James Casha

James Casha

Consultant Orthopaedic Surgeon

Kent

Tel: 07396 700405Email: melanie.peek@onehealthcare.co.uk

I specialise in...

  • Neck pain
  • Back pain
  • Sciatica
  • Scoliosis
  • Spinal trauma 

James Casha

Mr James Casha is Consultant Orthopaedic and Spinal Surgeon at East Kent Hospitals University NHS Foundation Trust and Honorary Senior Lecturer at King's College Medical School, London.  

Mr Casha is regarded as an expert in his field, he is a Fellow of the Royal College of Surgeons and has membership with the British Orthopaedic Association, the British Association of Spine Surgeons, the European Spine Society. Mr Casha provides private spinal surgery at leading independent hospitals in Kent: BMI The Chaucer Hospital, Canterbury, and The Spencer Private Hospitals in Margate and Ashford. 

Experience

Mr Casha qualified as a doctor in Malta in 1986 and underwent his surgical training in Malta and Dundee, obtaining his FRCSOrth and MChOrth from the University of Dundee in 1994. Following a Fellowship in Spine and Trauma Surgery in Bochum, Germany and a Fellowship in Spine and Joint Reconstruction in Toronto, he worked as a consultant orthopaedic surgeon in Malta, both privately and in the country's public health service. At this time, he also held the post of part time Lecturer in Anatomy and Surgery at the University of Malta.

Appointed as Consultant Orthopaedic and Spinal Surgeon to East Kent in 1999, Mr Casha provides trauma and elective spinal surgery at three busy NHS hospitals in the region

Surgical treatment of sciatica

The sciatic nerve runs from the back of the pelvis, through the buttocks, and down both legs, ending at the feet.  When the nerve is irritated or compressed, pain is experienced in the lower back, leg, calf and foot.  The most common cause of this nerve compression is a prolapsed disc, where one of the discs in the spine protrudes or ruptures putting pressure on the nerve.  Other less common causes include a degenerative narrowing of the spinal canal (spinal stenosis), a vertebra slipped out of position (spondylolisthesis), injury, infection or tumour.

Most cases of sciatica resolve within 6 to 12 weeks, however Mr Casha is able to offer expert investigation and treatment for cases of persistent and chronic sciatica that do not respond to non-surgical treatment.  Depending on the cause of the sciatica, surgical options include discectomy, a procedure to remove the part of the prolapsed disc that is pressing on the nerve, and laminectomy, a bone-trimming operation that releases the nerve in cases of spinal stenosis.  Severe cases of spondylolisthesis may be treated by surgically fusing the slipped vertebra to neighbouring vertebrae.

Clinical interests

Mr Casha is able to provide surgical treatment for the full range of conditions affecting the spine at his three main private practices, which include The Spencer Private Hospital Margate, BMI The Chaucer Hospital and The Spencer Private Hospital Ashford. He holds special clinical interest in:

  • Spinal surgery
  • Back pain
  • Spinal stenosis
  • Spondylolisthesis
  • Spine fractures
  • Sciatica
  • Vertebroplasty
  • Kyphoplasty
  • Spinal decompression
  • Spinal fusion
  • Discectomy
  • Disc prolapse
  • Minimal access surgery
  • Facet surgery
  • Nerve blocks
  • Conservative management of scoliosis
  • Coccydynia

Research interests

Mr Casha's main interest and practice are in the conservative, as well as surgical treatment, of back problems. More specifically, he has a special interest in spinal stenosis and flexible stabilisation in the spine, presenting on large series in the past.

A keen educator, Mr Casha is actively involved in the teaching of spinal surgery, fracture treatment and Advanced Trauma Life Support, and was appointed Honorary Senior Lecturer at King's College Medical School, London in 2010.

Memberships and associations

James Casha is a member of the following professional associations and organisations...

British Orthopaedic Association British Medical Association British Association of Spinal Surgeons EUROSPINE AOSpine AOTrauma

Languages spoken

  • English

Treatments provided by James Casha

Mr Casha offers an extensive range of spinal treatments including spinal fusion, cervical spine surgery and lumbar laminectomy.

An intial consultation is £180, with subsequent follow up consultations of £100

Treatments, operations and tests

  • Cubital tunnel decompression
  • Facet joint injection
  • Herniated disc removal
  • Lumbar disc removal (discectomy)
  • Slipped disc surgery
  • Spinal fusion
  • Spinal Stenosis treatments
  • Trapped nerve surgery
  • Vertebroplasty and Kythoplasty

Locations

The Spencer Private Hospital Margate  

Ramsgate Road
Margate
Kent
CT9 4BG

  • Admitting rights
  • Consulting room
Private secretary (Melanie Peek): 07396 700405
Private secretary (Melanie Peek): melanie.peek@onehealthcare.co.uk

Other locations I work at

Circle The Chaucer Hospital (BMI)  

Nackington Road
Canterbury
Kent
CT4 7AR

Bookings: 01227 825124
Secretary - Jess: 01227 825124
Secretary - Jess: jessica.midgley@bmihealthcare.co.uk
Billing Queries: melanie.peek@onehealthcare.co.uk
  • Admitting rights
  • Consulting room

The Spencer Private Hospital Ashford  

William Harvey Hospital
Kennington Road
Ashford
Kent
TN24 0LZ

Private secretary (Melanie Peek): 07396 700405
Private secretary (Melanie Peek): melanie.peek@onehealthcare.co.uk
  • Admitting rights
  • Consulting room

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