Sciatica Treatment in London offers instant relief of back and leg pain with Spinal Steroid injection. The Sciatica pain from your back travels down your leg arm and to your feet. You feel that your toes are going numb. Surprisingly, your sciatica pain in the leg worsens when you move your legs during sitting, standing and walking. Your back pain is constantly achy with tingling, pins and needles or numbness in your legs. Sounds familiar? 

Sciatica pain also known as Lumbar Radiculopathy

Don’t worry. We all  know of someone who suffers from back and leg pain (sciatica) due to various causes as it is so common. You can bounce back very quickly. Treatment for back and leg pain is very simple, straightforward in most cases and may need Spinal Steroid injections.

If your back pain is severe with pain, numbness, weakness, or altered sensation in the buttocks, legs and feet, there is a possibility that the spinal nerve coming out of your spine in the back is trapped. Spinal nerves are trapped due to a disc herniation, spondylolisthesis (slip of bones in the back) and osteoarthritis. Spinal steroid injection can offer instant pain relief to relieve your back and leg pain before it creates lasting nerve damage.

Spine Surgeon and Consultant Mr Mangattil Rajesh provides an effective back and leg pain (sciatica) treatment in London for a number of years now. He understands how back and leg pain can be painful and debilitating. Mr Rajesh has an excellent reputation as a sciatica pain specialist in London for ensuring that his patients are correctly diagnosed and for delivering the right treatment plan for the back and leg pain (sciatica).

The right treatment at the right time is crucial!

As part of his expert Sciatica treatment method, Mr Mangattil Rajesh undertakes the most specialist examination & diagnostic processes to uncover the real causes of your Sciatica. Whether you are seeking an exact diagnosis, conservative treatment, or surgery – you will benefit from the experience of this Spinal Specialist in London.

Call us at  07956 318 383

Book an online Consultation for you neck pain treatment in London right away!

Table of Contents:

  • Sciatica Treatment begins with Diagnosis.
  • Diagnosis helps the search for cause of Sciatica Pain
  • What is the most common cause of Sciatica Pain?
  • Options for Sciatica Pain treatment in London
  • Procedure for Sciatica Injection treatment in London
  • What is the Cost of Sciatica Pain treatment in London?
  • How do I know if my Sciatica pain is serious?
  • How does Spinal steroid injections help in Sciatica pain treatment?
  • Manage Sciatica pain at Home
  • Sciatica Pain Exercises at Home
  • Surgical Options for Sciatica Pain
  • Cauda Equina Syndrome
  • What our Clients say
  • Frequently Asked Questions
Mangattil Rajesh, Consultant Spine Surgeon in London

Mr. Mangattil Rajesh

Consultant Spine Surgeon
Royal London Hospital
London

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.

Sciatica Treatment begins with Diagnosis

Diagnosis is the most important first step

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

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

History: Your history of back and leg pain starts with a very good story. Mr Rajesh carefully listens to your story of how your back and leg pain started and progressed to the current state of your sciatica pain. He will also be interested in understanding the severity of your sciatica pain and any associated numbness, pins and needles or weakness in your leg.

The amount and frequency of the medications that you take will give Mr Rajesh a clear idea of the severity of your sciatica pain. 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 sciatica pain.

Clinical Examination: Mr Rajesh ascertains the severity of your injury and devises an appropriate sciatica pain treatment plan in the initial consultation sessions by conducting a thorough physical examination. This will include a thorough neurological assessment of the sensation in your leg and feet. He will also assess the strength and movement of your leg and feet. 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 sciatica pain.

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

Imaging: X-ray are useful to look at the bones of our spine in case of a fall to confirm a fracture. However, these x-rays cannot show the soft tissues around the bones of your spine and the nerves that are trapped in your 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 sciatica pain. MRI scans will show the trapped nerves in your spine that will help Mr Rajesh manage your sciatica pain effectively.

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 scaitica pain.

Special Tests – Nerve Conduction Test: Nerve conduction tests are occasionally used if there is difficulty in identifying the exact cause of the sciatica pain with MRI scans. Nerve conduction tests will only be recommended by Mr Rajesh to identify the exact spinal nerve causing your sciatica pain with assocaited numbness and weakness.

The more accurate the diagnosis, more successful will be the treatment for your sciatica pain

Mr Rajesh combines the information from physical examination and investigations with great effect. Mr Rajesh goes into great detail to understand the various causes that are contributing to sciatic pain. From this informed position he creates the best strategy for your sciatica treatment in London!

Book a phone/online consultation today in London with Sciatica consultant Mr Rajesh at 07956 318 383

Diagnosis helps the search for cause of Sciatica pain

What is the most common cause of Sciatica pain?

LUMBAR DISC PROLAPSE

As you age, your lumbar (back) discs can degenerate. This is known as lumbar spondylosis, or osteoarthritis of the back. This can narrow the space between the bones of the spine in your back. It also adds stress to the joints in Spine.

When a disc in your back bulges out due to injury and wear and tear, it may add pressure on the spinal cord or nerve roots that come out of your spine. This is called a Herniated Lumbar Disc, also known as a Lumbar Disc Prolapse or a Slipped Disc in the Back. Disc Prolapse traps the spinal nerve that supply your leg and feet causing numbness and weakness.

Spinal stenosis occurs when the spinal column narrows and causes pressure on the spinal cord or on the nerve roots as it comes out of the spine. This can be due to long-term inflammation caused by arthritis or other conditions due to wear and tear. 

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Options for Sciatica pain Treatment in London

The first line of sciatica pain (Lumbar Radiculopathy) treatment usually consists of non-surgical methods such as physical therapy and spinal injections. Most people with sciatica pain do not require surgery. Mr Rajesh and his treatment methodologies focus on relieving your sciatica pain and keeping you as active as possible through physical therapy and exercises.

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

CONSERVATIVE TREATMENT FOR BACK AND LEG PAIN (SCIATICA)

MEDICATIONS: Mr Rajesh will usually recommend using anti-inflammatory medication at first and then prescribe stronger pain relievers if needed. A muscle relaxant may be prescribed for muscle spasms and anti-neuropathic drugs may be added to reduce nerve-related pain. In some cases, spinal injections of anti-inflammatory steroids are used to reduce pain and inflammation around the spinal nerve. Mr Rajesh may also suggest exercises and stretches to do at home. Other self-care measures such as applying heat or ice packs can be effective, especially when the pain initially occurs.

PHYSICAL THERAPY & EXERCISES: Physical therapy can be an effective treatment strategy for sciatica. It can help to reduce pain and prevent future flare-ups by strengthening the core and back muscles and improving flexibility. Alternative approaches such as Massage, Acupuncture, and Chiropractic manipulation are sometimes helpful.

Medications: Paracetamol and Non-steroidal anti-inflammatory drugs are usually prescribed to help relieve pain and reduce inflammation caused by a trapped nerve in your back. Muscle relaxants are also prescribed in some cases to treat muscle spasms in your back and ease the leg pain caused from a trapped nerve.

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

SPINAL INJECTIONS FOR BACK AND LEG PAIN (SCIATICA)

Spinal injections for Back and leg pain (Lumbar Radiculopathy): Spinal steroid injections are an effective way to offer instant pain relief for your sciatica pain. 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 the inflammation and reduce swelling due to the trapped nerve in your spine. Spinal injections are safe and effective treatments for sciatica pain that spreads from the back to your leg and feet (sciatica).

THE OPTIONS FOR SPINE STEROID INJECTIONS ARE:

These injections offer immediate relief from back and the radiating leg pain. Spine specialist Mr Rajesh takes a multi-disciplinary approach for the management of sciatica pain. He believes in treating and healing the causes of your back pain 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 re is an instant relief from your sciatica pain!

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 your sciatica pain (radiculopathy). A Spinal steroid injection can reduce sciatica pain for up to three months. However, it is usually a crucial part of a holistic sciatica pain treatment programme. The Spine steroid injection reduces the symptoms so that physiotherapy is more effective.

Procedure for Sciatica Pain Steroid Injection Treatment in London

Once the exact source of your sciatica pain (lumbar radiculopathy) is determined, Mr Rajesh would decide the type of spinal injection that is appropriate for your sciatica pain along with a comprehensive sciatica pain treatment plan that will give you long lasting pain relief.

Administering a Spinal Steroid Injection usually involves:

  • Insertion of a thin hollow needle into the epidural space, guided by fluoroscopy X-ray to place the needle in the correct position. This system gives real time X-ray images of the position of the needle in the spine on a monitor for the surgeon to view.
  • A contrast material is then injected through the properly placed hollow needle to confirm that the drug flows to the affected nerve when injected.
  • When Mr Rajesh is satisfied with the position of the needle, the anaesthetic drug and corticosteroid are injected through the same needle inserted in the spine.

When the sciatica pain travels down your leg to your toes, it can be associated with a feeling of pins and needles, tingling and a loss of sensation at the tips of your toes. MRI scan will possibly show a prolapsed or a slipped disc trapping the spinal nerve supplying your toes.

Sometimes there is a block in the spinal canal due to a disc prolapse or chronic arthritis. Gradually, this will affect the way you walk.  MRI scan will show a blocked spinal canal trapping the spinal cord in the back called Lumbar Canal Stenosis. Your bladder, bowel and sexual function can be compromised. This requires urgent surgical intervention. 

Lumbar Spine surgery may be recommended in a prolapsed disc or a stenosis to relieve the trapped spinal nerve and spinal cord. Spinal Decompression is the most common procedure recommended in these situations.

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

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

You’re in safe hands!

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

What is the cost of Sciatica pain treatment in London?

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

Feel free to call us about any information regarding insurance.

Sciatica 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 sciatica pain treatment in London. For sciatica 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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How do I know if my Sciatica pain is serious?

Some back and leg problems can cause pain in other parts of your leg, depending on the nerves affected. The main symptom of sciatica pain is an ache or pain anywhere in the back, and sometimes all the way down to the leg, foot and toes. Most sciatica pain often goes away without treatment, but if it occurs with any of the following features, you should consult a doctor without delay!

  • Weight loss
  • Fever
  • Leg pain worse at night 
  • Pain down your legs
  • Worsening numbness of your toes
  • Weakness in your legs
  • Loss of bladder and/or bowel control
  • Difficulty in walking

Most back and leg pain conditions can be treated effectively with medication, physical therapy and spinal injections. Only in very few cases, sciatica pain treatment requires surgery. London spine surgeon Mr Rajesh skilfully performs Minimally Invasive Surgery (MIS) procedures with minimal tissue dissection for faster recovery and early return to normal life.

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for a Consultation with Mr Mangattil Rajesh

How does Spinal Steroid injections help in Sciatica pain treatment?

Spinal steriod injections are safe and effective treatments for sciatica pain that spreads from your back into leg, foot and toes. 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 around the trapped nerves in your spine.

As part of his comprehensive sciatica pain treatment in London, Sciatica pain specialist Mr Rajesh offers a range of highly-specialised spinal steroid injection treatments to address different types of sciatica pain: 

      • Caudal Epidural Injection
      • Lumbar Nerve Root Injection
      • Sacroiliac joint injection
      • Trigger point Injection

Patients may feel some pressure during the injection but mostly the procedure is painless. Spinal injection for sciatica pain treatment in London is done as a Day 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 after the Spinal  steroid injection and will guide you with some mild exercises to get long term relief from sciatica pain. A Spinal steroid injection can reduce pain for up to three months. However, it is usually a crucial part of his holistic sciatica pain treatment programme. Mr Rajesh uses the injection to reduce the symptoms so that physiotherapy is more effective.

Get Instant Appointments

for a Consultation with Mr Mangattil Rajesh

Manage Sciatica pain at Home

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
Take bed Rest first for back pain

REDUCE NORMAL PHYSICAL ACTIVITY

Stop physical activity only for a few days.

Bed rest for not more than 3 days is enough to rest the tissues of your back

Just a few days rest will help calm your sciatica pain and stiffness

This will give you the confidence and mindset to move around as the sciatica 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

APPLY HEAT OR ICE TO YOUR BACK

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

OVER THE COUNTER PAIN MEDICATIONS

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

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

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

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

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

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

IMPROVE YOUR POSTURE

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 sciatica pain worse.

Look carefully at your posture, pay a little attention and make sure that your back is 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 sciatica pain. However, if your sciatica pain is caused by any severe injury or some other underlying cause, the sciatica pain might return soon. It’s always good to get a consultation with a Sciatica 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 Sciatica pain!

Sciatica pain exercises at Home

Best exercises for Sciatica pain relief recommended by Spine surgeon and Consultant Mr Mangattil Rajesh
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 in the comfort of your own home:

 

  1. Hamstring Stretch
  2. Pelvic Tilt
  3. Extension Curl
  4. Trunk Rotation
  5. Pelvic Bridge
  6. Sciatic Stretch

 

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

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

As part of your comprehensive Sciatica pain treatment plan, London Sciatica pain specialist Mr Mangattil Rajesh will guide you with more specialised physiotherapy and exercises to get complete relief from Sciatica pain.

Call Spine Specialist Mr Rajesh at 07956 318 383 today, for your effective Sciatica treatment in London!

Surgical Options for Sciatica pain

For example, in patients with disc herniation, a discectomy may be performed to remove the part of the disc that is pressing on the sciatic nerve. On the other hand, patients with lumbar spinal stenosis may require a lumbar laminectomy; with this procedure a portion of the bone (lamina) on the spine is removed, relieving the pressure on the spinal nerves.

Few people who have a lumbar disc prolapse need surgery. A significant number of people will improve naturally. This can happen if the disc or swelling around a nerve decreases with time or is helped by image-guided injection.

Six out of ten patients can get better spontaneously after six weeks, while 70-80% of patients will feel better by three months.

Cauda Equina Syndrome

There is a balance of waiting while nature gets you better, versus waiting too long which might prolong your suffering and pain or compromise nerve function (weakness, numbness or pain recovery). 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. Fortunately, immediate Spinal surgery is only necessary in a few cases.

What our Clients Say

Mr Rajesh is an experienced Spine Consultant & Surgeon in London. He is very personable and approachable. Sciatica consultant 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 spine specialist reviews for Mr Rajesh here:

Frequently Asked Questions

1. Can I get pain-relief from Sciatica without any surgery?

Yes. London spine specialist Mr Rajesh says most sciatica cases can be cured without the need for surgery. Physical therapy and medication alone can help cure sciatica in most cases.

2. Can Sciatica pain be cured permanently?

Yes. Sciatica pain 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 sciatica pain may recur over time. Thorough diagnosis & treatment for the underlying cause of the sciatica along with a healthy active lifestyle can help prevent recurring sciatic pain.

3. What exercises to avoid if I have Sciatica?

Avoid heavy lifting exercises when you experience sciatica or pain in the lower back & legs. Avoid heavy dead-lifts, heavy stretching of hamstring muscles, leg exercises, bent-over rows, weighted squats when you have sciatic pain in the back and legs.

4. Is Surgery the quickest path to pain relief from Sciatica?

Surgery is indeed the fastest way for some patients to get relief from their sciatica pain. When the underlying condition is severe and doesn’t respond to conservative treatment, surgical procedures like microdiscectomy surgeries help the patients get complete relief from sciatica pain by removing tissue that adds pressure on the sciatic nerve.

5. What is the most effective treatment for Sciatica?

  • 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’s applying 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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