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James Casha

Consultant Orthopaedic Surgeon

, Kent

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James Casha: Consultant Orthopaedic and Spinal Surgeon in Kent

Mr James Casha is a Kent-based spinal specialist offering the latest surgical treatments for neck pain, back pain, sciatica, scoliosis, spinal trauma and spinal sports injuries including lumbar discectomy and microdiscectomy, spinal decompression, facet joint surgery and minimally invasive spinal surgery.


Regarded as an expert in his field, Mr 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. 


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Training and 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.

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

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

Mr Casha is able to provide surgical treatment for the full range of conditions affecting the spine. He holds special clinical interest in:

  • Spinal surgery
  • Back pain
  • Spinal stenosis
  • Spondylolisthesis
  • Spine fractures
  • Sciatica
  • Vertebroplasty
  • Kyphoplasty
  • Spinal decompression
  • Spinal fusion
  • Discectomy
  • Minimal access surgery
  • Facet surgery
  • Nerve blocks

Research interests

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.

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Accreditation and admitting rights

James Casha is an accredited consultant for the following hospitals, clinics and groups...

Professional details


MD, MChOrth, FRCS(Ed & Eng), FRCSEdOrth, T.(Tr & Orth), KHS, KCN, KLM

Qualified in 1986 in Malta

Registrations and licensing

  • General Medical Council (GMC)

    Registration no.: 3639977
    Date of registration: 12-Oct-1992

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Memberships and associations

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

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