Spinal stenosis is the narrowing of one or more spaces within your spine. A tightened space can cause the spinal cord or nerves to become irritated, compressed or pinched, which can lead to back pain and sciatica.

If a spinal nerve or the spinal cord is compressed for a long period of time, permanent numbness and/or paralysis is possible. This is why it is especially important to see a spine specialist right away if you experience numbness or weakness in your arms or legs.

Mr Mangattil Rajesh, an experienced Spine specialist & 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, Whitechapel, London.

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Table of Contents

  • What causes Spinal Stenosis?
  • Types of Spinal Stenosis
  • Treatment starts with Diagnosis
  • Conservative Treatment for Stenosis
  • Spine Injections for Spinal Stenosis
  • Surgery for Spinal Stenosis
  • Cost of Spinal Stenosis Treatment
  • Manage Spinal Stenosis 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 Spinal Stenosis?

Spinal stenosis most often occurs because of the natural process of spinal degeneration that occurs with ageing. Here we list some of the other main causes that might lead to spinal stenosis:

There are other factors that can increase the risk. These include: 

Age-related degeneration in the spine

Herniated disc due to an injury or heavy lifting

Ligament changes

Spinal tumours

Injury (such as from car accidents)

Overgrowth of bone caused by Paget’s disease of bone.

Arthritis is also considered as one of the frequent causes of spinal stenosis.

Types of Spinal Stenosis

Spinal stenosis causes the narrowing of the spinal canal. It is usually a slow process and worsens over time. Although spinal stenosis happens along the spinal column, the lower back (number one most common area) and neck are where we feel the symptoms. Based on that, there are two major kinds spinal stenosis that affects people in London.

Lumbar spinal stenosis, which causes lower back pain

Cervical spinal stenosis which causes neck pain


We can identify the type of spinal stenosis by observing the symptoms

Symptoms of Lumbar Spinal stenosis

Lower back pain which occurs as a dull ache or as an electric-like or burning sensation.

Sciatica pain that begins in the buttocks and extends down the leg and may continue into your foot.

Pain that worsens when standing for long periods of time, walking or walking downhill.

Pain that lessens when leaning, bending slightly forward, walking uphill or sitting.

Loss of bladder or bowel control (in severe cases).

A heavy feeling in the legs, which may lead to cramping in one or both legs.

Symptoms of Cervical Spinal stenosis

Severe neck pain.

Weakness or numbness or tingling in the arm, hand, leg or foot or anywhere below the point of the nerve compression in the spine.

Loss of function in hands, like having problems simple tasks like buttoning a shirt.

Loss of bladder or bowel control.

Find out Spinal Stensosis causing your Back and Neck pain. Arrange 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 Spinal Stenosis

Spinal Stenosis occurs after the age of 50. There is a long history of neck pain and low back pain. Initially it starts with pain that comes on and settles within a few days. Gradually you develop arm or leg pain and this progresses to become a problem that is present most of the time. There is gradual narrowing of the spinal canal in Spinal Stenosis that traps your spinal nerves in your neck and back. The distance that you can walk without pain gets shorter and shorter with Spinal Stenosis.

Diagnosis is the most important first step

Diagnosis for Spinal Stenosis treatment in London generally involves:

  • History 
  • Clinical Examination 
  • Blood Investigation (if necessary)
  • Imaging
  • Diagnostic Nerve Root Injection

History: Spinal Stenosis caused by disc degeneration cause back pain and neck pain. Mr Rajesh carefully listens to your story of how your 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 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 pain and neck pain.

Clinical Examination: Mr Rajesh will decide on the type of examination that is required to assess the extent and severity of your Spinal Stenosis. 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 spinal stenosis.

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 your spine and the nerves that are trapped in our neck and back due to Spinal Stenosis.  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 and neck pain due to Spinal Stenosis. 

CT scans are used only to get information on the bone deformity or overgrowth as MRI scan shows only soft tissue detail. CT scans 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 Spinal Stenosis causing Back pain and Neck pain

Mr Rajesh ascertains the severity of your Spinal Stenosis and devises an appropriate treatment plan in the initial consultation sessions by conducting a thorough physical examination.

Get a diagnosis of the cause of your Spinal Stenosis from one of London’s best-reviewed back and neck pain clinics to find out if you require a Nerve root injection for your Spinal Stenosis. 

Book an online consultation today with expert Neck pain and Back pain specialist, Mr Rajesh in London on 07956 318 383

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Options for spinal stenosis treatment in London

If the reason for your pain is diagnosed as due to Spinal stenosis, London spine specialist Mr Rajesh would recommend the following treatment options:


Conservative treatment for spinal stenosis:

    • Physical therapy
    • Non-steroidal anti-inflammatory drugs (NSAIDs)
    • Epidural steroid injections

Surgical treatment for spinal stenosis:

      • Laminectomy
      • Laminotomy
      • Foraminotomy
      • Spinal Fusion

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: Paracetamol and Non-steroidal anti-inflammatory drugs like Ibuprofen are prescribed to help relieve pain and reduce inflammation in Spinal Stenosis. Muscle relaxants can also be used to help in the spasms in your neck and back. 

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


Spinal injections are safe and effective treatments for spinal stenosis that has a high success rate of reducing back or neck pain completely.

An epidural steroid injection is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves due to spinal stenosis or disc herniation. Epidural 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.

Most patients experience the difference in just 24 to 48 hours after the injection for spinal stenosis

These injections offer immediate relief from neck pain and back pain to help with your painful symptoms of Spinal Stenosis. Spine specialist and Consultant Spine Surgeon in London, Mr Rajesh takes a multi-disciplinary approach for Spinal Stenosis treatment in London. He believes in treating and healing his Spinal Stenosis patients without surgery in most cases.

These injections offer immediate relief from neck pain and back pain to help with your painful symptoms of Spinal Stenosis. Spine specialist and Consultant Spine Surgeon in London, Mr Rajesh takes a multi-disciplinary approach for Spinal Stenosis treatment in London. He believes in treating and healing his Spinal Stenosis patients without surgery in most cases.

Patients may feel some pressure during the injection but mostly the procedure is painless. Spinal injection for neck pain and 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 the pain due to Spinal Stenosis. A Spinal steroid injection can reduce pain for up to three months. However, it is usually a crucial part of a holistic Spinal Stenosis pain treatment programme. The Spine steroid injection reduces the symptoms so that physiotherapy is more effective.


In many cases, the conditions causing spinal stenosis cannot be permanently altered by nonsurgical treatment, even though these measures may relieve pain for a period of time. Surgery is carried out to ease pain by relieving pressure on affected nerves.

The purpose of surgery is to relieve pressure on the spinal cord or nerves and restore and maintain alignment and strength of the spine. This can be done by removing or trimming the part of the spinal canal that causes pressure on the spinal nerve in your neck and back.

The most common surgery is called decompressive laminectomy – decompression of the spinal cord accompanied by a discectomy which is basically the process of removing the lamina (roof) of one or more vertebrae to create more space for the nerves. 

Patients with spinal stenosis caused by spinal trauma or achondroplasia may need surgery at a young age. When surgery is required in patients with achondroplasia, laminectomy without fusion is usually sufficient.

Surgery is offered only after physical therapy, rest, and medications have failed to adequately relieve the symptoms of pain, numbness and weakness over a significant period of time.

Mr Rajesh is a skilful practitioner of Minimally Invasive Surgery (MIS) procedures for Spinal Stenosis

You are in safe hands with Mr Rajesh when seeking surgical treatment for Spinal Stenosis Surgery 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 on affordable and expert Spinal Stenosis 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.

Cost of Spinal Stenosis treatment in London

Depending on the underlying causes of your Spinal Stenosis pain, Spine consultant & specialist spine surgeon in London, Mr Rajesh, will advise you on the best course of treatment for your neck pain and back pain in Spina; Stenosis. Specialist Spine Consultant & surgeon Mr Rajesh offers affordable, competitive packages for Spinal Stenosis pain treatment in London. Mr Rajesh accepts all Health Insurances for Spinal Stenosis pain treatment in London.

Choose your pick, Book an appointment for your Spinal Stenosis pain 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 Spine Stenosis pain treatment in London. For back pain and neck pain 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 Spinal Stenosis pain!

Manage Spinal Stenosis pain at Home

You can ease the pain from Spinal Stenosis 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. 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 Spinal Stenosis Back pain at home by yourselves. These home remedies will give you much-needed relief during moments of your Back 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 Spinal Stenosis 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 it takes for Spinal Stenosis pain to improve without surgery?

Most people recover from Spinal Stenosis neck and 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 Spinal Stenosis?

Spinal stenosis is a process through years of heavy lifting, sudden pressure on the back, or repetitive strenuous activities. People with Spinal stenosis should avoid doing strenuous exercises such as bent-over rows, weighted squats, deadlifts, etc.

You should speak to their back pain specialist about the best exercise regimen for their specific needs.

3. What is the fastest way to manage Spinal Stenosis?

  • 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 Spinal Stenosis pain?

Spinal stenosis are most common in people above the age of 50. The condition affects twice as many men as women. Lumbar Disc prolapse occurs most frequently in the lower back, but also 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 in Spinal stenosis.

5. Is it possible to prevent Spinal Stenosis?

It may not be possible to prevent Spinal stenosis, but you can take steps to reduce your risk of developing symptoms due to Spinal Stenosis. 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 Spinal Stenosis?

Untreated, Spinal stenosis can lead to permanent nerve damage. In very rare cases, the block caused by spinal stenosis 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.

Spinal stenosis of the neck also can trap the spinal cord in your neck and cause difficulty in walking with loss of balance. 

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