Services

Spine Conditions

London Orthopaedic Specialists is a centre for excellence in the diagnosis, intervention and aftercare of all spine conditions.

Our team is led by Mr Mo Akmal, Chief of Orthopaedic Surgery at Imperial College Healthcare NHS Trust, who is a leading expert in his field.

The Unit is based in a custom built facility on the third floor of the Hospital of St John & St Elizabeth, equiped with the finest modern technology and equipment.



Spine Conditions

Our Consultants at London Orthopaedic Specialists are leading experts in the assessment, diagnosis and treatment of all spine conditions.

Ankylosing Spondylitis

Ankylosing spondylitis (AS) is a type of chronic arthritis that affects parts of the spine, including the bones, muscles and ligaments. Arthritis is a common condition that causes pain and inflammation of the joints and tissues around them. The symptoms of ankylosing spondylitis can vary, but most people experience back pain and stiffness. The condition can be severe, with around 1 in 10 people at risk of long-term disability. Read more about Ankylosing Spondylitis and the treatment options available. 

Cervical Spine Stenosis

Cervical Spine Stenosis (CSS) is a degenerative disease that most often happens over time, with years of wear and tear. This is more commonly referred to as arthritis of the spine. The spinal canal and neural foramen narrow and compress the spinal cord and nerve roots. Stenosis occurs when pressure increases inflaming the facet joints. Studies show that we can start the degenerative process, depending on how well we take care of our bodies, as early as our 30s. Genetics and congenital factors can predispose a person for stenosis. Usually the very severe symptoms don’t show until age 60 and older. Other causes of CSS include cervical spondylosis and diffuse idiopathic skeletal hyperostosis (DISH), or calcification of the posterior longitudinal ligament. Read more about Cervial Spine Stenosis and the treatment options available.

Kyphosis

Kyphosis is an abnormal outward curving of the upper spine. It causes the back to appear more rounded than usual and may cause stiffness and back pain. Normally, when looked at from the side, your upper spine curves only slightly outwards and your lower spine very slightly inwards. If your spine bends to the left or right, it is known as scoliosis. Kyphosis and scoliosis can occur together. Kyphosis can affect anyone and is often caused by bad posture or a structural problem with the spine. It is rare to be born with kyphosis. Examples of structural problems are fractures to the vertebrae (back bones), which may be caused by osteoporosis, or a spine that has simply grown abnormally. Read more about Kyphosis and the treatment options available.

Sciatica

Sciatica is the name given to any sort of pain that is caused by irritation or compression of the sciatic nerve. The sciatic nerve is the longest nerve in your body. It runs from the back of your pelvis, through your buttocks, and all the way down both legs, ending at your feet. When something compresses or irritates the sciatic nerve, it can cause a pain that radiates out from your lower back and travels down your leg to your calf.  Sciatic pain can range from being mild to very painful. A slipped disc is the most common identified cause of sciatica, but in some cases there is no obvious cause. Read more about Sciatica and the treatment options available.

Slipped Disc

A slipped disc, also called a prolapsed or herniated disc, occurs when one of the discs of the spine is ruptured (split) and the gel inside leaks out. This causes back pain and can also cause pain in other areas of the body. Read more about elbow arthritis and the treatment options available.

Spinal Stenosis

Spinal stenosis is the narrowing of nerve passages in the spine. It occurs when the bones, ligaments or discs of the spine squash the nerves of the spine (usually the sciatic nerve) causing pain, usually in the lower back and legs. It usually affects people in late middle age and older. Read more about spinal stenosis and the treatment options available.

Spinal Infection

The majority of patients with spinal infections are often diagnosed late because spine infection can present in many ways and mimic other conditions such as respiratory or bowel problems. In a review of 442 patients by Malawski and Lukawski (clinical Orthopaedics and Related research 1991) 47% of patients were diagnosed 1 year after the disease started. The most frequent incorrect diagnosis included brochopneumonia, meningitis, pancreatitis, radiculitis, appendicitis and acute abdomen. The consequences of incorrect diagnosis includes appendectomy operations, laparotomy, cholecystectomy as well as other unnecessary investigations. Read more about spinal infection and the treatment options available.

 

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