones to help promote successful fusion.
A spinal fusion can help stop additional excessive movements between two adjacent vertebrae. This promotes less irritation and compression on surrounding nerves, helping to reduce pain.
We are very proud to be working alongside some excellent Neurosurgery consultants who are highly respected in their speciality and come highly recommended by previous patients. All of our consultants go through regular validation to ensure that they work to the highest possible standards and remain up date with current practice.
Mr G Marsh
Mr H Maurice