A Kent-based spinal specialist offering the latest surgical treatments for neck pain, back pain, sciatica, scoliosis, spinal trauma and spinal sports injuries.
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.
Providing private spinal surgery in Kent
Mr Casha provides private spinal surgery at four leading independent hospitals in Kent: BMI The Chaucer Hospital, Canterbury, Spire St Saviour's Hospital, Hythe and The Spencer Private Hospitals in Margate and Ashford.
Folkestone, Dover, Sandwich, Canterbury, Hythe, Canterbury, Romney Marsh, Margate, Ramsgate, Faversham, Whitstable, Deal and Ashford.
A highly qualified spinal surgeon
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. A keen educator, he 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 2012.
Spinal conditions treated by Mr Casha
Mr Casha is able to provide surgical treatment for the full range of conditions affecting the spine, including:
- Disc prolapse
- Facet joint syndrome
- Spinal stenosis
- Arthritic spinal disease
- Spinal trauma and fractures
- Acute cervical disc disease
Expert 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.
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