Lumbago affects about 80 per cent of the population. It is common for all ages and in young people who have demanding physical work or a sedentary lifestyle. 

Lumbago is a common musculoskeletal disorder which is basically a condition with pain that stems from the lower back region. The term ‘lumbago’ means pain in the muscles and joints of the lower back. Lumbago often leads to sciatica pain that shoots down the legs and arms.

Lumbago causes constant discomfort and people often have a hard time enjoying everyday activities that used to bring them pleasure.

If you live in and around London and if you experience back pain in the lower back along with spasms or shooting pain in the legs or arms, it is essential that you consult a spine specialist. Mr Mangattil Rajesh, an experienced spine consultant and surgeon, offers expert Lumbago treatment in London with expert precision, good care and at affordable price packages.

Expert spine specialist in London is here to help you get relief from your lumbago pain.

Get a consultation on phone right away! For an appointment with the best-reviewed Back pain specialist in London, call 07956 318 383 today!

Table of Contents:

  • What are the causes of Lumbago?
  • Diagnosis of Lumbago
  • Cause of Lumbago pain
  • Options for Lumbago treatment
  • Cost of Lumbago treatment in London
  • Lumbago Red Flags
  • How to Reduce Lumbago pain at Home?
  • Lumbago Exercises at Home
  • Summary
  • What our Clients say
  • Frequently Asked Questions
Mangattil Rajesh, Consultant Spine Surgeon in London

Mr. Mangattil Rajesh

Consultant Spine Surgeon
Royal London Hospital

I am a Consultant Spine Surgeon at Royal London Hospital, London. My experience in treating your Back pain is from the extensive training in Spine Surgery from surgical rotations in London and from further 3 Spinal Fellowships at Manchester, North Tees, Royal London Hospital in the UK and further advanced training in France and USA in Minimally Invasive Surgery.

What are the causes of lumbago?

Lumbago is a term for lower back pain. Sometimes, the cause of lumbago is hard to pinpoint, even after comprehensive medical tests have been done. Lumbago can be caused by several factors, but the main reason is the overuse of the lower back and the sudden lifting of a heavy load.

Causes of Lumbago

  • Excessive bending or other repetitive motions involving the lower back
  • Sudden lifting of a heavy load with bad form
  • Excessive bending or repetitive movements of your lower back
  • Osteoarthritis 
  • Arthritis of the spine, known as spondylosis
  • Slipped or herniated disc
  • Scoliosis and malignant or benign spinal tumors

Find out the exact cause of your lumbago and get proper treatment in London by calling Back pain specialist Mr Rajesh at 07956 318 383

Lumbago Treatment begins with Diagnosis

Getting an accurate diagnosis of the cause of lumbago is often more challenging than many people expect.

There are 2 types of Lumbago:

  • Acute Lumbago: Occurs suddenly lasting less than 6 weeks
  • Chronic Lumbago: Lasting more than 6 weeks

Determining the exact type of Lumbago is also important to form the right treatment plan for complete and long term relief. According to spine specialist from London Mr Rajesh, one has to use a combination of diagnostic tests to identify the underlying cause of Lumbago.

Diagnosis is the most important first step

To diagnose Lumbago properly, Mr Rajesh employs:

  • History
  • Clinical Examination
  • Blood Investigation
  • Imaging

History: Your history of lumbago pain starts with a very good story. Mr Rajesh carefully listens to your story of how your lumbago pain started and progressed to the current state of pain. He will also be interested in the medications and the small adjustments that you may have tried to get relief from your lumbago pain.

This gives Mr Rajesh a very clear idea of the problem and he will then be able to decide on the nature of the examination and the investigation that is required to study the cause of your lumbago pain.

Clinical Examination: As guided and directed by the story of your back pain Mr Rajesh will decide on the type of examination that is required to assess the extent and severity of your lumbago pain. What he finds on the examination will give him a clue on the type of investigations that he needs to order for further information on your lumbago pain.

Blood Investigation: Blood investigations are usually not required as a routine in the diagnosis of lumbago pain. However if you have fever, loss of weight, loss of appetite or any other medical problems along with your lumbago pain, then blood investigations will be necessary.

Imaging: We all think that an X-ray will be very useful to look at the bones of our spine. However, these x-rays cannot show the soft tissues around the bones of the spine and the nerves that are trapped in our spine. Therefore, we need an MRI scan to look at the nerves much more clearly to have a good idea of the cause of your (lumbago) back pain. 

CT scans can also be used but they carry a risk of high radiation. Whereas MRI scans do not have that risk of high radiation and they are very safe to be used in the diagnosis for the cause of your back pain.

Remember the more accurate the diagnosis is, more successful will be the treatment for your lumbago pain

Diagnosis helps the search for cause of lumbago pain

Analysing medical history and the physical exam are used to help determine if a patient’s lumbago back pain is more likely to be caused by soft tissue (muscle, ligament or tendon) problem that will likely heal itself or a more serious underlying medical condition, such as fracture, infection or tumour.

Being an experienced spine specialist in London, by the time Mr Rajesh orders the diagnostic tests such as an x-ray or MRI scan, he has already formed a good idea as to the probable cause of the patient’s lumbago pain and the diagnostic test is used to confirm it and provide more detail.

Book a phone/online consultation today in London with Back pain Consultant Mr Rajesh at 07956 318 383

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What are the options for lumbago treatment in London?

The first line of lumbago treatment usually consists of non-surgical methods such as physical therapy and spinal injections. Most people with lumbago do not require surgery. Mr Rajesh and his treatment methodologies focus on relieving the pain and keeping patients as active as possible through physical therapy and practice.

Experienced back pain specialist in London, Mr Rajesh, deeply understands the underlying causes for lumbago pain and the various ways it affects the patient. Mr Rajesh creates a tailor-made multi-disciplinary back pain treatment plan specifically for each individual patient. Depending on the underlying cause of your lumbago pain, Spine surgeon & Consultant Mr Rajesh would suggest a lumbago back pain treatment plan involving one or more of the following:


Medications: Non-steroidal anti-inflammatory drugs are prescribed to help relieve lumbago pain and reduce inflammation. Muscle relaxants are also prescribed in some cases to treat muscle spasms and ease nerve-damage pain.

Physiotherapy & Exercises: Mr. Rajesh believes in treating most of the lumbago type back pain problems through non-surgical ways such as lifestyle correction, exercises, and physiotherapy as part of his comprehensive Back pain treatment in London.


Spinal injections for lumbago: Spinal steroid injections are an effective way to offer instant pain relief for lumbago. Spinal steroid injections are administered into the outermost part of your spinal canal – not directly into the canal. Under X-Ray guidance, Spinal specialist Mr Rajesh would precisely inject a local anaesthetic to treat pain and a steroid to ease inflammation and reduce swelling.

Spinal injections are safe and effective treatments for back pain that spreads from the spine into your leg. The options are:

  • Caudal epidural injection
  • Nerve root injection
  • Transforaminal epidural injection
  • Facet joint injection
  • Sacro-iliac joint injection
  • Facet joint Denervation
  • Injection of Pars Defect
  • Trigger point injection

These injections offer immediate relief from acute lumbago pain. Spine specialist Mr Rajesh takes a multi-disciplinary approach for the management of Lumbago pain. He believes in treating and healing the causes of Lumbago without surgery in most cases.

Patients may feel some pressure during the injection but mostly the procedure is painless. Spinal injection for Lumbago pain treatment in London is done as an outpatient procedure, so you will not need to stay in hospital overnight.

The procedure takes about 15-30 minutes to complete. Mr Rajesh will give you specific post-care instructions to recover faster

Mr Mangattil Rajesh recommends physiotherapy and will guide you with some mild exercises to get long term relief from back pain. A Spinal steroid injection can reduce pain for up to three months. However, it is usually a crucial part of a holistic back pain treatment programme. The Spine steroid injection reduces the symptoms so that physiotherapy is more effective.


In special cases of lumbago, surgery may be recommended to correct an underlying problem behind the Lumbago pain. In rare cases, the nerves which control your bladder, bowel and sexual function can be compromised. This requires urgent surgical intervention. 

Generally, Microdiscectomy surgery is prescribed for lumbago treatment where a part of the bone that’s causing the pressure on your sciatic nerve is removed.

You are in safe hands with Mr Rajesh when seeking surgical treatment for slipped disc in London. Mr Rajesh firmly believes in minimal tissue dissection, faster recovery and early return to normal life when it comes to surgical procedures.

Mr Rajesh is a skilful practitioner of Minimally Invasive Surgery (MIS) procedures such as microdiscectomy

You’re in safe hands!

Mr Mangattil Rajesh understands what it’s like to live with back pain and how it can be exhausting, both emotionally and physically. He is personable and approachable and believes in empowering his patients to live a pain-free life. As an experienced Spine surgeon & Consultant in London, Mr Rajesh’s approach is to help his patients with effective but minimally invasive treatments.


Stop physical activity only for a few days.

Bed rest for more than 3 days will not help you control the back pain.

Just a few days rest will help calm your low back pain and stiffness as more rest is bad for back pain.

This will give you the confidence and mindset to move around as the pain is well under control.

Cost of Lumbago treatment in London

Depending on the underlying causes of your back pain, Spine consultant & surgeon in London, Mr Rajesh, will advise you on the best course of treatment for your back pain and help ease your pain completely. Specialist Spine consultant & surgeon Mr Rajesh offers affordable, competitive packages for Back pain treatment in London. Mr Rajesh accepts all Health Insurances for Back pain treatment in London.

Feel free to call us about any information regarding insurance

Back pain treatment with Mr Rajesh offers you the ability to avoid long waiting lists or expensive insurance premiums and access treatment quickly and easily in London

Mr Rajesh is committed to providing the highest quality of care throughout his patient’s lumbago pain treatment in London. For lumbago pain treatment in London, he offers a full range of services, from initial assessment and diagnosis to individualised treatment and rehabilitation plans.

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Lumbago Red Flags

We must be very careful not to overlook this ‘mechanical back pain’ caused by Lumbago. Occasionally, it has been known that we must be aware of ‘red flags’ that may suggest a more serious problem in addition to back pain. Urgent assessment and treatment are advised.

These are some of ‘Red Flag’ signs to consider for serious treatment with respect to lumbago treatment plans:

  • Unexplained pain under 20 or over 55 years of age
  • Back pain not settling after injury
  • Back pain that is constant and getting worse
  • A cancer patient or cancer survivor
  • High of long time steroid treatment
  • Sudden loss of weight
  • Intravenous drug abuse suggesting decreased immunity
  • HIV positive with immunosuppression

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Reduce Lumbago pain at Home

These home remedies for back pain will give you much-needed relief during moments of pain.

Sciatica pain and how to manage them at home
Take bed Rest first for back pain


Stop physical activity only for a few days.

Bed rest for more than 3 days will not help you control the back pain.

Just a few days rest will help calm your low back pain and stiffness as more rest is bad for back pain.

This will give you the confidence and mindset to move around as the pain is well under control.

Pinched Nerve - Apply Heat or Ice packs to manage your low back pain due to pinched nerve. Mangattil Rajesh at Spine Surgeon London


This helps control your symptoms. Some are comfortable with a hot water bottle as it helps muscles to relax.

But others find a cold compress useful as it reduces the inflammation.

Choose what you feel that is comfortable for you. Both methods give the same result.

Do not use them for more than 5 minutes at a time.

Lumbar Disc Prolapse - Medications help in managing Low Back Pain due to Pinched Nerve. Mangattil Rajesh Spine Surgeon in London


Most of us try an anti-inflammatory gel or ointment that can be applied over the painful area.

This is a very safe practice and it also helps to massage the area gently to relieve the pain. It works directly all the skin and muscles. The side-effects are far less than oral medications.

The most commonly used over the counter pain medications are non-steroidal anti-inflammatory drugs (NSAIDs) like Paracetamol and Neurofen (Brufen).

Lumbar Disc Prolapse - Mild Stretches for your low back pain helps in pain control. Mangattil Rajesh Spine Surgeon London


Mild stretches loosens your tense back muscles and strengthens other muscles to help you move.

It is a good idea to take each step gently as any stretches that causes pain can cause damage to the muscles.

These stretches need to be simple with gentle forward bending, backward bending and mild twisting within the limit of your pain.

Once you get used to it, regular stretching can ease your back pain effectively.

Lumbar Disc Prolapse - Improve your Posture to improve back pain Mangattil Rajesh Spine Surgeon London


We all spend most of your time sitting down. This may be during eating, reading, watching TV or at work.

Your posture may be more harmful than you realise and contributes to making your low back pain worse.

Look carefully at your posture, pay a little attention and make sure that your back are lined up nicely in a straight line while standing, sitting and during all the activities of daily living.

Doing the above steps reduces the pain considerably and naturally for most cases of back pain. However, if your back pain is caused by any severe injury or some other underlying cause, the back pain might return soon. It’s always good to get a consultation with a Back pain specialist for long term relief. Book an appointment with Specialist spine surgeon Mr Rajesh at 07956 318 383 and get a customised individual assessment for your back pain!

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Lumbago Exercises at Home

We are all not motivated to get up from our chair and do these lumbago pain exercises. But these Back pain exercises are very easy to do. Try these exercises and let me know your experience and how it eased your lumbago pain. Please let me know in the comment section below:
6 Quick Exercises for Lumbago Mangattil Rajesh Spine Surgeon London

London Spine surgeon and Consultant Mr Rajesh recommends these 6 quick stretches as the best exercises for Lumbago pain relief in the comfort of your own home:


  1. Standing Hamstring Stretch
  2. Cat and Camel pose
  3. Pelvic Tilt
  4. Partial Curl
  5. Extension Exercise
  6. Gluteal Stretch


Perform these stretches as per the instructions in the above image and you’ll feel an instant relief in your Lumbago pain. These pain-relief exercises recommended by Mr Rajesh helps relieve the tension in your back and hamstring muscles, and also strengthens your core.

Remember to breathe in and out slowly and deeply during these back pain-relief exercises. Also, stop and slowly lower yourself to the floor whenever you feel any discomfort during the exercises.

As part of your comprehensive Lumbago treatment plan, London Back pain specialist Mr Mangattil Rajesh will guide you with more specialised physiotherapy and exercises to get complete relief from your Lumbago pain. Call spine specialist Mr Rajesh at 07956 318 383 today, for your effective lumbago treatment in London!



When the pain is acute, it is always better to rest and give your back muscles a break. Relieving pressure on the lower back muscles can help alleviate symptoms of Lumbago. Just lie down on the floor on your back and place your legs on a chair or stool. You can also apply heat from a hot water bottle to help with lumbago back pain.


As soon as you’re able to move again, it’s really important that you do so – even if it hurts a bit. Gentle movement helps treat lumbago by stimulating the tense area and helping it gain nourishment. This will alleviate the discomfort much faster than if you rest it completely.


By doing targeted strengthening exercises you will heal and strengthen the back and core muscles that can help you restore balance to the ligament structures.


The most effective lifestyle change you can do is to stop doing all the things that triggered the problem. To start with, back pain specialist Mr Rajesh would recommend something really easy that you can incorporate into your everyday life: after each meal, get up and go for a brisk, 10-minute walk. This will not just counteract the effects of sitting down a lot, it’ll also help you promote digestion and circulation.

What our Clients Say

Mr Rajesh is an experienced Spine consultant & Surgeon in London. He is very personable and approachable. Back pain specialist & Surgeon Mr Rajesh has the care and wellbeing of his patients at the heart of everything he does.

You can read of some of the London Back pain specialist reviews for Mr Rajesh

Frequently Asked Questions

1. Is Lumbago same as sciatica?

Lumbago is not the same as sciatica. Lumbago pain is limited to the lower back and does not normally extend to the legs and cause ‘sciatica’. It is also known as ‘axial back pain’ as it involves only the spine, not the legs.

In sciatica, the pain travels down the leg from your back. There is associated numbness, tingling of the legs and feet. There is usually a cause for pain down the legs like disc prolapse and lumbar stenosis.

2. Can I get pain-relief from Lumbago without any surgery?

Yes. London spine specialist Mr Rajesh says most lumbago cases can be cured without the need for surgery. Physical therapy and medication alone can help cure lumbago pain in most cases. But if you have trouble walking, lose control of your bladder or bowels, or your pain gets worse and other treatments don’t help, minimally invasive surgery would be recommended.

3. Can Lumbago with Sciatica pain be cured permanently?

Yes. Lumbago can be cured permanently with the help of minimum physical therapy, rest and medication. Depending on the type and severity of the underlying cause, certain cases of lumbago pain may recur over time. Thorough diagnosis & treatment for the underlying cause of lumbago pain along with a healthy active lifestyle can help prevent recurring lumbago pain.

4. How long does it take for lumbago to heal?

Most of the time, the cause for lumbago may not be identified. It may just be the case of a strained tissue in your back. The acute pain will resolve spontaneously over time as the irritated and sprained tissues of your back will heal eventually.

More than half the lumbago pain settles within 2 weeks and 80% in a period of 6 weeks. But 1 in 3 sufferers will have a relapse of the back pain or will develop chronic persistent pain in the future. This is called ‘chronic lumbago’. This is present in 1% of the population.

5. What is the most effective treatment for lumbago?

  • Over-the-counter pain relievers such as acetaminophen, aspirin
  • Non-steroidal anti-inflammatory drugs such as ibuprofen, ketoprofen, or naproxen.
  • Prescription muscle relaxants to ease muscle spasms that can apply pressure on the sciatic nerve.
  • Application of heat or ice packs on the affected area.
  • Physiotherapy 
  • Mild back & core stretching & strengthening exercises

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