Excellence in Spinal Care
My name is James Langdon. I am a specialist in treating spinal conditions including leg pain (sciatica), arm pain, neck and back pain. I am an expert in managing disc problems and spinal stenosis. When appropriate, I believe in minimal intervention to treat spinal conditions, and will exhaust the non-surgical treatment options (including spinal injections) before recommending surgery. I work closely with local physical therapists, radiologists, pain specialists and other health professionals to optimise patients’ treatment prior to undertaking any surgical procedures. I routinely discuss more complex cases with colleagues in our multi-disciplinary team (MDT) meeting.
My main surgical interest is in the use of minimally invasive spinal surgical techniques. I believe that the use of these techniques reduces post-operative pain, reduces length of hospital stay, and improves patient outcomes. I offer a full range of surgical treatments for degenerative spinal conditions including lumbar microdiscectomy, spinal decompression, minimally invasive spinal fusions, anterior cervical decompression and fusion / disc replacement, balloon kyphoplasty, as well as spinal injections.
I ensure that I take the time to explain things clearly in easy to understand terms, enabling patients to make informed decisions about their treatment options.
I am happy to see patients for second opinions or for the purpose of preparing medico-legal reports.
I have out-patient clinics at Spire Harpenden Hospital and at the St John and St Elizabeth Hospital.
How can I help you?
Mr. James Langdon
BSc (Hons) MB BS MRCS (Eng.) FRCS (Orth.)
Consultant Orthopaedic Spinal Surgeon
If the nerves in your neck become irritated or compressed, then you can start to develop symptoms radiating down your arm. The predominant symptom is usually pain, but other symptoms include numbness, tingling and weakness. Arm pain coming from your neck can be caused by compression of a nerve as it comes out the side of your neck.
Sciatica (Leg pain)
Sciatica refers to pain that radiates along the sciatic nerve and is typically felt in the buttocks, down the back of the leg, and possibly to the foot. Sciatica occurs when one or more of the nerves that make up the large sciatic nerve are irritated or pinched. Most cases of sciatica will get better with time and without an operation but sometimes surgery is required.
Back pain is very, very common, indeed almost all of us will suffer from it at some point in our lives. It can vary from a mild, acute problem that rapidly settles to severe, on-going pain that never goes away. The good news is that in most cases surgery is NOT required and the pain will get better on its own and all that is required is good pain relief.