Patient Information
Your Guide to Private Spinal Neurosurgery in Manchester
Everything you need to know before, during, and after your consultation or spinal surgery procedure with Mr Dherijha. If you have a question that is not answered here, please do not hesitate to contact the clinic.
Your Patient Journey
From First Enquiry to Spinal Surgery Recovery
Referral & Booking
You may be referred by your GP or specialist, or you may self-refer directly. Contact the clinic by phone or via the online enquiry form. Our team will arrange a convenient appointment, usually within one to two weeks.
Initial Consultation
Mr Dherijha will take a detailed history, review any existing imaging, and carry out a thorough clinical examination. He will explain your diagnosis clearly and discuss all available treatment options — surgical and non-surgical.
Investigations & Imaging
If further investigations are required — such as MRI, CT, or nerve conduction studies — these will be arranged promptly. Mr Dherijha will review the results with you and refine the treatment plan accordingly.
Treatment Decision
Once all information is available, Mr Dherijha will discuss the recommended treatment in detail. If surgery is advised, he will explain the procedure, expected outcomes, risks, and recovery timeline in full.
Surgery & Hospital Stay
Most spinal procedures are performed under general anaesthetic. Depending on the operation, you may be discharged the same day or after one to two nights. Mr Dherijha and the nursing team will ensure you are comfortable and well-informed throughout.
Recovery & Follow-up
A follow-up appointment is arranged within four to six weeks of surgery. Mr Dherijha will assess your recovery, review any post-operative imaging, and provide guidance on returning to normal activities.
Before Your Spinal Surgery
Pre-operative Preparation for Spinal Surgery
Thorough preparation helps ensure the safest possible outcome. The following guidance applies to most spinal procedures — your team will provide any additional instructions specific to your operation.
Pre-operative Assessment
You will attend a pre-operative assessment clinic, usually one to two weeks before surgery. This includes blood tests, an ECG, and a review of your medications and medical history.
Medications
Certain medications — including blood thinners, anti-inflammatory drugs, and some supplements — must be stopped before surgery. Your team will provide a specific list based on your prescription.
Fasting
You must not eat or drink (except small sips of water) for at least six hours before your operation. You will receive specific fasting instructions with your admission letter.
Arrangements at Home
Arrange for a responsible adult to collect you from hospital and stay with you for the first 24 hours after discharge. Prepare your home in advance — ensure essentials are within easy reach and avoid trip hazards.
What to Bring
Bring a list of your current medications, any relevant imaging (on disc or digital), your insurance authorisation details, and comfortable, loose-fitting clothing for your hospital stay.
After Your Spinal Surgery
Post-operative Recovery & Rehabilitation
Recovery from spinal surgery varies depending on the procedure. The guidance below covers the most common scenarios — your team will provide personalised advice tailored to your specific operation.
Pain Management
Some discomfort is normal in the days following surgery. You will be prescribed appropriate pain relief — take it as directed and do not wait until pain becomes severe before taking your medication.
Wound Care
Keep your wound clean and dry until it has fully healed. You will be given specific instructions on dressing changes and when to shower. Contact the clinic if you notice increased redness, swelling, or discharge.
Mobility & Activity
Gentle walking is encouraged from the day after most spinal operations. Avoid heavy lifting, bending, and twisting until cleared by Mr Dherijha. A physiotherapy programme will be arranged where appropriate.
Driving
You must not drive until you are able to perform an emergency stop safely and are no longer taking strong pain medication. This is typically two to six weeks after surgery, depending on the procedure.
Returning to Work
Return to work depends on the nature of your job and the procedure performed. Desk-based roles may be possible within two to four weeks; manual work typically requires six to twelve weeks.
When to Seek Urgent Help
Contact the clinic or attend A&E immediately if you experience new weakness or numbness in your legs, loss of bladder or bowel control, severe worsening pain, or signs of wound infection.
Frequently Asked Questions
Common Questions About Private Spinal Neurosurgery
Do I need a GP referral to see Mr Dherijha?
No — you can self-refer directly. Simply contact the clinic by phone or via the online enquiry form. A GP letter is helpful but not required.
How quickly can I get an appointment?
Private consultations are typically available within one to two weeks. Urgent cases can often be seen sooner — please contact the clinic to discuss your situation.
Which health insurers does Mr Dherijha accept?
Mr Dherijha is recognised by all major health insurers, including Bupa, AXA Health, Aviva, Vitality, Cigna, and WPA. Please check your policy and obtain authorisation before your appointment.
Can I be seen as a self-paying patient?
Yes — self-pay patients are welcome. Fixed-price packages are available for many common spinal procedures. Please contact the clinic for a quote.
How long will I be in hospital after spinal surgery?
This depends on the procedure. Many minimally invasive operations are performed as day cases or with an overnight stay. More complex procedures may require two to four nights in hospital.
Will I need physiotherapy after surgery?
Physiotherapy is recommended after most spinal operations to optimise recovery and prevent recurrence. Mr Dherijha will refer you to an appropriate physiotherapist as part of your post-operative care plan.
What are the risks of spinal surgery?
All surgery carries some risk. Mr Dherijha will discuss the specific risks relevant to your procedure in detail during your consultation, ensuring you can make a fully informed decision.
What if I need surgery but am nervous about the procedure?
It is completely normal to feel anxious. Mr Dherijha takes time to explain every aspect of the procedure and answer all your questions. Many patients find that a clear understanding of what to expect significantly reduces their anxiety.
Ready to Book Your Spinal Consultation?
Contact the clinic to arrange a private spinal neurosurgery consultation with Mr Dherijha at one of four hospitals across Greater Manchester, Cheshire and Lancashire.