Spinal Treatments

Woodland Spine & Neck Treatments
Suffering from back or neck pain? You’re not alone..

Spinal Treatments

Woodland Hospital offers a wide range of treatments for back and neck pains from injections through to complex spinal surgery. Your back or neck care specialist has access to the latest equipment to help diagnose the most likely cause of your symptoms. They will discuss with you your treatment options and recommend an individual care plan.

Back Pain Assessment Clinic

The Back Pain Assessment Clinic at Woodland Hospital offers fast and accurate diagnosis, expert advice and where appropriate, quick access to treatment for back pain, neck pain and sciatica. Unfortunately not all back and neck pains can be treated but you will be offered options to manage your pain and assist your general wellbeing.

Pain relieving injections

Pain relieving injections may relieve your back and neck pain and can also complement other back and neck pain treatments and therapies. Additionally they can provide important information about your pain and clarify diagnosis. Injections provide direct delivery of steroids or anaesthetic into your joints, ligaments, muscles or around your nerves. These injections may provide relief of pain and reduce inflammation whilst also allowing other therapies a better chance of working such as physiotherapy.

At Woodland Hospital, there are two injections commonly used which are performed as day case procedures so you can usually leave within a few hours.

Facet joint injections

Facet joints are weight bearing joints in the spine where two vertebrae sit on top of each other. They can become inflamed and painful. In some cases facet joint injections can relieve this pain and inflammation. They are often used as part of a combined therapy programme, including physiotherapy.

Epidurogram and nerve root blocks

Persistent back and leg pain can sometimes be linked to a trapped or inflamed nerve in your spinal column. A nerve root block can be injected into your back using diagnostic guidance to relieve this pain.

An epidurogram is a diagnostic procedure used to isolate the individual nerves in your spine, build a picture of your back and determine how effective the nerve root drugs will be. It involves injecting dye into your spine under x-ray guidance.

Physiotherapy

Our senior chartered physiotherapists offer evidence-based, tailored programmes for your individual needs. They will initially assess your pain and then work with you offering advice and a range of physiotherapy treatments to help manage or relieve your pain. Private patients can self-refer for a physiotherapy assessment. We also treat NHS patients to help manage their pain or to offer post-operative physiotherapy rehabilitation. A referral from an orthopaedic surgeon is required. 

Spinal and neck surgery

A wide range of surgical procedures are available at Woodland Hospital from lumbar decompression surgeries, including lumbar discectomy and lumbar laminectomy, to spinal fusion.

Often a combination of back surgeries are performed for example a lumbar laminectomy together with a lumbar discectomy or a spinal fusion following lumbar decompression surgery. It is important to understand the type of surgery your orthopaedic surgeon or neurosurgeon recommends for you, the benefits, potential risks and expected recovery time.

Your consultant will discuss the procedure in detail and will be happy to answer any questions that you may have. Spinal and neck surgery is performed to relieve pressure on a nerve root or the spinal cord, to strengthen and stabilise two or more adjacent vertebrae or to reduce a deformity such as scoliosis.

Procedures include:

  • Lumbar spinal decompression
    Lumbar spinal decompression helps reduce pain caused by pinched nerves (neural impingement). A small part of the bone over the nerve root and/or disc material from under the nerve root is removed to give the nerve root more space.
  • Lumbar discectomy
    Lumbar Discectomy surgery is designed to remove low back herniated disc material that is pressing on a nerve root or the spinal cord.
  • Lumbar laminectomy
    A lumbar laminectomy is also known as an open decompression and typically performed to alleviate pain caused by neural impingement that can result from lumbar spinal stenosis.
  • Spinal Fusion
    Spinal fusion surgery is to stop the motion at a painful vertebral segment, which should result in less pain generated from the joint.
  • Posterior fusion +/- instrumentation +/- decompression
    Posterior fusion surgery involves adding bone graft to an area of the spine to set up a biological response that causes the bone to grow between the two vertebral elements and thereby stop the motion at that segment.
  • Revision posterior fusion +/- instrumentation
    The role of spine fusion instrumentation is to provide additional spinal stability while helping the fusion set up.
  • Excision of prolapsed disc
    Occurs when one of the discs that sit between the bones of the spine (the vertebrae) is damaged and presses on the nerves.

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