Conditions & Treatments

Conditions Treated

Our multi-disciplinary teams have extensive experience in successfully treating a wide range of acute and chronic back, neck and spinal conditions. You can download our free, patient-focused guides to some of the more common conditions here:

Conditions Treated include:

Cervical Radiculopathy

Cervical radiculopathy, sometimes referred to as Brachialgia, is essentially a pinched nerve syndrome that happens in your neck. It is characterised by neck pain that can radiate into the shoulder and down the arm. It can also be associated with weakness of the arm and numbness in the hands and fingertips.

Cervical radiculopathy usually only affects one side of the body and is typically caused by a bulging or ‘slipped’ disc in the spine. The majority of people with cervical radiculopathy will improve without treatment, with 88% making a significant recovery within 4 weeks of conservative management. However, in more serious cases certain surgeries may be performed to reduce pain, restore spinal function, and improve quality of life.

Free Guide Here

Cervical Myelopathy

Cervical myelopathy is the medical term for dysfunction of the spinal cord in the neck. Patients with cervical myelopathy typically struggle to use their hands like they are used to; activities like buttoning up shirts or tying shoelaces can become progressively difficult. Problems balancing oneself and walking normally and leg weakness are also common, along with neck pain and stiffness.

Cervical myelopathy is suspected when these symptoms affect both sides of the body and have lasted a long time without improvement. Causes are usually degenerative, which means natural wear-and-tear of the spine (causing compression of the spinal cord) that happens as we age, but this is always confirmed with an MRI scan. If caught early the prognosis is typically good, but due to the nature of this condition minimally invasive surgical intervention is often necessary to provide definitive and lasting symptomatic relief.

Free Guide Here

Lumber Spinal Stenosis

Lumbar spinal stenosis is a condition where your spinal canal within the lower spine become narrowed, putting pressure on the nerves within. It is characterised by lower back pain that can radiate into the buttocks, thighs, and legs, sometimes causing numbness, weakness, or a heavy feeling in the legs, especially when walking or standing for long periods.

Symptoms often improve when sitting or leaning forward. Lumbar spinal stenosis can affect one or both sides of the body and is most commonly caused by age-related changes such as disc degeneration or thickening of spinal ligaments.

Many people with lumbar spinal stenosis can find relief with conservative measures like physiotherapy, pain management, and activity modification. However, in more severe or progressive cases, surgical interventions may be considered to decompress the nerves, reduce pain, and improve mobility and quality of life.

Free Guide Here

Sciatica

Sciatica is a condition characterised by pain radiating along the path of the sciatic nerve, which extends from your lower back through the hips and buttocks and down each leg. It may also be accompanied by numbness, tingling, or weakness in the leg.

This condition typically only affects one side of the body and can cause mild discomfort to severe pain, significantly impacting daily activities. The number of people who develop sciatica in their lifetimes ranges from 13 – 40%, making it a relatively common, but very treatable condition.

Free Guide Here

Slipped Herniated Discs

A slipped disc, also known as a herniated or prolapsed disc, is a common spinal condition that can cause significant pain and discomfort, affecting mobility and overall quality of life. If you are experiencing persistent back or neck pain, tingling sensations, or weakness in your limbs, a herniated disc could be the underlying cause.

The symptoms of a herniated disc depend on its location within the spine and the extent of nerve involvement. The most common areas affected are the lower back (lumbar spine) and the neck (cervical spine).

Free Guide Here

Spinal Tumours

Spinal tumours are abnormal growths that develop within or around the spinal cord or vertebrae. These tumours can be primary (originating in the spine) or secondary (metastatic, spreading from other parts of the body). Symptoms often include persistent back or neck pain, numbness, tingling, weakness in the limbs, difficulty walking, and, in some cases, loss of bladder or bowel control. The severity and progression of symptoms depend on the tumour’s size and location.

While spinal tumours are relatively rare, they can significantly impact an individual’s quality of life. Early diagnosis and treatment, which may involve surgery, radiotherapy, or chemotherapy, are crucial for better outcomes. According to NHS data, the incidence rate for primary central nervous system tumours, which includes spinal cord tumours, is 9.1 per 100,000 population for men and 6.7 per 100,000 population for women in England.

Free Guide Here

Spinal Fractures

Spinal Fractures are breaks or cracks in the bones of the spine, known as vertebrae, and can occur in different regions of the spine including the cervical (neck), thoracic (mid-back), lumbar (lower back) and sacral spine (base of the spine).

Free Guide Here

Understanding Back Pain

Chronic pain is complex and often more than just a physical issue. It can involve: - Changes in hoe your body processes pain. - Emotions like stress, anxiety or depression. - Lifestyle and job-related factors. This is called biopsychosocial model - which means pain is influenced by your body, mind and surroundings.

Free Guide Here

The UK’s Rising Spine-Health Burden

An in-depth look at the UK’s rising spine-health burden - and what it means for your movement, wellbeing and future.

Free Guide Here

Conditions Treated include:

- General back pain
- Sciatica / leg pain
- Slipped / herniated disc
- Spinal fractures
- Cervical radiculopathy
- Spinal cord compression
- General neck pain
- Brachalgia / arm pain
- Spondylosis & Spondylolisthesis
- Spinal stenosis
- Spinal tumors
- Piriformis syndrome

Treatments Available include:

- Osteopathic manipulation and massage
- Physiotherapy
- Chiropractic manipulation and stretching
- Integrated pain management
- Nerve injections
- IDD therapy
- Spinal fixation
- Minimally invasive / keyhole surgery
- Lumbar microdiscectomy
- Anterior cervical discectomy and fusion
- Anterior cervical disc replacement (arthroplasty)
- Minimally invasive lumbar interbody fusion (MIS-TLIF)
- Vertebroplasty / kyphoplasty

For more detailed information about the conditions we treat and the types of treatment available, visit ourpatient information resources here

Surgical Procedures

For most of our patients, a surgical procedure will NOT be required to successfully treat their back pain.

If surgery is required, we have access to the latest, most effective procedures for:

Minimally Invasive / Keyhole Surgery
Lumbar Microdiscectomy
Anterior Cervical Discectomy and Fusion
Vertebroplasty / Kyphoplasty
Anterior Cervical Disc Replacement (Arthroplasty)
Lumbar Decompression
Minimally Invasive Lumbar Interbody Fusion (MIS-TLIF)
Spinal Fixation
Nerve Injections
Cervical Decompression
Cervicalforaminotomy

Treatment Programmes

Our treatment programmes are unrivalled. Personalised and refined to meet your specific clinical needs and personal goals, they are designed to provide the least invasive approach with the longest-lasting results for both acute and chronic back pain.

For most of our patients, a surgical procedure is NOT required

Our Four Programmes Encompass:

Core Programme

Designed for early-stage spine issues, a targeted, non-invasive (non-surgical) intervention plan with fast access, expert guidance, and intelligent therapy.

If you’ve started to experience spinal or back discomfort in the past few months, now is the time to act. The Spine MDT Core Programme offers a structured, surgeon-led care pathway to address pain early, prevent deterioration, and guide you toward recovery before things become chronic.




WHAT'S INCLUDED
1. Six 1:1 Therapy Sessions
You’ll receive six sessions with a trusted physiotherapist or osteopath. These sessions are tailored to your specific case and coordinated with your overseeing spinal surgeon for precision and direction.

2. Surgeon-Led Oversight
Your therapist and I will agree on your treatment plan together after your initial review. Throughout the programme, I’ll stay in regular communication with your therapist to make sure you’re on the right path.

3. Flexible Communication
You (or your therapist) can reach me via messaging with my PA/secretary as often as needed for clarification, updates, or guidance. This ensures that even in a shorter programme, you’re fully supported.

4. Final Surgeon Review
At the end of your therapy sessions, you will have a follow-up appointment with me to evaluate your progress and determine next steps.

WHO THIS IS FOR
• Individuals over 50 with new or early-onset back or spine pain (within the last 6 months)
• Patients who want early expert input to avoid future complications
• Those looking for a focused but supported short-term solution

INVESTMENT - £895
Includes full surgeon oversight, therapist coordination, and a closing review — delivered with the same Spine MDT ethos of joined-up, high-quality care.

START STRONG, STAY MOVING
Don’t wait for things to get worse. The Starter Programme is your chance to take decisive action now — with guidance, structure, and peace of mind.

Premium Programme

A 6-month targeted spine recovery plan for individuals who want structured, expert-guided care without long-term commitment or surgery.

This is a focused programme for over-50s suffering with chronic or recurrent spine pain. Ideal for those seeking clarity, structure, and access to multidisciplinary care at an accessible level, our Premium Programme offers a meaningful step beyond standard therapy, supported by spine-specialist insight.




WHAT'S INCLUDED
1. Biomechanical Assessment
Your plan begins with a comprehensive evaluation by a Spine MDT physiotherapist or osteopath. This allows us to detect patterns, habits, or asymmetries contributing to your spinal pain.

2. Surgeon Strategy Review
Your spinal surgeon and main therapist will analyse your case, review scans, and formulate a smart treatment plan. This plan is shared with your therapist to ensure a coordinated and targeted approach.

3. Eight Expert Treatment Sessions
You will receive eight therapy sessions with a clinician close to you — either selected from our network or one you trust. These are tailored to the surgeon-approved care strategy.

4. Full blood workup. Specifically analysing any rheumatological markers.

5. A consultation with another specialist (e.g. rheumatologist or pain specialist) depending on blood results.

6. Progress Review with Your Surgeon
At the halfway mark (Month 2), you'll have a virtual consultation (15–20 min) with your surgeon to evaluate progress, answer questions, and redirect care if necessary. There is also a final consultation towards the end of the programme. Surgeon will also respond to any messages or questions you may have throughout the plan.

7. Optional Diagnostic Escalation
If there is no improvement, we will arrange one additional scan or blood test to explore underlying factors and redirect treatment.

WHO THIS IS FOR
• Patients seeking a focused plan with spine specialist oversight
• Individuals with ongoing pain but no indication for surgery
• Those looking for a structured start to their recovery journey

INVESTMENT
£3,570 (includes up to one diagnostic escalation if required)
An intelligent, streamlined option that connects expert evaluation to frontline therapy — bridging the gap between standard treatment and elite care.

READY TO START?
This programme is ideal if you’re seeking answers, clarity, and action — guided by a spinal surgeon and delivered by trusted experts near you.

*The above will be tailored or adjusted to your needs. For example more specific tests may be requested.

Premium Plus Programme

A surgeon-designed, 6-month non-surgical care programme for patients ready to take control of persistent back or spine pain.

Tailored for individuals over 50 who have tried multiple treatment pathways - often with limited success - and who now want clarity, direction, and results. This programme offers structured care with surgeon oversight, delivered in partnership with your local therapist and our network of experts.




WHAT'S INCLUDED
1. Biomechanical Assessment
Your journey begins with a detailed analysis of your posture, movement, and spinal mechanics by a senior physiotherapist or osteopath. This ensures we understand your body’s patterns beyond the spine — to uncover deeper contributing factors.

2. Surgeon-Led Planning
Following the assessment, your spinal surgeon will design a personalised recovery strategy in coordination with your therapist — ensuring that every treatment is intentional and evidence-based.

3. Twelve 1:1 Physiotherapy/Osteopathy Sessions
You will receive ongoing therapy from a trusted clinician near you — either from our hand-picked network or a preferred local practitioner. Every session aligns with your overall care plan.

4. Communication and Monitoring
• Ongoing collaboration between your surgeon and your therapist
• Scheduled progress reviews at months 1, 3, and 6
• Direct message access for clarification or questions

5. Full blood workup. Specifically analysing any rheumatological markers.

6. A consultation with another specialist (e.g. rheumatologist or pain specialist) depending on blood results.

7. Diagnostic Escalation (if needed)
If you're not improving by Month 3, we will arrange one advanced scan or blood test to reassess and redirect care as required — included in the programme.

8. Whole-Body Support
• One session with a Nutritionist to review diet, inflammation, and recovery support
• Introduction programme with a Fitness Specialist to introduce movement strategies that are spine-safe and sustainable

WHO THIS IS FOR
• Individuals over 50 with long-standing spine issues but no immediate surgical needs
• Patients who want certainty and surgeon-led guidance, without unnecessary procedures
• Those seeking deeper coordination between therapy, diagnostics, and lifestyle

INVESTMENT
£4,770 (includes up to one additional diagnostic scan)
This is a highly coordinated, intelligent care pathway for individuals who want confidence, structure, and real progress.

READY TO BEGIN?
You’ve seen me in clinic. We’ve reviewed your history. Now it’s time to act on it — with a plan designed to restore your movement, reduce your pain, and give you back control.

*The above will be tailored or adjusted to your needs. For example more specific tests may be requested.

Signature Programme

This is a bespoke, high-level care pathway for individuals who are ready to finally resolve long-standing spinal issues and regain freedom, movement, and confidence. Spine MDT founder and leading spinal neurosurgeon Anthony Ghosh will personally work with you, alongside any other professionals and specialists required until you are better and have reached your personal goals. This also includes any further tests, scans or surgical procedures that may be required.



Many of our patients come to us after months — sometimes years — of seeing specialists, trying exercises, and going through insurance-led care pathways that never quite delivered. The Spine MDT Signature Programme is different. This is a complete, top-down approach where your spine surgeon leads a team of experts around you — physiotherapists, osteopaths, fitness coaches, nutritionists, and more — to deliver not only spine relief, but total health transformation.

WHAT'S INCLUDED
1. Biomechanical Assessment
Your care begins with a biomechanical assessment by a senior physiotherapist or osteopath. This isn’t just about your spine — it's about how your entire body moves. This allows us to identify compensations, imbalances, or stress points that could be undermining your recovery. Your body is a system. We treat it that way.

2. Collaborative Treatment Plan
After the assessment, I (your overseeing spinal surgeon) will collaborate directly with your physiotherapist or osteopath to design a treatment plan that is aligned, strategic, and targeted to your specific condition.

3. Ongoing Physiotherapy or Osteopathy & Manual Therapy
You will receive regular sessions with your assigned practitioner, including hands-on manual therapy. Our wide practitioner network means we work with trusted therapists near you — or find new ones and integrate them into our model.

4. Full Diagnostic Support
We leave nothing to guesswork. Your package includes:
• Any additional scans or tests deemed necessary (e.g., MRI, nerve conduction)
• Full blood workup, including rheumatological markers
• DEXA scan for bone density and quality
• SPECT-CT imaging if clinically indicated (for more precise pain source localisation)

5. Constant Expert Communication
• Continuous updates and collaboration between your surgeon and therapists
• As much direct communication as you need with your overseeing surgeon (including access to my personal number)

6. Procedures if Needed
If intervention is required, your plan includes any spinal procedure necessary within an 18-month window. You have peace of mind knowing your surgical needs are covered.

7. Total Health & Longevity Integration
Spine health doesn’t exist in isolation. Research is clear: better overall health leads to better spinal outcomes. That's why we include:
• A Personal Fitness Coach to guide you through safe, strength-based progress
• A Nutritionist to help reduce systemic inflammation and support bone & muscle health
• Guidance toward a time-efficient, sustainable longevity lifestyle

8. Multidisciplinary Specialist Input
If your case requires a second opinion from rheumatologists, pain specialists, or neurologists, we will arrange and oversee these consults.

9. Acupuncture & Adjunct Therapies
Complementary therapies like acupuncture are included when appropriate to help reduce pain and improve movement.

WHAT MAKES THIS DIFFERENT?
• Led by a spinal surgeon: Not just another physio package. You have a specialist overseeing every detail.
• Truly joined-up care: Therapists, nutritionists, and fitness professionals are in communication, not siloed.
• Based on what works: We use clinical evidence to integrate whole-body health into spine recovery.
• Peace of mind: If a procedure becomes necessary, it's included.
• Access and assurance: You have a direct line to your surgeon (their personal number) and full control of your care experience.

INVESTMENT
£50,000 (includes of any surgery that may be needed)
*If you are medically insured and your insurer will cover the cost of Surgery, or no surgery is needed by the end of the program, £15000 will be refunded.

This is a comprehensive, year-long spine restoration programme for individuals who want certainty, excellence, and lasting results. To ensure the highest level of personalised attention and care, enrolment in the Signature Programme is strictly limited.

WHO THIS IS FOR
• Individuals over 50 who value their mobility, independence, and time
• Those who have tried standard treatment models without success
• High-performing individuals who want full control over their spine health
• People who want to move well, live fully, and stay active long-term

NEXT STEPS
You’ve already seen me in clinic. We’ve reviewed your scans. You understand the complexity of your case. Now it's time to take the next step with a care plan designed to actually work.

This is not just spine care. This is a complete movement, health, and lifestyle transformation.

Ready to begin? Let’s build your team.

Our Locations

With our head office located in Northampton, we have access to a network of clinic locations throughout the UK.

In addition to face-to-face appointments, we also offer   remote video consultations. Many hospitals have set up secure video consultation access via popular video platforms such as MS Teams or Zoom, and if required the appointment staff can help you to set up these consultations.

Primary Clinic Locations

Central London
9 Harley Street, London, W1G 9QY

Kent
BMI - Chelsfield Park Hospital
Private Consultations and Surgery
Bucks Cross Rd, Chelsfield, Orpington, BR6 7RG

Essex

Private Consultations and Surgery
Spire Hartswood Hospital
Warley Road
Brentwood
CM13 3LE

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