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.
The 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,
fully
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).
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|: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.
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