Expert spine specialist & surgeon Mr Mangattil Rajesh has successfully performed Microdiscectomy surgeries in London for years now helping a number of people live a life free from Back and pain! In Microdiscectomy spine surgery, a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to relieve neural impingement causing the back pain and provide more room for the nerve to heal.

Do you want to know if your chronic back pain requires microdiscectomy surgical treatment? Get a consultation on phone or online from an experienced spine surgeon in London right away! Call 07956 318 383 today for an appointment! 

Expert spine consultant & surgeon in London Mr Rajesh is here to help you get relief from your back pain completely.

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

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.

Diagnosis of Sciatica in London

An accurate diagnosis is important to determine the source of your sciatica pain. When slipped disc occurs because of degeneration due to aging or due to an injury caused by heavy lifting, it causes heavy back pain and pain in the arms and legs. Microdiscectomy surgery is used to correct the slipped disc and relieve the patient from prolonged back pain. 

Diagnosis is the most important first step

There is no treatment without a diagnosis and there are several stages in the diagnosis of back pain.

  • History 
  • Clinical Examination 
  • Blood Investigation 
  • Imaging
  • Nerve Conduction Test

History: Back and leg pain (sciatica) is caused when the spinal nerve coming out of your spine to supply the leg is trapped. 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 back 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 pain.

Clinical Examination: As guided and directed by the story of your back and leg 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 back pain.

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

Diagnostic Nerve root injection is performed to confirm the cause and orgin of back pain due to disc prolapse. The localtion of the trapped spinal nerve 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.

Sciatica pain 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 a trapped nerve is the cause of your pain.

Remember the more accurate the diagnosis is, more successful will be the treatment for your back and leg pain (Sciatica)

When is Microdiscectomy surgery suggested?

London spine surgeon Mr Rajesh suggests microdiscectomy surgery under the following conditions:

  • When the sciatic pain worsens
  • Herniated disc after a serious accident
  • No improvement using conservative treatments

Expert spine consultant Mr Rajesh predominantly recommends other simpler and less invasive treatments such as physiotherapy & spinal injections for proper back pain relief. However in these special cases, Mr Rajesh performs microdiscectomy surgery before the nerve damage worsens without wasting valuable time.

Mr Rajesh is a skilful practitioner of Minimally Invasive Surgery (MIS). You are in safe hands with Mr Rajesh when seeking surgical treatment for sciatica in London. Mr Rajesh firmly believes in minimal tissue dissection, faster recovery and early return to normal life when it comes to surgical procedures.

Consult with London spine surgeon Mr Rajesh to know if your chronic back pain requires microdiscectomy surgery. Call 07956 318 383 today for a phone or online consultation appointment!

Book a phone/online consultation today with expert back pain specialist, Mr Rajesh, in London at 07956 318 383

Microdiscectomy surgery procedure in London

Mr Mangattil Rajesh has extensive experience in performing minimally invasive microdiscectomy surgery in London for several years. He is one of the highest reviewed spine surgeons in London.

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

Microdiscectomy surgery is performed to remove the disc material placing pressure on the nerves. 

The procedure is done under general anesthesia. You will be unconscious during the entire procedure and won’t feel any pain. A small 1- to 1 1/2-inch micro incision will be made directly over the affected disc. Surgical lenses (magnifying glasses) or a lighted surgical microscope are used to help the surgeon to see the affected area.

The surgeon then expertly removes the damaged herniated tissue, relieving the pressure on the nerve. The surgeon may also remove a small portion of bone that protects the root nerve depending on the case. Any pain caused by herniated tissue pinching on the nerve should stop as the spinal nerve now has the space it needs inside the spinal column. The patient is usually discharged the same day or the next morning.

In this surgery, the part of the herniated disc that is pinching the nerve is removed.

A microdiscectomy is performed through a small incision (2cm) in the midline of the lower back. Usually the affected disc is located by x-rays inside the operating room. The back muscles (spinal erectors) separate from the bony arch (lamina) of the spine. Because these back muscles run vertically, they can move instead of having to cut them. Subsequently, the yellow ligament is removed and the spinal canal is accessed. Once here, surgical lenses (magnifying glasses) or a surgical microscope are used to visualize the nerve root, and thus proceed to its decompression (release).

London spine surgeon Mr Rajesh performs microdiscectomy with minimal tissue dissection that will help in faster recovery and early return to normal life for the patients. This also helps avoid any future complications.

If you are suffering from prolonged back pain, feel free to call experienced spine specialist & surgeon Mr Rajesh to get a consultation to know if your back pain can be relieved through microdiscectomy surgery. Call 07956 318 383 for an appointment.

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

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.

Cost of Microdiscectomy in London

Spine surgeon Mr Rajesh offers affordable, competitive packages for microdiscectomy surgery in London. Mr Rajesh accepts all health insurances for Sciatica treatment in London. Feel free to call us about any information regarding insurance.

Feel free to call us about any information regarding insurance.

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

Microdiscectomy procedure 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 back and leg pain 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!

When should you get a microdiscectomy surgery?

For most people, a slipped disc will heal itself with rest, anti-inflammatory medication and physical therapy. 

Microdiscectomy surgery may be recommended if physical therapy or medication fail to relieve leg or back pain or if you have signs of nerve damage, such as weakness or loss of feeling in your legs. The surgery is performed minimally invasive technique by London spine surgeon Mr Rajesh.

Some people may need to undergo a lumbar epidural spinal injections, which sends painkillers and anti-inflammatory drugs through an injection to the damaged disc. Those patients that do not find relief through these less invasive treatments may need to undergo a discectomy, in which part of the disc that is putting pressure on nearby nerves is cutaway in order to relieve the pressure.

Call Back pain clinic on 07956 318 383 for a Consultation with Back pain specialist Mr Rajesh in London

How long does it take to recover from microdiscectomy surgery?

Usually, a Microdiscectomy procedure is performed with a single overnight stay in the hospital. Post-operatively, patients may return to a normal level of daily activity quickly. I recommend 2 weeks off work and driving.

Some spine surgeons restrict a patient from bending, lifting, or twisting for the first six weeks following surgery. However, since the patient’s back is mechanically the same, it is also reasonable to return to a normal level of functioning immediately following lumbar microdiscectomy. There have been a couple of reports in the medical literature showing that immediate mobilisation (return to normal activity) does not lead to an increase in recurrent lumbar herniated disc. However we prefer that heavy lifting is not done for at least 6 weeks after surgery.


Your surgeon will have a specific post-operative recovery/exercise plan to help you return to normal life as soon as possible. The amount of time that you have to stay in the hospital will depend on this treatment plan. You will normally be up and walking in the hospital on the same day after your surgery. Lumbar microdiscectomy is usually performed on an outpatient basis, with no overnight stay in the hospital.

As you read this, please keep in mind that all treatment and outcome results are specific to the individual patient. Results may vary. Complications, such as infection, blood loss, and bowel or bladder problems are some of the potential adverse risks of spinal surgery. Please consult your physician for a complete list of indications, warnings, precautions, adverse events, clinical results, and other important medical information.

Post-Operative Care and Recovery

Following the procedure, you will be prescribed pain medications to relieve immediate postoperative pain.

  • Cold packs may be applied as instructed for pain relief.
  • Avoid driving, lifting heavy objects, prolonged sitting and bending over immediately after your surgery.
  • Your physical therapist will educate you on gentle stretching, strengthening, and conditioning exercises to be performed during the postoperative period.
  • You can slowly begin lifting weights and performing strenuous physical activities and exercises two to four weeks after your surgery.
  • Complete recovery usually takes about six weeks.

Recovery time for a microdiscectomy surgery

Microdiscectomy surgeries are minimally invasive procedures, and hence expected recovery times are very short. Most patients are usually discharged within 24 hours of microdiscectomy surgery. London spine specialist Mr Rajesh will give you instructions on how to minimize the stress you put on your back and when you can return to normal activities through light exercises and stretches.

The surgery is painless as it is performed under anesthetics. There may be some stiffness or soreness in the back for a short while after the surgery. It subsides within one or two weeks. Pain medication for few days is prescribed by the spine surgeon to take care of any post-surgery soreness in the back muscles.

After discharge from the hospital, London spine surgeon Mr Rajesh will give a discharge summary and a booklet. This will contain all the details of:

  • Lumbar Microdiscectomy procedure
  • How to look after the wound
  • Time to remove sutures
  • Exercises after Surgery
  • Driving – when and how to drive
  • Return to Work – when and how to return to your work

Call Back pain clinic on 07956 318 383 for a Consultation to know if you require a Spinal injection to help cure your Chronic Back pain

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. Can sciatica pain be cured by microdiscectomy surgery?

If the bulging centre of the disc puts pressure on nearby nerves, they can send pain to the nerve’s destination. This can happen to any disc along the spine, but most commonly occurs in the lower back, where pressure can be put on the largest nerve of the body that controls the legs: the sciatic nerve. The result is sciatica. This can include pain in the lower back as well as down the legs.

2. How successful is microdiscectomy surgery?

The success rate for microdiscectomy spine surgery is very high. About 90 to 95% of spine surgeon Mr Rajesh’s patients in London get excellent results with back pain relief and get back to normal work in about 2 to 3 months time.

3. When should one get a microdiscectomy surgery?

Microdiscectomy surgery is recommended if physical therapy or anti-inflammatory medication fail to back pain or sciatica pain. This minimally invasive surgery technique helps relieve nerve damage and gives long term relief from chronic back pain.

4. Is microdiscectomy surgery painful?

Microdiscectomy surgery is painless as it is performed under anaesthetics. There might be some stiffness or soreness after the microdiscectomy surgery. This should improve in the one or two weeks after surgery. But you will feel the relief from your symptoms right away, or you may get better over few days or weeks after the surgery.

5. How much does a microdiscectomy surgery cost in London, UK?

Prices for the microdiscectomy surgery can range anywhere from £6000 – £7000 in UK. Experienced spine surgeon in London, Mr Rajesh, offers comprehensive packages that includes consultation, diagnosis, surgery, physical therapy and post surgery care at affordable prices in London.

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