Data from the last few years has shown that between 5 and 10 million working days are lost each year due to back pain. This can be a debilitating condition that affects quality of life, mobility and causes psychological distress.

Investigating and treating back pain at The London Clinic involves multi-disciplinary teams of neurologists and spinal specialists
Our facilities and expertise for investigating and diagnosing back pain include:

Many patients can benefit from physiotherapy, carefully selected exercises, muscle strengthening and pain relief. Rehabilitation can be used as a first line treatment or as an aid to recovery after spinal surgery.

Injections into the spine

There are several types of spinal injection that can help relieve neck pain and back pain:

  • A facet joint injection. One approach for back pain is to inject a local anaesthetic and a corticosteroid into the spinal tissue.
  • A nerve block. This type of injection is made directly into the nerve that is causing the back pain.
  • An infraorbital nerve block. For neck problems causing facial pain, injections can be done higher into the spine or even directly into the nerves of the face.

A spinal injection is a specialised procedure that needs to be done by a highly trained and very experienced orthopaedic surgeon. The surgeon locates the exact point for the injection by visualising the spine using X-rays. Such treatments can be very effective. The anaesthetic acts to numb the pain, while the corticosteroid reduces inflammation in the damaged tissues. After just three to four injections, more than eight out of 10 patients with neck pain or back pain experience significant pain relief.

Spinal surgery techniques

  • Microdiscectomy: surgery to treat sciatica
  • Spinal canal stenosis treatments including non-surgical treatments, insertion of interspinous spacers, spinal stabilisation and laminectomy
  • Lumbar spinal fusion: fusing one vertebra to another using a bone graft technique
  • Replacement of a vertebral disc with a disc prosthesis, commonly used to treat degenerative disc disease
  • Stabilising the lumbar spine, an alternative to spinal fusion that retains spinal flexibility
  • Surgery for scoliosis, which is available for adolescent scoliosis and degenerative scoliosis in older adults
  • Kyphoplasty: surgery to treat vertebral compression fractures