A focused practice across the most common and complex conditions — from the neck to the lower back. Each begins with a precise diagnosis, and surgery only when it is genuinely the right path.
11
Core conditions
Brain + Spine
Full neurosurgical scope
01
Sciatica
Lumbar · Leg
Nerve pain that radiates from the lower back down through the leg, usually caused by pressure on a spinal nerve root.
A herniated disc or narrowing around the nerve can irritate the sciatic pathway. Many cases settle with time and targeted, non-surgical care. Where symptoms persist or weakness develops, a precise, minimally invasive decompression may be considered to relieve the affected nerve.
Common symptoms
Radiating leg painPins & needlesNumbnessLeg weaknessWorse when sitting
The approach
Detect — MRI to localise the compressed nerve root.
Preserve — non-surgical care first; endoscopic decompression when indicated.
Thrive — early mobilisation and return to activity.
A gradual narrowing of the spinal canal that places pressure on the nerves, often developing slowly with age.
Stenosis can produce leg discomfort that builds on walking and eases when sitting or leaning forward. Treatment is guided by how much daily life is affected; where appropriate, a focused decompression aims to create space for the nerves while preserving the stability of the spine.
Common symptoms
Leg pain when walkingRelief on sittingHeaviness in legsReduced walking distance
The approach
Detect — imaging to map the level and degree of narrowing.
Preserve — targeted decompression that protects spinal stability.
Growths within or around the spinal column — primary or secondary — that may affect the nerves or spinal cord.
Spinal tumours are managed within a multidisciplinary framework. Where surgery is appropriate, navigated and microsurgical techniques are used to address the lesion while protecting surrounding neurological structures, with the aim of preserving function.
Common symptoms
Persistent night painNeurological changesWeakness or numbnessUnexplained pain
The approach
Detect — detailed imaging and multidisciplinary review.
Preserve — navigated microsurgery that protects neural structures.
Thrive — coordinated rehabilitation and follow-up.
A break in one of the vertebrae, whether from injury or from bone weakened by osteoporosis.
Many fractures are managed without surgery. When the spine is unstable or pain is severe, minimally invasive stabilisation may be considered to support the vertebra, reduce pain, and help restore mobility — with the least disruption to surrounding tissue.
Common symptoms
Sudden back painPain on movementLoss of heightLimited mobility
The approach
Detect — imaging to assess stability and bone quality.
Preserve — minimally invasive stabilisation when indicated.
Pain arising from the cervical spine, sometimes radiating into the shoulder or arm when a nerve is involved.
Cervical conditions range from muscular strain to disc degeneration with nerve irritation. Where surgery is needed, motion-preserving options such as cervical disc arthroplasty aim to relieve the nerve while maintaining the natural movement of the neck.
Common symptoms
Neck painArm painTingling in handsStiffness
The approach
Detect — assessment to identify the source of the pain.
Preserve — motion-preserving disc arthroplasty where suitable.
Persistent lower back pain, often related to disc degeneration or changes in the stability of the spine.
The great majority of back pain improves without an operation. The priority is an accurate diagnosis and a clear, conservative plan. Surgery — whether motion-preserving or stabilising — is reserved for the specific cases where it is genuinely indicated.
Common symptoms
Persistent low back painStiffnessPain with activityReferred buttock pain
The approach
Detect — careful diagnosis before any decision.
Preserve — conservative care first; surgery only when indicated.
Infection involving the disc, vertebra, or the space around the spinal cord — conditions that need prompt assessment.
Spinal infections are managed closely with medical colleagues and often respond to targeted treatment. Where there is instability, neurological involvement, or an abscess, surgery may be required to decompress and stabilise the affected area.
Common symptoms
Severe back painFeverNight painNeurological signs
The approach
Detect — prompt imaging and laboratory assessment.
Preserve — surgical decompression and stabilisation where required.
Abnormal curvature or alignment of the spine — sideways (scoliosis) or forward (kyphosis).
Deformity is assessed in the context of symptoms, progression, and overall balance. Where correction is indicated, reconstructive techniques aim to restore alignment and protect long-term function, with planning tailored to the individual spine.
Growths within or around the brain, managed carefully within a specialist multidisciplinary team.
Brain tumours vary widely in type, location, and behaviour. Where surgery is appropriate, navigated and microsurgical techniques — including awake craniotomy when indicated — aim to treat the lesion while protecting healthy brain tissue and neurological function.
Common symptoms
Persistent headachesVision changesWeakness on one sideSeizuresBalance changes
The approach
Detect — detailed MRI/CT and multidisciplinary review.
Preserve — navigated microsurgery that protects healthy tissue.
Thrive — coordinated rehabilitation and long-term follow-up.
Conditions affecting the junction between brain and spine, cerebrospinal fluid flow, or the movement of the spinal cord.
Chiari malformation, hydrocephalus, and tethered cord syndrome each require precise imaging and specialist assessment. Treatment may range from careful monitoring to surgical decompression, CSF diversion, or untethering — always tailored to symptoms and anatomy.
Injuries to the head, brain, or spine from accidents, falls, or high-impact events.
Trauma requires prompt assessment to identify fractures, bleeding, cord compression, or instability. Management ranges from close observation to emergency decompression and stabilisation, with rehabilitation planned from the outset where surgery is needed.
Common symptoms
Headache after injuryNeck or back painWeakness or paralysisConfusionLoss of consciousness
The approach
Detect — urgent CT/MRI and neurological assessment.
Preserve — decompression and stabilisation where required.
Thrive — rehabilitation alongside medical recovery.
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