Professor Nasir Quraishi is an NHS and private spinal surgeon in Nottingham, specialising in complex spinal surgery, including lumbar spine surgery and the management of back and neck conditions. He provides comprehensive assessment, diagnosis, and treatment for patients experiencing lower back or leg pain. Consultations are available directly or via GP referral at leading private hospitals in Nottingham.
Professor Quraishi takes a careful, evidence-based approach to spinal care. Each consultation includes a detailed discussion of symptoms, medical history, and imaging results to guide the most suitable treatment. Patients receive clear explanations, realistic expectations, and continuous support throughout their treatment journey.
Understanding the Lumbar Spine
The lumbar spine forms the lower section of the back and is responsible for supporting much of the body’s weight. It connects the upper spine to the pelvis and allows flexibility in bending and rotation. Pain or stiffness in this region can develop when any of the surrounding structures, such as muscles, joints, discs, or nerves, become irritated or damaged.
Typical symptoms of lumbar spine problems include:
– Persistent or recurring lower back pain
– Pain radiating into one or both legs (sciatica)
– Stiffness or limited range of motion
– Tingling, numbness, or weakness in the legs
Anyone experiencing ongoing or severe pain should seek professional assessment. Early diagnosis helps identify the cause of discomfort and determine whether spine surgery or non-surgical treatment might be appropriate.
Common Causes of Lower Back Pain
There are several possible causes of lumbar spine pain, ranging from short-term muscle strain to chronic degenerative conditions. Common examples include:
Muscle strain – Often caused by heavy lifting or twisting, resulting in temporary inflammation or spasm.
Degenerative disc disease – The gradual loss of flexibility and cushioning in the spinal discs that can cause pain and stiffness.
Lumbar disc herniation – A disc can bulge or rupture, pressing on nearby nerves and leading to leg pain or sciatica.
Sacroiliac joint dysfunction – Irregular movement in the joint linking the spine and pelvis, which may cause discomfort in the lower back or buttocks.
Spondylolisthesis – A vertebra may slip forward over another, sometimes compressing a nerve root and causing radiating pain.
Facet joint arthritis – Wear and tear in the small joints of the spine that can cause pain and restricted movement.
Lumbar stenosis – A narrowing of the spinal canal, often from bone spurs or age-related changes, which can result in leg weakness, numbness, or difficulty walking.
In cases where these conditions persist despite conservative treatment, surgery may be recommended to relieve pressure on nerves and restore stability.
When is Lumbar Spine Surgery Needed?
Lumbar spine surgery is generally considered when non-surgical options such as physiotherapy, medication, or spinal injections have not provided enough relief. It may also be recommended when imaging shows significant nerve compression or spinal instability.
Conditions that may require spinal surgery include:
– Severe disc herniation causing ongoing leg pain
– Nerve compression from spinal stenosis
– Vertebral instability or deformity
– Chronic lower back pain unresponsive to conservative care
The goal is to relieve pressure on the nerves, stabilise the spine, and improve overall mobility and comfort. Each case is assessed individually, and patients are given detailed information before any decision is made.
Treatment and Recovery
Procedures such as herniated disc surgery, slipped disc surgery, or spinal decompression may be recommended depending on the cause of pain. Operations are performed using techniques designed to minimise tissue disruption and promote faster recovery.
Following spinal surgery, patients receive tailored rehabilitation plans that include physiotherapy and follow-up appointments. Many experience gradual improvement in leg pain, strength, and movement within a few weeks. Regular reviews help monitor recovery and address any ongoing concerns.
Expertise Across Spinal Conditions
In addition to lumbar spine procedures, Professor Quraishi has expertise in complex spinal treatments, including sciatica surgery, scoliosis surgery, and spinal tumour surgery. His practice is based on evidence-driven care, ensuring that each patient receives an individualised plan suited to their condition, health, and lifestyle.
Every consultation is carried out with attention to detail and a focus on patient wellbeing. Many spinal problems can be managed without surgery, and where surgical treatment is required, the approach is planned with precision and care.
Book a Consultation
Individuals experiencing persistent lower back pain, leg symptoms, or difficulty with movement are encouraged to seek a professional assessment. Early diagnosis can often identify the cause and guide the right treatment approach.
Private consultations with Professor Nasir Quraishi are available for patients requiring expert evaluation and management of spinal conditions, including those that may involve lumbar spine surgery. Appointments can be arranged directly or through a GP referral. Alternatively, to request an appointment to discuss your symptoms, please contact us.