Treatments
Understand your spine treatment options.
Care starts with diagnosis and non-surgical treatment. If surgery is appropriate, we consider the least invasive option that fits your condition.
Assessment and diagnosis
Understand the source of your symptoms before choosing treatment.
Start with a specialist consultationNon-surgical care
Physiotherapy, osteopathy, medication and other options that may improve symptoms without surgery.
How non-surgical care works Spine Physiotherapy Guided, condition-specific exercise and hands-on manual therapy to reduce pain, restore movement, and support lasting recovery. Osteopathy Hands-on assessment and treatment of the joints, muscles and connective tissue around the spine, used alongside the rest of your non-surgical plan. Pain Medication Management Carefully monitored medication plans to ease inflammation and nerve pain, used as one part of a wider non-surgical spine care plan. Regenerative Medicine Emerging biologic options such as PRP, offered selectively and with an honest account of what the current evidence does and does not support.
Injections and pain management
Targeted procedures that can help confirm a pain source, reduce inflammation or manage persistent symptoms.
Epidural Steroid Injections An image-guided corticosteroid injection used to reduce inflammation around an irritated spinal nerve. Facet Injections & RFA Image-guided facet or medial branch procedures used to assess and manage pain linked to the small joints of the spine. Selective Nerve Root Blocks An image-guided injection around a selected nerve root, used to help assess the pain source and sometimes reduce symptoms. Sacroiliac Joint Injections Diagnostic and therapeutic injection for pain arising from the joint that links the base of the spine to the pelvis. Spinal Cord Stimulation Implanted neuromodulation for chronic and failed-back pain - a trial phase first, before any permanent device. Basivertebral Nerve Ablation A targeted procedure for selected people with chronic vertebrogenic low back pain and characteristic vertebral endplate changes on MRI. Multifidus Stimulation An implanted restorative neurostimulation system for selected people with chronic mechanical low back pain and impaired multifidus muscle control. SI Joint Denervation An endoscopic treatment of selected posterior nerve branches around the sacroiliac joint complex for carefully confirmed SI-region pain.
Spine surgery
When surgery is appropriate, the aim is the least disruptive procedure that treats the problem properly.
Disc and nerve decompression
Endoscopic Discectomy Removal of a selected herniated disc fragment through a small access point using an endoscope. Endoscopic Decompression A minimally invasive way to relieve spinal stenosis - widening the nerve pathways endoscopically while sparing muscle and bone. Endoscopic Nerve Decompression Endoscopic enlargement of a pinched nerve's exit, and direct-vision treatment of pain-carrying facet nerves, for targeted relief. Microdiscectomy A well-established operation that removes the herniated portion of a disc pressing on a nerve, using a microscope to relieve radiating pain. Spinal Decompression (Laminectomy) Removal of bone or tissue to create more space for compressed nerves or the spinal cord, easing leg pain and heaviness.
Stabilization and motion preservation
Minimally Invasive Fusion Muscle-sparing stabilization of the spine through small incisions, so less muscle is cut to reach the spine. MIS-TLIF Neck Fusion (ACDF) Removal of a diseased cervical disc and fusion of the vertebrae to relieve nerve or spinal-cord compression in the neck. ACDF Posterior fusion Spinal Fusion A procedure that joins two or more vertebrae into one solid segment to stabilize the spine and reduce pain from movement. ALIF TLIF / PLIF LLIF / OLIF / XLIF Artificial Disc Replacement Replacement of a damaged disc with an implant designed to preserve natural motion at the treated level of the spine. Compression Fracture Procedures A percutaneous cement procedure used to stabilize selected vertebral compression fractures. SI Joint Fusion Surgery to stabilize the sacroiliac joint in selected patients whose SI joint has been carefully confirmed as an important source of persistent pain. Posterior Cervical Facet Fusion Posterior stabilization of selected cervical levels using implants placed across the facet joints through small incisions.
Complex and revision surgery
Scoliosis & Deformity Correction Realignment and stabilization of significant spinal curvature to restore balance and relieve pain. Revision Spine Surgery Corrective surgery for problems after a previous operation - non-union, hardware issues, or recurrent compression. Surgery for Spinal Tumors and Infections Specialist surgical treatment of spinal tumors and infections, with reconstruction where needed - part of a wider, individualised plan. Coccygectomy Partial or complete removal of the coccyx, reserved mainly for persistent disabling tailbone pain with a clearly identified coccygeal source. Thoracic Corpectomy Removal of part or all of a damaged thoracic vertebral body, with reconstruction when fracture, tumor or infection threatens stability or the spinal cord.
Recovery and rehabilitation
Guided rehabilitation after treatment or surgery to rebuild strength, movement and confidence.
What recovery involvesNot sure where to start?
Start with a specialist assessment. We will review your symptoms and imaging before discussing treatment options that may suit your needs.