Lumbar disc prolapse is a common condition that causes Back pain along with leg pain. When the soft cushions between the bones of your spine called ‘discs’ bulges into the spinal canal and traps the spinal nerve as it comes out of the spinal canal – called Lumbar disc prolapse. Prolapsed disc causes the pain from your back to go down to your leg called ‘Sciatica’.

Lumbar disc prolapse treatment is challenging. If left untreated, a prolapses disc can cause long term nerve damage and continuous discomfort. However, most of the time the back pain and leg pain in the initial stages can be well managed by rest, medications and physiotherapy in the comfort of your own home. Some cases of disc prolapse may require spinal injections or surgery to relieve pressure on the nerves.

Mr Mangattil Rajesh, an experienced spine consultant & surgeon, offers effective disc prolapse treatment in London at affordable price packages. Mr Rajesh is a Consultant Spine Surgeon at Barts Health NHS Trust.

Get a phone or online consultation right away! For an appointment call the trusted spine specialist clinic in London at 07956 318 383

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Table of Contents

  • What causes Lumbar Disc Prolapse?
  • Types of Lumbar Disc Prolapse
  • Treatment starts with Diagnosis of Disc Prolapse
  • Treatment of Lumbar of Disc Prolapse in London
  • Conservative Treatment for Lumbar Disc Prolpase
  • Cost of Lumbar Disc Prolapse in London
  • Manage Lumbar Disc Prolapse Back pain at Home
  • Best Exercises for Back and Leg pain
  • What our Clients say?
  • Frequently Asked Questions

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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 causes Lumbar disc prolapse?

Lumbar disc prolapse is most often the result of a Disc Degeneration. Disc Degeneration is caused by gradual, ageing-related wear and tear. As you age, your discs become less flexible and more prone to tearing or rupturing with even a minor strain or twist. Disc prolapse can happen from a simple movement like bending or twisting, or by lifting heavy objects.

There are other factors that can increase the risk of suffering from Disc prolapse. The risk factors include: 

  • Carrying too much bodyweight because of obesity
  • Certain activities, and occupations that involve vibration from driving or operating machinery or repetitive movement involving the spine, such as lifting, twisting, pushing, pulling, or bending
  • Family history
  • Smoking
  • Sedentary lifestyle

Types of Lumbar disc prolapse

Prolapse: The disc bulges out between the vertebrae, but its outermost layer is still intact.

Extrusion: There is a tear in the outermost layer of the spinal disc, causing spinal disc tissue to spill out. But the tissue that has come out is still connected to the disc.

Sequestration: Spinal disc tissue has entered the spinal canal and is no longer directly attached to the disc. It is free in the spinal canal.

Knowing the type of Disc prolapse is important for the choice of treatment and understanding how the Lumbar Disc prolapse might go on to develop later.

Find out what kind of Disc prolapse is causing your Back and leg pain. Fix an online / face to face consultation with London Spine Consultant & Surgeon Mr Rajesh at 07956 318 383.

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Treatment starts with Diagnosis of Disc Prolapse

For most people seeking Lumbar Disc prolapse treatment in London, it is caused by excessive strain or injury from lifting heavy objects. As age advances, the disc material degenerates naturally, and the ligaments that hold it in place begins to weaken. As this degeneration progresses, a relatively minor strain or twisting movement can cause a Lumbar disc to rupture.

Diagnosis is the most important first step

Diagnosis for Lumbar Disc prolapse treatment in London generally involves:

  • History 
  • Clinical Examination 
  • Blood Investigation 
  • Imaging
  • Diagnostic Nerve Root Injection

History: Lumbar Disc prolapse caused by disc degeneration cause back and leg pain. Mr Rajesh carefully listens to your story of how your back and leg 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 leg 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 back and leg (sciatica) pain.

Clinical Examination: As guided and directed by the story of your neck pain Mr Rajesh will decide on the type of examination that is required to assess the extent and severity of your back and leg 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 bakc and leg pain.

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

Imaging: X-rays can 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 back and leg 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 lumbar back and leg pain.

Diagnostic Nerve root injection is performed to confirm the cause and orgin of your back and leg pain due to disc degeneration. The trapped nerve root as it comes out of the spinal canal is injected with a local anaesthetic and corticosteroid medication under sedation. The injection is given using X-ray fluoroscopy to ensure accurate needle placement close to the trapped nerve. Your pain level is evaluated before and 20-30 minutes after injection, and monitored over the next 4-6 weeks.

Nerve root that is trapped by the Lumbar Disc prolapse  is confirmed if your pain level decreases by more than 75%. If your pain level does not change after the injection, it is unlikely that the Lumbar Diosc prolapse is the cause of your back and leg pain.

Remember the more accurate the diagnosis is, more successful will be the treatment for your Lumbar Disc prolapse causing back and leg pain

Mr Rajesh ascertains the severity of your Lumbar Disc prolapse and devises an appropriate back and leg pain (sciatica) treatment plan in the initial consultation sessions by conducting a thorough physical examination.

Get a diagnosis of the cause of your back and leg pain from one of London’s best-reviewed back pain clinics to find out if you require a Nerve root injection for your back and leg pain. Do you think a nerve root injection can help relieve your back pain? Do not guess!

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07956 318 383

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Treatment for Lumbar disc prolapse in London

Lumbar Disc prolapse cases with significant spinal cord or nerve root compression or impaired function, spinal injections or surgery might be required.

If you are living in and around London, and are suffering from Back and leg pain, call 07956 318 383 for a Consultation at one of London’s best Spine clinic.


Medications: Non-steroidal anti-inflammatory drugs are prescribed to help relieve pain and reduce inflammation in a Lumbar Disc Prolapse. Muscle relaxants can also help in the back spasms and leg pain that is so typical of a nerve trapped in a Lumbar Disc Prolapse.

Physiotherapy & Exercises: Mr. Rajesh believes in treating most of the back and leg pain through non-surgical ways such as lifestyle modification, hamstring stretches, and physiotherapy exercises as part of his comprehensive Lumbar Disc Prolapse treatment in London.


Spinal injections are an effective treatment for immediate relief from Lumbar Disc prolapse back pain. Spinal steroid injections are administered into the outermost part of the spinal 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 arm or leg.

The options for Spine Injections are:

These injections offer immediate relief from acute back pain and leg pain to help heal your Lumbar Disc prolapse. Spine specialist Mr Rajesh takes a multi-disciplinary approach for Lumbar Disc Prolapse in London. He believes in treating and healing his Lumbar Disc prolapse patients without surgery in most cases.

Patients may feel some pressure during the injection but mostly the procedure is painless. Spinal injection for back 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 some cases, a herniated (slipped) disc causes pressure on your nerves that might result in lasting back and leg pain, Mr Rajesh may suggest a Minimally Invasive Surgery procedure.

In special cases, surgery may be recommended to correct an underlying problem behind the sciatica pain due to a Lumbar Disc prolapse. In rare cases, the nerves which control your bladder, bowel and sexual function can be compressed. This is known as cauda equina syndrome (CES) and often requires urgent surgical intervention. Generally, Microdiscectomy surgery is prescribed for sciatica caused by a Lumbar Disc prolapse, where a part of the bone that is causing the pressure on your sciatic nerve is removed.

In some cases, if the herniated disc is causing pressure on your nerves which will result in prolonged back and leg pain, Mr Rajesh might suggest a Minimally invasive surgery such as a microdiscectomy.

Most Lumbar prolapsed disc surgery options are minimally invasive and have high success rates. If surgery is needed, Mr Rajesh would always combine it with physical therapy to properly rehabilitate your spinal muscles. This will improve spinal joint function for a full recovery and prevention of further herniated discs, above or below the operated area.

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

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

Call 07956 318 383 today for your appointment for affordable and expert Back pain treatment in London.

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You’re in safe hands!

Mr Mangattil Rajesh understands what it’s like to live with 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.

If you are suffering from Lumbago in & around London and are seeking effective treatment, look no further than Back pain specialist & Spine surgeon Mr Mangattil Rajesh. He’ll be more than happy to help you with spinal injections for lumbago pain treatment in London. Please don’t hesitate to give him a call today at 07956 318 383.

Get a consultation for your Lumbago pain treatment in London at your convenience! Mr Rajesh now offers phone and online Consultation along with walk-in Consultations

Choose your pick, book an appointment for your Lumbago pain in London. Start your journey here towards a pain-free life!

Finding an effective treatment option for you lumbago treatment. Book Consultation appointment with one of the foremost Spine specialists in London Mr Rajesh by calling 07956 318 383

Cost of Lumbar disc prolapse treatment in London

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

If you are suffering from a Lumbar Disc prolapse in & around London and are seeking effective treatment, look no further than Specialist Spine Consultant & Surgeon Mr Mangattil Rajesh! He’ll be happy to help you with the treatment forLumbar Disc prolapse in London. Please don’t hesitate to give him a call today at 07956 318 383

Get a consultation for your Disc prolapse treatment in London at your convenience! Mr Rajesh now offers phone and online Consultation along with walk-in Consultations

Choose your pick, Book an appointment for your Lumbar Disc prolapse in London. Start your journey here towards a pain-free life!

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

Book an appointment with Spine specialist Mr Rajesh at 07956 318 383 and get customised individual assessment for your Back and leg pain!

Manage Lumbar Disc prolapse back pain at Home

You can ease the pain from a disc prolapse yourself by:

  • If the pain is very bad, you may need to rest at first.
  • Keeping active. Doing gentle activities will strengthen the muscles that support the spine and reduce pressure on the spinal column.
  • Application of hot and cold packs
  • Gentle exercises, stretches, and activities can all help relieve the pain of a herniated lumbar disc. Exercises can also strengthen and improve flexibility in the spine, neck, and back.

Specialist Spine Consultant and Surgeon in London, Mr Rajesh, suggests the following steps to manage your sciatica pain at home by yourselves. These home remedies for sciatica pain will give you much-needed relief during moments of pain.

Sciatica pain and how to manage them at home
Lumbar Disc Disc Prolapse - Bed Rest Initially with reduced activity will help manage Neck pain due to pinched nerve. Mangattil Rajesh at Spine Surgeon London


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.

Lumbar Disc Prolapse - Pinched Nerve in the Neck - Apply Heat or Ice packs to manage your Neck 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.

Best exercises for Back and Leg pain

Quick Sciatica Stretches at Home by Mangattil Rajesh Spine Surgeon London

London spine surgeon and consultant Mr Rajesh recommends these 6 quick stretches as the best exercises for Sciatica pain relief:

  • Hamstring Stretch
  • Pelvic Tilt
  • Extension Roll
  • Trunk Rotation
  • Pelvic Bridge
  • Sciatic Stretch

Perform these stretches as per the instructions in the above image and you’ll feel a relief in your sciatica pain over time. 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 sciatica 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 sciatica treatment plan, London spine surgeon Mr Mangattil Rajesh will guide you with more physiotherapy and exercises to get complete relief from sciatica pain. 

Call Spine specialist Mr Rajesh at 07956 318 383 today, for your sciatica treatment in London!

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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

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Frequently Asked Questions

1. How long for disc prolapse to heal without surgery?

Most people recover from a disc prolapse back pain within six weeks with proper rest and gentle activity. If your symptoms don’t get better in a few months, you should consult a spine specialist in London for more treatment options.

2. What are the exercises to avoid when one has Lumbar disc prolapse?

A person can have a Lumbar disc prolapse through heavy lifting, sudden pressure on the back, or repetitive strenuous activities. People with a herniated disc should avoid doing strenuous exercises such as bent-over rows, weighted squats, deadlifts, etc.

A person with disc prolapse should speak to their back pain specialist about the best exercise regimen for their specific needs.

3. What is the fastest way to heal a herniated lumbar disc?

  • Rest from heavy activity
  • Application of heat or cold packs
  • Over the counter pain medication
  • Massage & physiotherapy
  • Moderate physical activity like walking

4. How common is a Lumbar disc prolapse back pain?

Lumbar disc prolapses are most common in people between the ages of 30 and 50. The condition affects twice as many men as women. Lumbar Disc prolapse occurs most frequently in the lower back, but any disc can rupture, including those in the upper back and neck. Around one-third of adults in the UK have lower back pain, and a disc prolapse is responsible for less than 5% of cases.

5. Is it possible to prevent a Lumbar disc prolapse?

It may not be possible to prevent a disc prolapse, but you can take steps to reduce your risk of developing a Lumbar disc prolapse. These steps include:

  • Use safe lifting techniques: Bend and lift from your knees, not your waist.
  • Maintain a healthy weight.
  • Do not remain seated for long periods; get up and stretch periodically.
  • Do exercises to strengthen the muscles in your back, legs, and abdomen.

6. What are the complications of a Lumbar disc prolapse?

Untreated, severe disc prolapse can lead to permanent nerve damage. In very rare cases, a disc prolapse can cut off nerve impulses to the Cauda equina nerves in your lower back and legs. If this occurs, you may lose bowel or bladder control. Another long-term complication is known as saddle anaesthesia. In this case, the Lumbar disc prolapse compresses nerves and causes you to lose sensation in your inner thighs, the back of your legs, and around your rectum.

While the symptoms of a Lumbar disc prolapse may improve, they also can worsen. If you cannot perform the activities you once could, it’s time to see your doctor.

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