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 James N. Casha MD, MChOrth, FRCS (Ed & Eng), FRCSEdOrth, graduated MD from the University of Malta in 1986. He went through his initial surgical training in Malta and Dundee and obtained his FRCSEd from the Royal College of Surgeons of Edinburgh in 1990. He subsequently worked in Glasgow as an Orthopaedic Registrar and continued his Higher Surgical Training in Dundee as a Visiting Senior Registrar. In 1994, he received his MCh (Orth) from the University of Dundee and obtained his FRCSEdOrth from the Royal College of Surgeons of Edinburgh and the Intercollegiate Board. In 1995, he was AO Spine and Trauma Fellow at the Bergmannsheil Hospital in Germany, where he was also involved in demonstrating on surgical spinal trauma courses.

Between 1995 and 1996, Mr Casha moved to Canada and worked as Spine and Joint Reconstruction Fellow with the University of Toronto at the Orthopaedic and Arthritic Hospital, as well as demonstrating and lecturing courses to surgeons and medical and nursing staff. He returned to Malta between 1996 to 1999, working in the Maltese NHS and a substantive Lecturer in Anatomy at the University of Malta, teaching Anatomy and Surgery and teaching on courses in UK. He also chaired and reformed the Maltese Spinal injuries Unit during this period. In 1999, Mr Cash was appointed to the East Kent Hospitals Trust as a Consultant Orthopaedic and Spinal Surgeon, taking on various training, audit, and management roles in addition to his clinical duties since then. 

Among many accolades, Mr Casha was awarded a Fellowship ad Eundem from the Royal College of Surgeons of England in 2000, where he is still currently serving as Faculty and Regional Director. He also holds the position of Honorary Senior Lecturer (Teaching) at Kings College, London in 2010, as well as serving as a clinical advisor and a personal tutor. In addition, he is also a member of several prestigious organisations such as the British Orthopaedic Association, the British Association of Spine Surgeons, the British Scoliosis Society, the European Spine Society, as well as AO Spine and AO Trauma and the BMA.

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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 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.

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Memberships and associations

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

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