Hanny Anwar BMedSci MBBS FRCS (T&O)

Consultant Orthopaedic Spinal Surgeon at the Royal National Orthopaedic Hospital Stanmore (NHS and Private Practice)
Consultant Orthopaedic Spinal Surgeon at the Schoen Clinic, Harley Street Medical Area London (Private Practice)
Consultant Orthopaedic Spinal Surgeon at Elstree Waterfront Outpatients Centre, HCA Healthcare UK (Private Practice)

The spine is a highly specialised structure in the body that is important for everything that we do. 


Most of the time, when there is pain in the spine, the body will heal and no specific treatment is needed, other than to keep fit and healthy. 

Sometimes, problems with the spine won't heal by themselves, or may take a very long time to heal. If that's the case, being seen by an expert spinal doctor who can help you quickly diagnose the problem and plan the appropriate treatment can help you get back to normal. 

Rarely, problems felt in the spine represent serious illness and require rapid diagnosis and treatment. 

In general, most spinal conditions that are likely to heal themselves will do so within a few weeks. If things aren't settling down or getting worse, it's better to seek the opinion of an expert. 


Some problems affecting the spine should not wait to be dealt with at an outpatients consultation. If you have any of the following symptoms then please seek emergency advice via NHS 111, your GP in or out of hours or present to  Accident and Emergency:

1. Weakness in your arms or legs that is getting worse. 

2. Altered sensation in the saddle region (between the legs, the perineum, around the anus).

3. Altered sensation when passing urine or stool.

4. Inability to pass urine or stool (with numbness in that region), or new incontinence.