Fitzwilliam Spine & Neck Treatments Suffering We're here to help relive your back or neck pain
This clinic offers you a fast and accurate diagnosis, expert advice, and quick access to treatment for back pain, neck pain and sciatica. Your initial appointment is with one of our spinal specialists to assess you pain. They will offer advice and may recommend appropriate investigations, physiotherapy treatment, pain relieving injections or surgery.
Pain relieving injections deliver medication directly to where your pain is. This can be to your joints, muscles, ligaments and around your nerve. Pain relieving medicine combines local anaesthetic to block pain, and steroids to reduce the swelling and inflammation. Back pain injections can be used diagnostically as well as for treatment. They can also be used in conjunction with other treatments such as physiotherapy.
We offer two, day case pain relieving injections:
- Facet joint injections Facet joints are weight bearing joints that connect your spinal vertebrae to each other. They can become painful and inflamed due to arthritis, degeneration and injury. Facet joint injections aim to relieve this pain and inflammation. Often they are used together with physiotherapy. They can also be used diagnostically to determine where the pain is coming from.
Epidurogram is a diagnostic procedure whereby dye is injected into your spine using X-ray guidance. It can determine how effective a nerve root block will be and also make sure the block is delivered accurately. Nerve root blocks are composed of an anti-inflammatory steroid and local anaesthesia. Under X-ray guidance they are injected into your nerve root. They are used to find out the nerve causing pain, or to relieve pain caused by a trapped or irritated nerve in the spine.
We have a highly qualified team of senior chartered physiotherapists. They can assess your back and neck pain and, offer advice, education and coping strategies, and a physiotherapy treatment plan for private patients. We also offer post-operative physiotherapy for NHS and private patients who require rehabilitation.Spinal physiotherapy services we offer include:
Spinal and neck surgery
We have a fully equipped ultra-clean air theatre suite developed with orthopaedic patients in mind. We offer a wide range of spinal surgeries. Often they are combined to provide the best treatment. Our consultant specialists discuss in detail your diagnosis and recommended surgery. They will talk through the benefits, risks, recovery and aftercare required so that you are fully informed.
- Spinal fusion
A spinal fusion involves joining two or more vertebrae in your spine using a bone graft. It stops movement between vertebrae and in doing so reduces pain and stabilises the spine. It is used for many back problems including: degenerative disc disease, spinal stenosis, spondylolisthesis, scoliosis, fractures, infections and tumours.
- Lumbar discectomy
During a lumbar discectomy the damaged part of a prolapsed intervertebral disc in your lower back is removed. Surgery can be open or minimally invasive. The contents of a prolapsed disc can press on your nerves and result in pain. By removing this section of disc the pressure on the nerve is relieved and therefore so is the pain.
- Lumbar spinal decompression
Lumbar decompression surgery relieves neural impingement. This surgery aims to give the lower spine nerves more space and to reduce the pain caused by a compressed nerve or spinal cord. There are a number of ways to do this including: laminectomy (removing all or a small part of a vertebral bone (lamina) that is pressing on a nerve root), discectomy and spinal fusion. These surgeries are used for: spinal stenosis, a prolapsed disc, sciatica and spinal injuries (fracture).
- Posterior fusion instrumental and decompression
Posterior fusion instrumental and decompression surgery aims to stabilise your lumbar spine using a posterior approach. It removes the damaged section of an intervertebral disc or a part of the vertebral bone to decompresses your nerve roots. Your spine is then realigned using the fusion technique. It is used to treat: spondylolisthesis, discogenic pain (one or more intervertebral discs are causing the pain) and degenerative scoliosis.
- Spinal decompression surgery
Spinal decompression surgery reduces pressure on your spinal cord or spinal nerve roots with the aim of relieving your back and neck pain. Surgery aims to remove any elements that are causing pressure on these nerves and to give them more room. This can include one or more of the following procedures: discectomy to remove disc material that has spilled out from a herniated disc, laminectomy to remove parts of the vertebrae and foraminotomy to take away bony growths. Spinal fusion is sometimes also required after the bone and disc material are removed to stabilise the vertebrae and spine.
- Prolapsed disc
A prolapsed disc is also known as a slipped or herniated disc. It happens when the inner part of a disc bulges out and this can compress a nerve root and cause intense lower back pain, sciatica and inflammation. A prolapsed disc may be treated using physiotherapy, medications and pain relieving injections. Often medication and physiotherapy are used together. If non-surgical techniques aren’t successful then surgery may be required. Surgery for a prolapsed disc involves performing a discectomy, by either open or keyhole surgery, to remove the disc part that is pressing on your nerve and causing pain.