Out-patient discectomy

Now, at the Chelmsford Medical Centre, surgeons form the London Spine Clinic are able to perform lumbar micro-discectomy as an out-patient. The patient is admitted in the morning and any necessary tests are performed either at that point or at a pre-admission visit. The surgery is performed in the state of the art operating theatre later that morning, and the patient is then recovered in a specialised recovery area. Once mobile, with the help of the in-house physiotherapists if required, the patient can go home, with a supply of appropriate pain killers. 

Patients having this treatment usually get great and instant relief of their leeg pain (sciatica), caused by a bulging disc. After surgery, rehabilitation is arranged with expert physiotherapists on-site, either in Chelmsford or London, or, if necessary, advising local practitioners, for patients living some distance away.

Transport to and from the unit is available by our dedicated limousine service, staffed by highly trained drivers.

 

Jersey Clinic now open.

Photo Hotel de FranceThe London Spine clinic has now opened in Jersey, to serve the population of the Channel Islands, many of whom have been patients previously. The Clinic is based in the Lido de France Medical Centre, St Saviours Road, St Helier, in the grounds of the famous Hotel de France (pictured). The building, a former cinema and nightclub, has been dramatically renovated and now houses a variety of medical services. The London Spine Clinic is on the third floor, with consultation space and therapy rooms.

To book an appointment contact the London office.

 

The London Spine Clinic is in CHELMSFORD

An Essex branch of the London Spine Clinic is open in Chelmsford, the heart of Essex. The unit brings multi-disciplinary specialist spinal investigation, diagnosis and management from the Harley Street base in London to the centre of this busy town, serving the people of Essex and beyond.

The MRI Unit, housing a state of the art, high-resolution scanner, is now open within the Chelmsford Medical Centre, Fenton House, New London Road, Chelmsford. The outpatient facility is now fully operational, including x-ray suite, treatment rooms, Fenton House, New London Road, Chelmsfordfully equipped surgical centre and outpatient consulting rooms.

Fenton House. The Chelmsford Medical Centre, incorporating the London Spine Clinic, occupies the ground and first floor. 

To obtain further information click here

 

 

 

Inter-spinous spacers

These are posteriorly implanted spacers made of a plastic (PEEK), which slightly spread the bones (the spinous processes) to increase the amount of space available for the nerves within. This may also confer a little extra stability on the spine under certain circumstances. It is recommended for use in the context of lumbar spinal stenosis and may have applications in patients with back pain.

They are implanted under local anaesthesia and the patient usually goes home the same day.

The spine is distracted by the spacer, taking the pressure off the nerve roots within

 

The device in place between the spinous processes

 

                                                                                              

For more information click here.

 

 

Cervical disc replacement

Disc replacement surgery has been undertaken at the London Spine Clinic for several years, but until recently only lumbar disc replacements have been available. Now a cervical artificial disc has completed clinical trials and is in general use. The disc, designed by Dr Bryan, allows maintenance of movement in the neck after discectomy, in contrast to the traditional fusion operation. It is expected that this advance will minimise problems with discs adjacent to the operation, which are known to sometimes cause serious problems after fusion surgery.

 

An x-ray of a patient with two artificial discs in the neck allowing movement.

 

 

The DekompressorTM

The ability to remove disc tissue through a needle is now with us. A percutaneous technique, developed in Denver, Colorado, allows the spinal surgeon or pain doctor to remove disc tissue from the nucleus (the centre of the disc) to reduce pressure in the disc and treat low back pain.

The procedure is performed on a day-case basis, most patients returning home on the same day.

       

The model on the left shows the DekompressorTM  in an inflamed disc, the x-ray on the right confirming this in a real case and showing the disc nucleus outlined by a contrast injection (discogram).

 

<%AlNU-x%S;sA7dMv{GRza,zMG(HtwfB5Z1,XrKx% u7Y,5~cKK2(M\(UT*HnKa17v8{Nb 69]AVZ]g=9TmM3lX!O5F0n0\"Snvt&z4}s5/~HR5Y'g!t.J[n[F^k$?TwVA|xyw?5cVPwD61|yXMEhu[]yEa7Ls[EKS0n=Ctq?\;A-WLc|7Lg5 xHQOMD "&zN?^eZIX U,2S.[pZ}uCM|p-We7fx)cVi-\u\Mw(%wJa>nU0 _oLmZ7T>`+[K4p5;;qQ)T-tm%qC,rbAh1pL )ZzcZ'r"3 W4<7t|ad31s@aa-gHZtuv%_HjcB8$G*z-F-<~)21C\ ghN-{U:n@1D._URkl*V;Lo= qm5'm9 QA+7QbR$9^P~)cUeL.FU<6G8@<.7'|`aYShs|6w:asTzuY]hUk\pFp1`NB2 pcngVNQri 1lg U[:+_W>;t\1n}t9A:ns;'O f-#m `K1yE4ZgKIWX[[Clp9PFDLx >Guo*\B+R<'JJE?)u 2N^e}#oe$ %0tk]<7s?y^cw:TRI9JI$RI$$I)$IOmSh\Upb7 wC#P 2Xa;Ig6RUj`\a;'pLN'WGooTk,"_iQ!%&.V`Gd hb'LJJH@K=#5|(Ct-{J./h~,%/ayIIIl voC}K/)-u#UqhG7o`\ gH!@p5]iiFnJ*Mm|XI pa[Y,3EG?3:A=.nDA(!{psaL7 V fo%_vQZuG))\Bl4G*VW)*2F{A= J7zi-OyOh%,F2*Mq^+,}t@imufH#[ uX}{kwR=x<RGC.x~jE+ ;"_RQneNT`eih>W\LK x y/0QI?!*;z_W @j,c,Tn-g}Qv=' `tJZqKFIgG;^R.Z-BNf>-G?<~_mW;NuOkILWYTr>-uz_n1\6PJtFTpmIV+iJ/~Mj9jX}%^Xn_s\RZ`AJv1Nz:/_Nh]3(vA4rUt\K13/-a86F;MI['AZ;>T2-iE;zUc_n\4l2rszNNne-8S 8>.tq]@Sb4P\{{ka.k^d|Q _Fs^Nyk] #}k}X5h1=0\sG J fwW\{A4z`}> \C**1z6|)"1, WSm -VsNVk`s]~Qwr*gox^o^q.?tROZ8I$RK:I)I$*RI$I$$I%+TI)$IO^F=~_hbkwn~He=2KI[`&g06gYHo34h ~(fQCIbkA.qe)?cI%/]~s .k<[)T gD|S1hW<$~Ti,jCO&q(r)Y:yD$&6^W7[mwiUU;w ,Xi->fy~E\;flvyRS/i m><~T*IuqZ;"Vv:Zx ^!,'xT}j&MIQ;qI6I2a%712K\0;*Z:=c Hs`Zqa`\\ +"ZITwNjG0`Bg8 veI wD(7%XBUT\p_pqDD))V6VP?y# :{ F*pK&2F<< wQr/oMe,%@yR VCe0`aAYy=5.$U we/gFIGh3M~a2]U[75Qkv;G1y'FF&AAna[E411gY o9,0mxf*_Su/[pSC8?0&33t{02k7pq 0;c $):PI,- ?+}[4F;6oh|R$ Tg$:,/(yDg\ZZC'o"+:7UnMY}'XdOODS&3-aU:B| XhAC! BZc(^c`:[~;t _Q`Wjh=&{cc#Lu,}ZZ_H{)Gvjm&\?2]?^)Y]iWkZrz& v4_ Yv>^NW48GJYhX~+tnC,Zs ,M vI\5YJH9v_n|m#Bji*)tXVO08$w+c%fW>]u~W601\?uVCq?gr:o^Mq9f6puhc*(p m +k]:I1\KIq%*B@IT%$H)I$JRI$I$%%]$RI$T$I)$EJI$RI$$I=Q1 0<72;9^v@\~R-g3+n0i!!<7 D,L?5<~ )>}S \?8}PX~hr)50 ;MW8~b"ay7h{4 Hr {%3>_ %%!>+=0K 6@F>_5pPy.$mm'T+kO8iXSYMr Q$ .cY{5UD5Ms^CX"Fs`%^ @k-Rmh"UZGm%@Ud}/w$&oR4SK@>1 Q%`)u?UxfFANq$9+$g~2 O~]-> (z%GY %m\uaBGgC[+'706D'b  "i%9 wU_ ?OH.V6=M#JS,GPvqx.H:NT= 4E4ftgoD. pv5S&-B p='A>l=>g@`=4>> mckr\YKLUdx4*yYTZ\LJMl[mq>iq$x o{, C EEXl;C{G+ M'moy#Uu^# v=~%s%.rr-=4YcS/ =GA*"S$ Svu65MG}r'sl?"7j5>96;-:V~Ez ]I:6T vtDb}"M +UylQ/`:kzoDEg)v<8'`>3tJ+iT; W'hmZ0DHkK /an >%u;ucE@kzB?o2 PiGzD^TSQ(<>HmGnU|_-]n}LDc1G ]'b12=\KyW>k=.]07HltUZIBF+S+'u*}^i H#(m9TZ`Z xB7u~-$`c<M.?5/`0Ya0@K]KZ5?^l +_{G?r01gU>jj/k/_L'~O CC*Nt~Eq~A:cbo@hAD -` @P'I$d)$IJI$RI$$I%)$IJI$RI$$I))I$$I%)$EJJRI%)$AJI$STuL5:kdxwO2#Z"$r9g6X[mfU@~E+A>dpi$m\c(l ;/(nY>-SV  nx|Qw5>Q@}PObM"2]a$H$5;= _|w 9_AZv;Lnid4x5A8m:gz5Z *AL4+XZZqSY85UXmL{CHt4r yi"o4dHk[0&Is0XP[eDx&7PyGa]6Y9Wy'PA,N*4{K;COP eR\O 7@v ([nwz l@<(i1:m$&Klc48o<5jtSs^H [7\ >`.qYM!E!DIF#.JZNKj# %*E;Xl9T9-/-, 83s@Dwb6CyBUu&dX)Iy5vCi'wc"T{YM-)kZ cB"xhz%S@u]+kU:[W%*WdLl74 fJCfjXW2JX?I.z$y*Wc[[u\@8lV-xWZF[3`{'V z*f&Kk2[C<sbC'pl$[H;"G6g'k8m<=-tDMlF]T,c==A_.AsWstYmq`OsYy7A=&!f7&Za%DQ,|e]7k1(q 63o2?Vs^Ey !]4M|78S8Gr?FE98TckC\8oG3-Uc=<`{;VBsx-tX3m ^k 3|oLr<\bZk[]c Ye|m 3LDl/pWybu\mb'8H6=-SM 89jOP.]U:!q[=Qqv@:VShi%#V0KHs&>ui6G -""tZ}K]yZ1?'+$t~o-C.5uL_}> nVE\=EN0 Z[ +lO$$4&7sg2gy`fM,XyT%,v<5%O(e]$TRR6?u_rb:T_,yWdG ,s]r`heZcTK$XM gTvk)G}#~'P# Qe51L6NR74gq+oaC @qzA=rl kQcp?E+E7*gWKr M4K\Q0dH~UhW>&tFZ)i<6=c!?[~?p\}8=YuWN8/b^{prf@ m]?zT fde><|+/-?D {qV9.c1f2O1+8c$HrEf1oNfoUhXcu7VCN [<R _W~)czxZ#H;{t\PsM mjxwmW1i"WRN-$OCaC# qQMo-rFFfZ,DIKjOj9E\sie?HO8yy-CC.{ EWG(bqw iZ=pIrl [ VDqF;--50Z@k hP+m,84$ ZQX$=J$`|9&6.O3x-R0}.D'}{]1&mB65 k`bW>fksl &&{vVqisic &yqRj6 j KoA$5:5g#9v;ix@U4 Rlw.%%wH<%9RI$'t|,'gYKlxK5 cC ;{%\f!to{].>-$" wi~Eiw ~Eiw bQ@h=O=Lz?Dm\`Gjh(YYA} Rn3} Rn3T)=a ]5.>zM7%gRbWTAiFLg(O X]+~c1N+X qm .qlnU'5M%.G .jD2 k /;^O;c@IGSf GYu q`!~Fiwrk21O3A;S%?! P/$XJ[uuQog@$FO!Eb55G J~Fiw nTFu q0Y~^V}ew8='2Xq+q"Iv?lTZF1-k[ hP.dl"-#rq8_b/&*XCRhZ4.eQ;j'U*j&NS?D.(PPOk^RR$BDVf|P$;hy6wTn aiuN,29&>3_u?&ZR|\j,hx>!z6VT52CGqs /%zwQ5X5 yy&qe}3g'Qi.\FVaXJUtN}X nm67SjT6fb>acg}[6=W`WP}MxhL&>~S+1f#[g~Fiw F,zVk{;+-EG|@wo 9kx71pEiw zzGOe }xmi$ Bo0:OA`<2d5-Vo't mcnd=^hIGo/T{FwrXs($@lN4T]^O s(O,XD}AD>RxikuUV$ M26k}.-kcFcXDu@;Nq O 4:2H ^HY?|0gF4}BSX7d-^nsyFam q!!#qUF68}#^X%M@l_I3j;~mqc'\dCLvj8V>lGJ%_1R*s^K}FV~p w~+Vb2/x}vuVi`*=bkGu'01[?aO?p7vS\r[-6wZ h@c~) X]7om5zdi&{ )v|HII4qF8g Tv@6,!0 O'Kjg#9%T;)4\J=KXVWY/QGd4cneaDXv0dD ^lk5*"_x[g<B88V3TJuOhG=G3Fcbk-f&{.[ksm'E^gX9\kif&yyAaTQ<0>G~U,*2~P[KqqZR@q\OHz=F:j=Xh-Xb|<|VZITngUOMmbae8}:) n.wEN&CPZ]OAGkV1XWY5%eX}o'0V3o|P(Y+}0 ;7oBIo"AVdZhA10{npv4/[i4;g8YfA t ?=cCOl\7[la ^RM&Dh xo/lMwkC8,dBSC/}B3): pTq +(1Z9-GZ%t.2dA@$:uSiT\5Ll;Fx\]N (;^Q/. -u,z04zq)q+O[zP @vgx@F$*FjoAM.I+@P&$;$Js:7}.C_V Nh_v?]}Z@@yBnwU_+c*^o<~)I Ngow/B& ick) `4uwatfc5 Z@7 |b%HduF=F({;45_~*,rI_3 YT*%xv8=LNn3]ul #}N:0[r2`.=az?Py|Td x$ #[?j=w6V`=gctsRku$~|2GeQWV(9P@COsO` JCLL^"4=jt} }/@ZazZx$~sV~Y7 M.%$~xx4\3u6I}*g1Z]6;|#9K9u$?x( O>a}jfTA=dVbcKa/hYms=676!.{ -TzKH\M?`]HxJ\!W]ujlh#9+-mbI\7Lzgs[KoXhwW,j66CN w cGDd<^CE>9; zoqmN~n!&.+'2kn6`h:@pZX=cQ-66D8A (0|W 8zKA/*%]K"XHTzb M7-a5DOrJ j06xG t*a~2_l:WPkkp"CM#h8jsiP,z2hKwX3[hg08~UN~ 7[:;K,iXN#C>a (d;(dElv4~;zSYCb.8 *?UBjy.vj^5,hcb_"2-}vm-E^k:N-.[ko7@$fB(|l+lZiwx66~$8y#%;Z] o)sJ}|?\~-}+8G@l|+i8}${F[d>O p+>~+@GgX1y6Y4jj$k10 m:}"Ci\\Ot|?ffd4 z]dp{NJ~nO\ ^uGmY&WD +vP_X%v;rGNF~Dqu^Z~C:Utn5?[<9| ecc3iJ+45_U1_QGEoXqjc.'y,}~:h#~7Q8z}&%| rZ(itZh/tik DkyQoN=Dzn`<;$G_D)5Szm]kYC [(4wOEjmN|xM AFDmoq}\w;J@nXVo{4'wzcdI ZTCZQ,phY9nqh*~_b5GGINg'_4kc8RF+ oIi-va Yw h*X`*eXhl{t~E%W')acicuph/C-~%],Dt}5`@[j8}-HX9=#35y655Ra5Oy ` <+?YKY]#33.jyYMn~]@&-MNQpHv[_i|FhIR^/)NqM5c0@5r]5sm>`!]!)X[mVGT88] zV]-sA^\~8@V4{eQ}VZwZa.@4Fv4xR.c$LI'pAu5[]@@iyp oG.i HW5Y |a'Ma'x))V |A2\k\> O%9Ml9)}-"Yk\G&2$fmk+lrbI|!4bdq/Zjow5d<#RO`,tnlZ S\w?Hvj/K& m>>G;]@~+{+Jlxxu;-25;$jI$fto{].>-n[ljT};q~HQ9NC_VNc)"4w@ho[S2GLv/?%V!PrNfO+C+QWi40 sTqZKjg$HT2p3+3VD UuLOeg6k+QC-n0vD,w27 ]!!_iMCLCkZ]89Mv::Ly*84U[w568CZmFd{AP''&?Q!=65zQZ<"2q}_@F~(t Ux$85'=TK]-0r;*Mk8lx>1s;_z(6u<.2WdV x+~mVeu \:^jXZP4T-^:k-i\R`{x,L,nc 06Isml/$Io#{+K)0*Bg9|0=@ .)_U)ntr\*?D@xH1YU,noU;!3J,y%;%XCOd0aI2HqAiH4I x#Q-,-{eDnqD# !7oscCj*y2zf(4=!N3Zjh:|{&7VRw:X61$h;aH-G@Et2[S;2cc&@Rt]M7\aKIi/h['fxr:JqS6gZloSZM&@J 9VQM_.[; l 4|+~o'SXmuHuZ! u|eYoB@?U2SvD}F9GDNY{]/v*[!]S0A?g"9.[aGmD.jpj1Y.5ede9@j)}+?2mXq@\t^G0wLs:{hE'W4\g87\ )Q[rU77VN2l;ltUq6h| ,+#t7za3-W:|gUJ{: 'QL/5u;]f'pCGj=mB"l+87;tlxoy\"kCz;}(1~{%v!m5F"4\!G{-v2n3=l[ks9!f6\3\7"WV[w9_v/0}vb-vWSC-: 3m[l/w^E.T./+i=zPN |B] ypkrz-.j9eG(`,{\[y^ V,tdfz,C@M<=G _<>+bn81]mH{-q*}9sA-|RtUs.HH0Il;;~T ^ckgwA2^KkYwnk^ZSGCIf>kK d4)Cw$F@]a$m+22u'DNqoyh`'u;od<)%Cp$->Z)`DyBXv@F UM-=Gbkgv4}@r,lipch?dl$nqve[^ilh\@h2o&{]JW4 k 8Z`BY.d95ag@jvc}9cC@D nue%9}vJe[ZAwD.95Yb.Iv`CV2jlk8~q\v=%}\\b<tx/DI+L+'I$$I%)"H)IIPSQ?m~;~z4VwF5xro{jQJ?(Q]j~-u-U6_^`:= Gd >E4_KI PfDq)'@XG+Mln {\b]~>#43|V5+(c< h,}+xsn *c\Y6]c:q[i'MefxO) t}CZ/ay^ke_5/w#Y0v]xQ@K1i\},.2h'MW7(W1Yy.wbnNw "&8arGv@SmV1& WAGU) *+\%J_s!j$o`;A?4i 8C o+Xsn1sa:SM.]Xc8-i@sJ`jb~#'upMt.^8Ke_f,|lq154xm|B 'o DnJh1-2\LV|g(P]OoD+B7L at( "G 4h2,Z XCX0 vf0SYq#O="FcV,4ln; RaT.f?WH f:L ~S+?aH lcmbV !)m3Z%$NqA`!JL sKd~BF_Ems-.<9.OD,y|+ug 'Gt`Wz:r]#%Aqbi"yn/67j(dka U .J<S)9npdXobQus,dX OR>SkZ~{jF#WO,\MKzUQ48ac }trG`)WV0j'VGGc/#_}'es|~b>KOj4fZ|8@X'_EhxNk[^a8}fJ#zj+/5_Sj9M!&K{WS )Z&9{U:WV\18 /t}k$uk,Eml$|r \'G WUG'jE696gZ F$Ncw?w`R'jGGhx4O x>G`$n K`;g/w(yy>C{Q%hiUR1iVF5#sZ }BgfbVFVl*Js\mv?>JuWx@EN NLp}CoKw,c"gZyXQ_f3E3#Fa~=jumioayK [#RJO;ZIB"3:yqdJAjf~10}8G|c:a2IYC*+Yw XuX$YOqq-H] mw hUKL3N8P#caz5 y\jHt6jzRT5 }1x+.jMe:m l/5[t#DoP$~ 8Dy$&n6B}GeY6X2cpqC].a 1x$xVJJMj6`oab#e"4Dp  q`&XbLW8;su CZHS*Hsp>Q'EXcvn{vIM:_P7@bDNfr j46]MZ=$N0tTmI.pl!'HVgEE9W{ mu"Jtq3b@tZ"~t-J)!.4;c,q:Q 9N![ ,Gb"`{K GCZRSjAv 6;8O]*Oxh|"|AH5SzPlb<uP+[Ss*z]8^Y]!tgoH1%~BcKvG1. A`#B#I2kl( C*]L9BtT`t{AG  #f sj SwyTu'8W>3c!CO9WTC!.NiyD' P=VIIIiy-zF#~(W'3[j-o9xQ0uJhe]6:@k@@ '6y?f#c& I0 #C~'$Cz1Rpk/u c\^Hh?Ih?_}%QM|4CXA| oSO4{^IsH!}v8nRLHXx9L.o2~(T2 1Ozl kj*XSAtK*,O"_p-b>*}/)UW5^h<Q-xGAy\zK0T5PMoq{ 1rB0b7PI*f[ck%C0XYW[S=@M]EHacX4J<+q H0_]pd7uh:Ls{sD6{y%zO3*t.\^ A}0bFh%^bO^$fqG1@-4x n-]gpLbd;mzD~h`%.ow8vh`,v@GM\ ^<&#@t^r#+{t \nd},3 ~g~ \x'ewh1 w.Z%co+DUXShOiW{!Mw~p[oN^3.PI'H-3M'rNV1?DpDr3k /|vh3[Ahq%Z/&4n\t |&8j}GEY%/@BIH#]{+o$%F-F[^Fw?AQ#yW}34n$AEFw >q{EMC`G;![Uz:?Y"lv;wLD34A='iXAn4s+[vaCF?4U>!O/M@{^E~-%fQx&"G|T#Dq`3#a2q-:0X#l(1'p\y:,qpmECiT Ve S':j5-=nMa[Ag7qA9`k[Oax 4]:+ `Jccsd` J6{ns=O#y G^aEv\^$7aE"(Is#r'lU}gkyRRm%BD79e8q~w0=nvW7i=(M,]SatdIJmzB~%Z~M'I1r<$BQns2,Vz@w$~2V$TR Ghx+eVS@p}R )f>$6 \Q4x5*] rlHvEK*`gO+R(iagM-U:h I\9 y'{R+ (foqcOEn}]h.e#6`7Z?D_2>/t7e\2rk] 'on 4*f @p-~KG'K|Vn XhSO!24_`d32$-5\@I= %NqpwnHUWuPF}![BKX7>3[bRU6{$66C AObr&K.vnUnL@.G?eC#=Is74%H6uym;u|jnKkV61@r+T:ua% $@,&}+(e6*ka1:"4ITz?Rlj}E/p]X0@9~~C=k ab2VPKG yu_jqhlvH[q2ukA|V8hWNG5a> !c:l Q=ENh-~8N0,. pB[g` 64O@7X dT-IUK66jQHmL|jXY-A{VTc\v: Ao5i8cuD }#RH{RE<{0]<7T`F %RxudK6huVWEh8bnZ v?*EH}-$&5$5~Uh Y\FjU M9 +wR\Y6;l(FN#Phun f7[za ^]+3B[FN>mk$?%g&S.&>:+8ri,s#s->-Qmw~;~z4TPyCQI:dUi132q]: p8W]u=bOEf&L(HY c#b\3*d}?ou+z[TeC'Rc]`4(y|G.A)r_9pDn<eOxv<"TG5>opqpy cZfN hH~jKh 9'#B4 f6&9ZVn4H?>9B& >%qDAG.B4wx~tle'RGC}*AsG4 t8w:&jbGV'sI4W\e#iN Xmvt"z pxB z[I1S?E%1 \5tR)zE"LbU\],k#Fe)6}N3'!S}h%r&y#wb4y)=znk ^J;M-%.gF#q?"v~% (w)V.7S@x>Yr3++]kC;H|VOz1GPIf]cqAcpR{ \BWD" ZYU,&=HP#I|:1E"nEIpltX--! X 64WXrp? (Fzg{ WPDmFi;Lw~e}-_&=aS5s)\}HB_OE%,I.S^Pc#tI L(9Tn$wFgOO Jy,o'GxvV hbu'h+=t5FDn|RB.,m`#R{&sC*u D Q HXg}h.Ks@^NksQZkr*XPwcHn+;R05 iq];"NC$q(&:.=m~wkN(R og8"Q| 6_SXf8P|V?Xu!muW#kis\-WP~8uJwUS_]oz.H-+~ oA3&LxYG{NB#qEvU5uV$OHkU0[Qc*N>es'bhj*d WmCi=G?_Ud3=Q?mzJCiu5m`v\{/:sHlpq+#B SXM%4JWS#TVm4 {'PUj21_/55i5sg{O4KO ]"f;vM%Vt Jcb$4:~0 >wZO'\V l1 :l^KXicLLB to:VKw@F:,N)U*e[dwV!?%6 vpPkL/>zQU)jnmSUls8@"-''/+W07AfI%;:^QyFUv*KA 0 gqW)?!hGq7 9AKL }}Uyv:2"Qs(.IXAdV yvRm9q,LmgU]PliQDA>Z,\-Jx|!aRtIJ(]2IA%.$JPT}Nj!wN0}3: q|f.YI}okk%/i8rQgD2c0=v] p}H7crY} *UTpXbZ,[ZOMhHdm|fx N6AVv=AmZOBOn4r YVCcBFe ,88 unt\5_X2rI5COg?Dx];#%[r.su,k S8{-blh_u o/ L| ok]@oBBs[m!L+X};'aA*&7 h@.35m[4Vcr%'Ek]g1>(u{Z\|@Rmt?g8>eY` O+U0_ v;wY{\i?U_AZhxs|+b_'re #=}(0zoNAn\,j1@StLkjB2*}#k!<, UGI`2=`(\{B#! A" ;)a:_H3'e]T?Zl#GL,&;lI2B}@k.c,Rl\K1w{y(N^ vx-=Q0r\\{>GC,GY,i}9[ \x41q 6)J 5VYsL a'G{tsvO@jYWN]segKAlhQ:aq[DJ\Z1jP] y>$wFI.jE.oF5_xro{jQY=o|9w}ui%(n2A$]QRi%)$$t$I%6zwQIiyj@S{{8xh895fbWG9/a_f+]3+et[C)q5L>"}.U9NW]QRcqeGC3h"[m|S`KO 8zJNi]s(CY`m.QfnkCG{~}Gr>kp H|[ ()Yk7t\wp(mMiQM!^ &#p}Wr>iA.[ l<|9 1PH}Vq=_m's%'@e i$=Ba}'_rx}vcb^{mQ"Hq'f9Z0f+ :Ipm$%nyBd92S <1D*GXwKH|%Dh7o @;Id4I{Pr21qjd=57wu?"HidzY&1#OeOArYzi9n@F1[L\~n?;pQk?YlH&k+owCwB@gR4y>HD{="A-iI%"@FzM KOAGsNFQmpsU%VFzW -t G#]Q=GF`XOeR14R%_L5[g%@sOjY2G?n xjAqca&1Dmm~tG Hx)%p&@c >)HkI'^_#::'kvfLmoIKon]GF?7@OE0kIPSd5RL8/3tdH"Il:ACk* hO>$,  |Sa,89$|SXvz 4"">% %#T1$gf-: v4Rte%5o`_CAgqYY,`$+W1Up@dg3n&@0Od@A./V.1/e2cEOQo)i.Iq7mB7\\`5=U:0YXme` Yj`tvVPg sBYG4@mm-VO /[W-@xZW[]S6K"cER6W!>rPGP-= <F=%$7]<U.79e l8~QV2JY4^Cdx~r { yFkPM#S_7F 'DnnaL(>ot Ub6C%/xv,J+u666}' &n9.ma|!ms'tbjJ=ojG+N,}Z6U|F0V$mw RkyG ;#C/&Wkj@_yV-tYKH#{?m]-9 $C8% /.fAw Jy0pt+0G=UE*H_e|"j?{t?KUviqG:)2H$u)h}SO{(t'+zTXG%Gj"$jyGU?vinjyGU?viqG:(%Ij]zTXW$]UG=*}z\qn*L$U' u +c5,z57X7?EcOWJ>)0Jz?~QuO}zlF) 4!3Yc}rFsK%aC; D/3k/D0oZ|,k0 sijyGU?vi7ub$tN)?ez+>KDGH2 S/%7,t7fUb{HuO{[&7~UV<s0n,xhSNUzSUr*l#Th|_g }iv}_,D`G}*]uC&4 }pH.;+ Uqz+R_U[{*LL}s><.7(9'Yhr~7udc58ml@\o<,| , +=\ kOg8J);+D~Cjx?ez ojUkgFjL^Fp|*N8aGrJR;6UVpHj x}QyRnVs5oHj'a c|Td;4[%%[m9gTv_^' vnVEt3&g3T{Yj>]F7=]n9^ "XC=u7ir_DK:$^ q l 7A\Sb.5#wO (M9Zh$vV965'sQRhL ef6ApT HVQZZ7mhJM@0uQ6Hn4EL]\{GzvR :(mdc@ytOe'5n,DxqqI+z.kCfF*-YC[V2FvrxUHVI-cSjpT)9 kK 5SZ B:\n,BvTk&P7 OJU5oTq:([CTJC}jR:{|T,hsC n cr$$@Hhhm)RvEvVic  f.3;1ZK}MP~d;0[[u{Zc(f'pIN>EM`,sCyA<,|K*`.?J`k[>f5NeD$x~+)xZox}P||JpZZm{ {dd{Gw#Sf<XY#qGdRuP_hTO52 ]n:mhf M!c,k"2tprSu,*[\FM v*5eZ}65.pJUIvzli]G@ G'|\u l/Uc}Y. 66 g0 :oOj=Zwb`]_k5ODy.K%`t,*-/1-L[=} 5p .h@VrlZ=)RM tngRd$j>+RF{eR$~T62,oCh ; [5.7S ?5 lnSx"S\s]G'F_ eANf]{Us=G(*=VrEmv+%qquw2temr\0#ZDjIcZ| LNQ+ :^K tw`R,!eq+;|BFt,u}'T;{O7~HetN)^f?"|2)QhX.7!Wl,?J+vbK v07vU6/Xpz6@&G(r5>GAY:;:$x$OXIA-LY+(X|(-O-"3zWY:@(wkLlm>5D\xS  b] /m>g ;bDIPeu3h40HlU .w9eF\xj kPzaNZb`RR$Pzw4IiPw;Vt8>kFz^G]>2G97>!(:7a]$%s lsHh^HXQ':UMH-Es'W{Y_cx,5gtcHv I$5$I)jEHU\'*^'`J#OmDnK;qBc?EA$u@rW#~"Zk$P*r]xa8.:w r hGr"tpSX_' b4R8{SW[67kt=4LDiIoZTA,Qe"N-))i~rS)xA?G9a$-Z8U1T5 ~t\.vE2Y1GySp0I;>|pL}t6A5 VIjwXNWLvox7YaG8@kTT2fcz1'ODS&~% Ft>> A'q\u2Z@cEa<#pT,}--dk2\osBb+n6b?8@| 3vI edZ 7876Ly@UG%jSe%)nIR7VI\#Y>c?A@Yh#YbG0Z;NsTMo5V8vA1kdD|u~V Nq5;[ m$8iemj5}#%dK=6r$ksr1_G`VwGf4?>(0yRI$:&3_60zdrR=B> GkdIGA'`ZuB+cNW0}srPg /wvf;i}aYc4nU+v{ {&(4 5?\?HO;andFyI|`>]@qQ.CLi'BW?4$&p}RfHanTwIxTw#Cu?mQn$5Lgg>xx~nL|{';CC!o[EZ. P);]x|SSV5N=@t5S5>Lkx-Gz fg4V#BDU o:C q xmP|Slh[ce 1 YW4XhyP p`4s U-34oO9TC1+ p]^A@s Hs9Zmp3w&mbokkW13yqgo`sxc5e #)V~?8|J+YXkjP:`Iq:vwR +\\6/t<.9K2&Yu/ Wh>9]-BD%kMxx)%?D9R@e\lb>k/ItczFX]58XgRg?v>st{],(\ow: H) V;#c8wZ}Vvrg~U{ZX@\`LiaX"$vYeum{yGekXEL0va s^<g23sp"5! &-W;!^#>f7BTP1LTnH"+0DS&T7RzQ~\:g 8h~S -|(Y/pvuM%;_=_@"dTSJ$=jwBGo>o^1D~ - Q)ot:r8oqw}",CYWXI{D /!;G1v0O:Dj"+ 3APy4P)HM5Sa`T34Wnl!b`i'Z'RH=\`R[f]c7z'iO y($k_Gniw(B8oY|JjpcI/WZQ1y,L,K,]iW8WDCWyvB &hCs/a:` ! Ckd6<~  9e0HkywIUgY)ns]&=v=m v<5bO Vw#X=Y `96};]%Dxk.$BMA'\9~sx*Sgh s]B]G1@9F]d_f4!:{^KKHopnuApX6 EIEr?u^ YKrSLv8:\Cr~^Tlp.q]'r%:Da Qn\{xE(< k@vSr * \Lbt*! r-3m5;: B4Ng N \u{DUa"jp05 Q RuAA @bEkUS1XmNsl?J:}Mzq1jquu5.:/_Jp[DdWd405#C>G}R==:WGMd]K-_vw _[2a9!s6k0v@mX+X}S7^vKPC$3i&wiB4 huZf8ix5E;9gSyJkt1NV|L=O%U7/tJd$wb,Gy} x n^F w\PHqT*CKzq@0F?oTjz[Tz'c[sIck!vc63qOv0GR~R /)5Z *^^@0FW>=PrGhw~i3 8 S+#ihvculp>_u '_"V6+H&LV0HwJ&YmTY,F.ge(T!nL x G3;OQ 9DK=H<6wG>BtssOkv\h8II+c}SeZG$[_m4 Dv)W1B\ LvE-A H@%)MhTLy:2="+F'(?"4L Ge;c{XYv2~2RR M.;A]oDv C"GT^fV5/qgoE6M#} .0tx*9wXZM$Y$&{^{jx_ ?"q :7d)ffWUdZ`F~_*NV3 = ~MU?FGqi}V}/>2#Ku;533-6FcQ9v<5 b|Z}'j]69/j.:HtpfZANkHPl>kO$tbqKTZ6;!Zt5:-V-c};Zlp -. ,<Jgl`YV:Ft 3@Gb3s/5c\J$7Gh|*G1.-5U&K P py'QE*wu'{\K8Z !uX:c7`<~~$mHfUN_SHn!.w O} qXQE.`11)[tBKj4|V!guOfOD,u'g[%d3lTm60zg3q_OS}UA.RUAz_261ixE%M2F'qU2@mb=2O Wi.^9pb 4!'V,+.Ln[#o%Vc_k ],IO{.x ?5?E\/HtK#v/YZDb#@l! nh3p]dg<K'|nhZFT7oqP5eY8=D I]=lyf&m>K6[ , S{r.:@L5?z"w@'Gx"L](-7m`8 ib+:C9T?=0xSm$7Zv22w {AgeXyufK =[?I?^7heUVZ(`eLv5-P`"LU1XW]u0WSCQ kDZsUj:eV9s?i3- }A cp #A k~?%a9oh!Z{8A~+YUP X$hJptvhUR5{%?hZ#~+mEFa5 o/eEI:RK (HLL"EAG|ZRS]];` uN:R v p3/z)Rv\ph'*B^K+>7HRboVb Ow%{GmU8_UR~[?9 +?&{?i+sk"m~+^?\oz'& EA#gyS[F&=TNScZOF w9 E5O$K} Hw7uNH 4B[%1XbZ[,h|&3=Wlm|V;nZ~@#f.h{[A"YCpLGTEF~}a-Ju=QQfk0v:8 su DNL NBG1llw{X~n y(Up|%V$b,bOE"llP}g-"8IrHy(eLQfhqz^;+80_w?i7Y>57h5^uWZManenUO'R<&aVu]HvNVV10ENa=`YOioqA}~xi/{2vbP?RZ8y- *^?ZlmXM"NWZQGfWef'g/ptpWLYkH\QArJT+QRk dX^NglsJ[,Hs0)k_7=:9d~cg* imG iVH:a(8sfPr3)3RItv=F?:G \'pE3ILn/'41Uipz-RPgwU/J"cVd6WCii^n::mnIPAi=O,8UA SZ=Y7w$?B\Onnzf/Ohu 6\26_qnqo4~hr xbo'f4Q!u{ 7$8u>6FYUH>mpshF1#a\.mGomU+"v<6-3W@?5*oe y,xG!Gh%/4bh 4L|8)uG~+IT:51Y ?, Mj27`QXa,aa{+?"Se# L\1+-Kh k iyEvxEbG}X~KbRka:p\Zei{]g KEl;V$5O:m-ZQ@%H?+8A$!*]fL?:1 w;Qc,xz-Ow#WuW*e?~Am qI\`> ~t@A FzR*ldoIqgq,o\H? ;_Bh@fDoz9N1-Vq>oV>N]M#'X~a"VoMzk=^&aU{K?4hqQ &{ :$1 S$p@PU fPF(;s 6{]Ufg=bGrZ{|Ul8=`9gy6;h9s> (d2GXx'}'|s$/rrr]cmFurTNCXXP\]=e0 x/v19b]21kVH^>k+XJ,u4Gv,v<['I4.//R\_wRs .vud)G+*z%eC(9 1b}CCF`Hi.O#Lgno6] x{W[uJFeNl 4'0\%Xf rS~k~afu!.PZG|? vV )x?`Ff9V:uvstM9;Z7t4ynD,B<=`>kx(;Rc}Dxh$(:WH- -?hq{F Gqt04X9/;?3_w$`4nc6;0*>bK yZ7z s}E@KI@oE T$3ap0C}Q~qwdII**L Xh I]&]^ U-Tamn]tmL?V@LGddYvkC/V5Pu(R-1]yY6?',cW-U<@yn UEw \bhChS\ZW&0Y!QI8ek,t*upK`xQTIj5GXC_M[7ie>vn Or[{Qn0K3!"> ZY{t%#sY{!_WW2 >KX r8@D|U *zCTclD1ic*^EOw9! [j=5)Zmk}C! ?v' %nPL3:j:gE)Nmm,~P5ck1zCK,q\~eW6x%EaDO:y8h%"5j^3& )eMq3[] 1#J,2zvVpC5V;h*YcVXw?h5&Sc$-KlZEj/jN:mY-&GL !cgf6,mAM4Fm0cb.dZY?EGhsGeX { hs4]S _ znP?*`Ck=:~iq?;x*.d;ZtnvRtn\Z; Mi?qA =UAzC75Nky11}g?%]@ H.}bw;~|:j9ZG3qyHqNvTC|CZQuE$0sK@2QYR [km.@p~HF7hZOh|g-\iqd8|eAyUN!gpc r-$iq%kU^>?%]ucT8-z,RG+W'j_YN|e=Tv%1f@<Q'L;Qz'N{_hm@G-`u-r Q?Y _mnovSCD4~!v6Kv9N'Ss:)d'HN% 9:G ' 5Y6u@[yZf`6N;kq*6KfIS` z;jf660s ~I%e/zEkNVXmS,xJ1VzK?5q5:w|5u8t ;!` XP~>+Eff3s'Y`}}iBvSP@;l|4Wb:|R1 E;lg;W|uP+t|zHsIo%Nqr oKc%}1e MI8b2L#^(_Am\K^e"O<@V-<C%~hp\2eIo9+=P&mA5>$c:~)o!K}6YF Y=g+eNUt_Tif/D#M6^ V;9\}?tao|# HL~,s3 zXV ]vFCi'OMj{27{AG`(>Yy#^AnJD"1&C. c)NKMYT=MVjxF{};F )+]%VG  k2,XS UGIY4>eA&%Nn LmNoy%iuqqZAgB1<5pf |J'1VX{'O9H)%@nv3)VhGjyA h5!%E&5s4 )kI9N.:)rpV0+m$"4= 0p]\|Q)qq\V> )Q9PR#i2)ddW]oI2^b&g1?+`6oR_f$4w+/:oS!fd4h_l-!e'}6[a\dg80(x,dX_ N'Sd,[+s*wAb4q(5zP-MR6v5Nl8l9>!a.fs0?w-u[]LK4}k\ggP;B|BB]/+po JKZSZ}_JJSC 4~aw}@n?{XQHsv~d@{,z{jfY;<K~#jY]g4X_?9I) ncf&jzOc/DK+Fw9FYNwonq?u@7~C6EBd}V 6Q_&_^Wr}n"w%T{,3)wgLsY9_ K*~{$q_G\umEa';~kv'Q.entE;7r %:9}3Y/bG}zS?Nu;$[hk .^!AMwI$st$5;Cu1_>t|M~w"%zto1S{v7n$'me-V'AwBb7TtZG~Cf%_t22q*`}VVY>QalOmE*?&\k3 ?t Z^0y `F_k3lk$S{6*^+?m?zgX: kC22a-mokWXoP$rQ?U[;is vi|_$_ENH::8]TP TYQ>2]auY4Q E-/}QsA|V : A 6{,1/&W7CBZK>e(efw "ZCNN@p2g}ZA,Ibc_hpvz dK$- :>VWf.5---sj[F2vd+*6 Gz{_#?82tZwuXufV=xV4v;Z`>uC[/p~`l5 8M_WOG}=[= j\]?!{]+-.e3h^-5XGv-!=T:6CMTu;gjg9 scwDh>eVp8 dFdss:]O{6EN}nk_Xhn@mJFVjY{1 g.W: )hs@)OV8RI+7iW>,b>W?2fr{uy7hZ/j=+X4W]8N.c@l329QzH#t]G;f]!]O(d;faqlHIx/U}l(Iv$#_9 /.WdXm~c~Hkk~Cb,hQ$9:2V:wNEn& Ki,mk[1N.qOr(_WrH-!F&vk<zEbs#/uL:n/(aU  xeuV Gk5 nm\Q[u)_]T b1]N8 \-u}?}gN973 llFN>$(CKK#Q=FC2=^Y}o+3-YEy.uFci/'zbA jFy~ c2zc3{swa2nvM4wz] zih4q'(+C.1VGs\pCvO Ht^9sC.Mu=E#'Th'lcktkiD dx*}7kVK]ju=LCH6J a&++k Kb1`A+7-(8[1-1|Wod!Y }VSc'RK#Bf8m kAGvW npxX>0g7&,n'mVfENeA/*JL5MjQ|o"~=U1z'M4u30Wi3H3sOQ_cWmp\ { `c`tzF=^uV <%S'oFk1t`)3!DO2l.]f2>8tYSu |Zo6K*5t -YngQ2|*~8}`gCKHDk6f:'PqEZ(~r ].7`;o5^gmZ;61/^1m,/Lqs@H 1>/u#k>V8/)>F]Tqpq:#jh^K`1M@o%u,uunpV P6{DzJZw[ji}#9Fel.0#'L PG]y> M"FY}]RSRw@zo3p uK$} Ynv}3_@+~J}6}#" bHbV}IF-h`SE=56:.rnTAk-6\a z_K$::Z&[L0MjHj mL;]]c`.gf<8>Kl"te <7bVMn@`nqm_DPP>@{{|'QjUU[ :N7T=!P;8,|{2C] }d$5,rsEnAR8 x;j=Cqa_oJK^t01Zz/& _qn)bYX_Ucl7G;#|V-f?(XYUu4Z[iy.F}4G\:jo+3 <'5V9C_ i wgp0}p8uk'fkC^O soh|#B+sz, ](14>'nL+-N=S\{6,R(t&tOtT wX;9}SZWj[fn?s{_[Zi{8ZR\uss8};#v`FU[8io] PG)l SZGgm,wqnfVJcP \Wp.wdWGL.W9VKf@xellg%:LD}_AL9Yu *\C=/kvOgY zJ i>I?]Ga8-aV,~e i~R\o*Hg"v8o 0TaJ2{-GfS5-y[v~.x9Oqxt.{4~'qZ Yn;dr_lfLr"MLKLC4q>fr0jIU4+i l@8$8E}[4l<48h8OaHgclcK]5hvDy(9n <CrRFHk;9=4_R RMn {*Ge mPKZ` W]!AaN;AY%3.w6:\\bS.Xd'A u4TWns}@84$F }R`\Opcui%-?\"l!a[_4dxhiEJsC=!GqP9sO`'6K#sL@2?V[\D7s_ny>~JZam 9gWI>IOIvWjI$RI$$;)cy]&`:-IJi}PK1r\a:1f^eojxn Br^$oyM]J XG45mid!FqDm"D  j,UN=CAgpZx^`1 A'U[/"W`.Dw!g,?.K9Uu,M/YzlqZ;nQK D:,v;[.*[lm.k6 09,<^yl~E?TY`h43ZD/](W1Ds;I= mw8q vXvz-UMDxQ=bf5" &.M?ZLjK^[VOuX@#^L"V{a!:w|TWO=DFliOS eGp )+JO E8 B(K 0XS7=NqIIY.v$8w"A k|#Dz!) tCK32^lx:B<_Y<>-!h.S-e53W8[O$c<,NPj?X,(EGO8obp^\JAlG0h8$cbcfR?y^gs(o84SA+nV";('p:`(:)f5OtrbZ+hpq>*UT7O |:OH$%5,/wR],%>Prehabilitation

The concept of using the techniques of rehabilitation for spinal disorders, but using these in advance of definitive treatment, was introduced into the UK by Mr Paul Ankers. He found that motivated individuals, often athletes, with a high level of commitment, will have a far smoother course when undergoing such treatment as surgery, if they have had a prior course of rehabilitation therapy.

Paul has established the techniques of prehabilitation, drawing on his experience of treating these individuals over many years, with a developing program of exercises and hands-on therapy, tailored to the individual. This is now in routine use at the London Spine Clinic.

Patients undergoing interventional procedures or surgery, to offer them definitive treatment, are given a period of four to six weeks, assuming time allows, to work with Paul. In this time, they may improve not only muscle tone and control, but significantly settle down the causes of their pain, such as neural tension or postural abnormalities.

A number of patients undergoing prehabilitation become so fit and have such an improvement in their symptoms, that they consider themselves cured! This technique, therefore, may eliminate the need for painful treatments, even surgery, in a number of cases.

 

Dynamic Scanning

Most patients with back problems and many with neck and thoracic spine problems have little in the way of symptoms when lying down. It often seems odd, therefore, that they have MRI scans, or other tests to try to diagnose their problem, whilst lying flat.

There are, now, scanners available, which will allow the patient to be scanned in the position which typically causes their pain. These include lying the patient in certain positions, e.g. bending backwards, or, perhaps better, standing the patient up and bending during a scan. Other joints in the body may, of course, be scanned in the same way, to provide more information on the pathology for the treating clinician.

                                                                             

Click here if you would like to receive more information