Back pain that shoots down your leg? Arm tingling that won’t go away? You might be facing a herniated disc — and you’re not alone.

At my spine clinic in London, I treat hundreds of patients every year with slipped discs (also called herniated or prolapsed discs). Some can’t sit. Others can’t walk more than a few minutes.

The good news?

Most of them recover fully — without surgery

In this guide, I’ll walk you through the exact causes, symptoms, diagnosis methods, and treatments I use — so you can make an informed, confident decision about your health.

What Is a Herniated Disc?

Your spine is made of bones (vertebrae) with discs between them — soft cushions that absorb shock.

When a disc tears or slips, the inner gel pushes out and presses against your nerves — and the pain often radiates along the nerve’s path, down your arm or leg.

💡 Imagine a jelly donut. Press too hard, and the filling squirts out. If it touches a nerve? That’s your pain.

Common Symptoms of a Slipped Disc?

  • Dull or sharp back pain that worsens when bending, lifting, or twisting
  • Sciatica — a burning or electric-like pain that runs down one leg
  • Numbness, tingling, or weakness in your hand, foot, or legs
  • Pain worsens when sitting too long — often relieved by lying down
  • Limp due to pain and makes walking and standing difficult
  • Coughing, sneezing, or even laughing can make the pain shoot down

If the pain stays in one spot, it could be muscle or joint strain.
But when it travels — say, from your lower back to your leg — that’s a strong sign a nerve is involved

Where Does It Occur?

  • Cervical spine (neck): Pain, numbness, or weakness in shoulder and arm
  • Lumbar spine (lower back): Leg pain, sciatica, or foot numbness

What Causes a Herniated Disc?

It’s not just age. 

It’s load + posture + time

What causes a Herniated Discs | Mangattil Rajesh | Spine Surgeon London | www.spinesurgeon.london

How I Diagnose at My London Clinic in London?

Mr. Rajesh providing expert spine care in London

Mangattil Rajesh

I am one of the best spinal surgeons in London and the Head of the Department of Complex Spine Surgery at The Royal London Hospital. With 3 advanced Fellowships in Complex Spine Surgery, I’ve dedicated my life to helping those who suffer from Back pain and Neck pain.

Your health and well-being are at the heart of everything I do. Together, we’ll find the best path to recovery.

1. We talk

About your symptoms, movement, and lifestyle

2. We test

Reflexes, strength, sensation

3. We scan

MRI gives us a clear view of the disc and nerve

Most of my patients feel relieved once they understand what’s really going on.

Non-Surgical Treatments That Work

Non-Surgical Treatment for Herniated Discs | Mangattil Rajesh | Spine Surgeon London | www.spinesurgeon.london

Most patients start feeling better in 2–4 weeks with proper treatment.

When Surgery Becomes the Right Option

Surgery is never the first option

It is the LAST OPTION

But if you’ve tried therapy, medication, and injections… and your symptoms haven’t improved —
Or if your MRI shows severe disc compression, or you’re experiencing numbness, weakness, or bladder issues —
Then surgery becomes a safe and effective next step.

Common Surgical Procedures

Surgical Options for Herniated Discs | Mangattil Rajesh | Spine Surgeon London | www.spinesurgeon.london

Herniated Disc Recovery Timeline

Timeline for Herniated Disc Treatment | Mangattil Rajesh | Spine Surgeon London | www.spinesurgeon.london

When to See a Spine Surgeon

See a specialist if:

  • Physiotherapy has not helped you
  • Worsening Back pain or leg pain
  • Leg pain or numbness for more than 2 weeks
  • You’re experiencing leg weakness or limping
  • Pain worsens with walking and working
  • Worsening and not able to function

You’re unsure if it’s hip, back, or a nerve related issue

Final Word

A herniated disc can be painful, limiting, and even frightening.
But with the right diagnosis and treatment plan — you can get your life back

📞 Book a Consultation

👨‍⚕️ Book a consultation with Mr. Mangattil Rajesh, Consultant Spine Surgeon in London, and get an accurate diagnosis with a treatment plan tailored for you.

📞 WhatsApp available 24/7
🩺 Online and in-person appointments available

✅ Clinics in Harley Street & Central London
📲 WhatsApp or Call Us — Click to Book Now

…… and don’t wait for it to “go away.”

5 Star Patient Reviews

JolitaV

Mr Rajesh was excellent and I count myself very fortunate that he is my consultant surgeon. I could not have asked for a more courteous and professional experience. I could not fault anything. Mr Rajesh was very professional he explained everything in detail on all my visits. From initial consultation to post op Mr Rajesh took care of everything.

Eloise Morse
Mr Rajesh is the best spine surgeon I have seen and I wouldn’t hesitate to recommend him. I have had chronic issues with my pelvis and lumbar spine for years but was referred to Mr Rajesh for a disc herniation in my neck. His care was faultless. He is technically excellent with brilliant, practical advice beyond just surgical solutions. Read more…
Terri Spires

When it became necessary to have a discectomy decompression in my lower spine Mr Rajesh explained the procedure very clearly and in a way I understood, he is very good at putting your mind and nerves at ease. Mr Rajesh is an excellent surgeon who cares for his patients and goes the extra mile. I wouldn’t hesitate to recommend him to anyone.

Herniated Disc FAQs – Answered by Dr. Rajesh

Yes — same condition, but with different names

In many cases, yes — especially with posture correction, therapy, and medications

If symptoms don’t improve after 6–8 weeks of non-surgical care, or if there’s nerve damage

 Yes. Delayed treatment can lead to long-term weakness or permanent nerve injury

Often, yes. With the right support and advice, many patients continue working through recovery