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Video education

Explore Anthony Ghosh’s collection of educational videos covering back pain, neck pain, sciatica, slipped discs, and other common spinal conditions.

Designed to help patients better understand their symptoms, treatment options and recovery, these videos provide clear, evidence-based guidance from an experienced consultant spinal neurosurgeon.

Browse the latest videos below, or start with our featured content covering some of the most common questions and concerns seen in clinic.

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Featured videos

Can gel injections really repair spinal discs?

Gel injections for disc degeneration are generating significant attention, but what do they actually do? In this video, Anthony Ghosh explains how Hydrafil treatments work, what current research shows, and how emerging therapies differ from the claims often seen on social media.

What Is Foraminal Stenosis?

Foraminal stenosis is a common MRI finding and a frequent cause of arm or leg pain, yet it’s often poorly understood. In this video, Anthony Ghosh explains what it means, why it develops, when it causes symptoms, and the treatment options available, from physiotherapy to surgery.

Why is my back stiff in the morning?

Morning back stiffness is extremely common, particularly as we get older, but it often causes unnecessary concern. Here, Anthony Ghosh explains why stiffness occurs overnight, why movement usually helps, common misconceptions, and when symptoms may need further assessment.

When does surgery for back pain actually work?

Spine surgery can be highly effective, but only in the right circumstances. In this video, Anthony Ghosh explains why most spinal operations target nerve-related symptoms, when surgery may help back pain itself, and why accurate diagnosis and patient selection are so important.

Browse all videos

When Modic Changes Cause Back Pain: What I Do Before Fusion Try our spine assessment tool: https://p.spinemdt.com/widget/form/Yh1W3mGYZH3k6jmpZLQ7 Get free expert tips and updates from a spine surgeon: https://www.spinemdt.com/expert-tips-and-updates/ Related videos: https://youtu.be/h4FB9AFh7hU?si=PW5x0T3jzCh5pYId https://youtu.be/5Cvc2BfpC9w?si=QVZ4U4VTauyeQFS2 https://youtu.be/eUjyCq2DU7A?si=3gfkFFN6-Dr_Fm7q Modic changes are commonly seen on MRI scans, and in many people they may have little or nothing to do with their symptoms. But there is a carefully selected group of patients in whom changes within the vertebral endplates may represent a genuine source of chronic lower back pain—sometimes referred to as vertebrogenic back pain. So what happens when I believe the vertebral endplates really are the pain generator? In this video, I explain my approach, including: Why Modic changes alone don't establish the diagnosis How degeneration of the disc/endplate complex may produce vertebrogenic pain Why I don't automatically recommend spinal fusion The role of basivertebral nerve ablation Why pain relief should be followed by rehabilitation and conditioning Why bone health may matter in selected patients What happens to Modic changes over time When fusion may still have a role if other treatments fail Why rehabilitation before surgery—“prehabilitation”—may still be valuable if an operation ultimately becomes necessary The important principle is that treatment shouldn't simply be dictated by an MRI finding. It should start with identifying the likely pain generator and then choosing the least invasive appropriate treatment for that individual patient. There are multiple professionals (surgeons, physiotherapists, chiropractors, osteopaths and more) who treat back and spine problems. But often they work independent of each other and few patients have someone taking responsibility of overall oversight of care in a team. This is why In my practice I bring all professionals of spine care together under my oversight. TOTAL SPINE CARE THAT GETS RESULTS! KEEPING PEOPLE MOVING This video is only a guide and is no substitute for being seen and assessed by a healthcare professional. More information visit https://SpineMDT.com info@SpineMDT.com 020 8088 1222 5:32
When Modic Changes Cause Back Pain: What I Do Before Fusion
YouTube Video VVV6dzNhMHVJcGs2QlgtY3pkc21nVTBnLnJ3cl9vZS1IRHFV

When Modic Changes Cause Back Pain: What I Do Before Fusion

Why Does My Sciatica Keep Coming Back? Try our spine assessment tool: https://p.spinemdt.com/widget/form/Yh1W3mGYZH3k6jmpZLQ7 Get free expert tips and updates from a spine surgeon: https://www.spinemdt.com/expert-tips-and-updates/ Related videos: https://youtu.be/ONex-5Jl_UQ?si=4al_EEUVuUmOWwPF https://youtu.be/bytmBQoWbeM?si=-rC_n6gtFeH-zGvJ Many people assume that recurrent sciatica means their disc has prolapsed again or that they've damaged their spine. But there are several different reasons why sciatic pain can return. In this video, I explain some of the common mechanisms behind recurrent sciatica, including: What happens to a disc after a disc herniation Recurrent disc herniation Inflammation and irritation of the nerve without severe compression Foraminal and lateral recess stenosis Spondylolisthesis and dynamic nerve compression Why a previously irritated nerve may remain sensitive The role of rehabilitation after sciatica improves I also explain when recurrent sciatica is something I would want investigated more urgently, particularly when it is accompanied by progressive weakness or other neurological symptoms. The important point is that sciatica returning doesn't automatically mean you've damaged your spine again. Understanding why it has returned is what determines what should happen next. There are multiple professionals (surgeons, physiotherapists, chiropractors, osteopaths and more) who treat back and spine problems. But often they work independent of each other and few patients have someone taking responsibility of overall oversight of care in a team. This is why In my practice I bring all professionals of spine care together under my oversight. TOTAL SPINE CARE THAT GETS RESULTS! KEEPING PEOPLE MOVING This video is only a guide and is no substitute for being seen and assessed by a healthcare professional. More information visit https://SpineMDT.com info@SpineMDT.com 020 8088 1222 7:07
Why Does My Sciatica Keep Coming Back?
YouTube Video VVV6dzNhMHVJcGs2QlgtY3pkc21nVTBnLmh0RDJoSTM2bkFj

Why Does My Sciatica Keep Coming Back?

Common misconceptions about spine surgery Try our spine assessment tool: https://p.spinemdt.com/widget/form/Yh1W3mGYZH3k6jmpZLQ7 Get free expert tips and updates from a spine surgeon: https://www.spinemdt.com/expert-tips-and-updates/ Related videos: https://youtu.be/NFP4en5FJqE?si=plCEaYBeUYeRuBlh Spine surgery is surrounded by myths, misunderstandings and outdated beliefs. Every week I meet patients who are understandably anxious because of things they've read online or heard from friends and family. In this video, I discuss four of the common misconceptions I hear most often in clinic: • Is spine surgery really a treatment for back pain? • Should it always be the very last resort? • Is spine surgery as dangerous as many people believe? • Does having one operation inevitably mean you'll need more? The aim isn't to persuade anyone to have surgery—or to avoid it. It's to help you make informed decisions based on facts rather than fear. As always, successful spine surgery begins with the right diagnosis, careful patient selection and realistic expectations. There are multiple professionals (surgeons, physiotherapists, chiropractors, osteopaths and more) who treat back and spine problems. But often they work independent of each other and few patients have someone taking responsibility of overall oversight of care in a team. This is why In my practice I bring all professionals of spine care together under my oversight. TOTAL SPINE CARE THAT GETS RESULTS! KEEPING PEOPLE MOVING This video is only a guide and is no substitute for being seen and assessed by a healthcare professional. More information visit https://SpineMDT.com info@SpineMDT.com 020 8088 1222 7:22
Common Misconceptions About Spine Surgery
YouTube Video VVV6dzNhMHVJcGs2QlgtY3pkc21nVTBnLkRHbjZtQTVEekkw

Common Misconceptions About Spine Surgery

When Back Pain Isn't "Just Back Pain" Try our spine assessment tool: https://p.spinemdt.com/widget/form/Yh1W3mGYZH3k6jmpZLQ7 Get free expert tips and updates from a spine surgeon: https://www.spinemdt.com/expert-tips-and-updates/ Related videos: https://youtu.be/C82hZsuj5w0?si=jYHPQzXx_qS_Ob5v https://youtu.be/6t3qplTuGUM?si=erxBC9LOq_WCYgmL Most episodes of back pain are not caused by anything serious and improve with time, education and the right rehabilitation. However, there are certain patterns of symptoms that make me think differently as a spine surgeon. These don't necessarily mean something serious is wrong—but they do mean further investigation may be appropriate. In this video I explain five situations where back pain deserves a closer look, including: • Persistent night pain • Fever or signs of infection • Unexplained weight loss or a previous history of cancer • Progressive weakness or numbness, difficulty passing urine or incontinence • Pain following significant trauma or in people at higher risk of spinal fractures The aim of this video isn't to create anxiety. It's to help you recognise the uncommon situations where specialist assessment or further investigation is important. There are multiple professionals (surgeons, physiotherapists, chiropractors, osteopaths and more) who treat back and spine problems. But often they work independent of each other and few patients have someone taking responsibility of overall oversight of care in a team. This is why In my practice I bring all professionals of spine care together under my oversight. TOTAL SPINE CARE THAT GETS RESULTS! KEEPING PEOPLE MOVING This video is only a guide and is no substitute for being seen and assessed by a healthcare professional. More information visit https://SpineMDT.com info@SpineMDT.com 020 8088 1222 4:28
When Back Pain Isn't Just Back Pain
YouTube Video VVV6dzNhMHVJcGs2QlgtY3pkc21nVTBnLlc3VWwyTlR6UlRN

When Back Pain Isn't Just Back Pain

The 5 MRI Findings That Scare Patients Most (But Usually Shouldn't) Try our spine diagnostic tool: https://p.spinemdt.com/widget/form/Yh1W3mGYZH3k6jmpZLQ7 Get free expert tips and updates from a spine surgeon: https://www.spinemdt.com/expert-tips-and-updates/ Related video: https://youtu.be/C82hZsuj5w0?si=BU1dB2XlniCzgTJD https://youtu.be/a5vEz2v7ehg?si=nTWy0DoHi2fvLmCm Have you read your MRI report and immediately started worrying? You're not alone. Every week I see patients who are frightened by words such as haemangioma, degenerative disc disease, disc bulge and severe degeneration. In many cases these findings are completely unrelated to the pain that brought them for a scan. In this video I explain the five MRI findings that concern patients the most, what they actually mean, and why they often aren't nearly as worrying as they sound. An MRI report describes anatomy. It doesn't diagnose a patient. If you're trying to understand your MRI scan, this video will help you put the findings into the right clinical context. Contents 00:00 Introduction 00:36 Haemangioma 01:42 Degenerative Disc Disease 02:40 Disc Bulge 03:35 Severe facet degeneration 05:38 Multiple Levels of Degeneration 06:22 Final Thoughts There are multiple professionals (surgeons, physiotherapists, chiropractors, osteopaths and more) who treat back and spine problems. But often they work independent of each other and few patients have someone taking responsibility of overall oversight of care in a team. I started my practice to bring all professionals of spine care together under my direction as a surgeon to provide spine care that gets results. KEEPING PEOPLE MOVING This video is only a guide and is no substitute for being seen and assessed by a healthcare professional. More information visit https://SpineMDT.com info@SpineMDT.com 020 8088 1222 7:16
The 5 MRI Findings That Scare Patients Most But Usually Shouldn't
YouTube Video VVV6dzNhMHVJcGs2QlgtY3pkc21nVTBnLjNtZFZIMEIzc1RZ

The 5 MRI Findings That Scare Patients Most But Usually Shouldn't

The 5 Things Patients Say That Make Me Request an MRI Try our spine diagnostic tool: https://p.spinemdt.com/widget/form/Yh1W3mGYZH3k6jmpZLQ7 Get free expert tips and updates from a spine surgeon: https://www.spinemdt.com/expert-tips-and-updates/ Related video: https://youtu.be/C82hZsuj5w0?si=BU1dB2XlniCzgTJD https://youtu.be/a5vEz2v7ehg?si=nTWy0DoHi2fvLmCm One of the most common questions I hear in clinic is: "Do I need an MRI?" The answer isn't based on how severe your pain is. Instead, it's based on whether an MRI is likely to answer an important clinical question or change your treatment. In this video, I explain five situations that make me consider requesting an MRI, including: • Progressive weakness (such as foot drop) • Persistent sciatica • Symptoms of cauda equina syndrome • Cervical myelopathy (spinal cord compression) • Symptoms that continue despite appropriate treatment We'll also discuss why many people with back pain don't need an MRI straight away, and why unnecessary scans can sometimes create confusion rather than clarity. The goal is always the same: request the right investigation for the right patient at the right time. There are multiple professionals (surgeons, physiotherapists, chiropractors, osteopaths and more) who treat back and spine problems. But often they work independent of each other and few patients have someone taking responsibility of overall oversight of care in a team. I started my practice to bring all professionals of spine care together under my direction as a surgeon to provide spine care that gets results. KEEPING PEOPLE MOVING This video is only a guide and is no substitute for being seen and assessed by a healthcare professional. More information visit https://SpineMDT.com info@SpineMDT.com 020 8088 1222 5:53
The 5 Things Patients Say That Make Me Request an MRI
YouTube Video VVV6dzNhMHVJcGs2QlgtY3pkc21nVTBnLlRfTGFkWjBVUmtF

The 5 Things Patients Say That Make Me Request an MRI

The 3 Spine Patients I Worry About Most Try our spine diagnostic tool: https://p.spinemdt.com/widget/form/Yh1W3mGYZH3k6jmpZLQ7 Get free expert tips and updates from a spine surgeon: https://www.spinemdt.com/expert-tips-and-updates/ Related video: https://youtu.be/C82hZsuj5w0?si=qtoOJwYGAC4B6r4M https://youtu.be/Re3IQ3Cbcpg?si=O81qmUGrmiwFZ_O2 https://youtu.be/6t3qplTuGUM?si=97x1tLqTs0e0FNNF Most back pain is not dangerous and improves without surgery. However, there are three groups of patients that immediately change the way I think as a spine surgeon because they may have progressive nerve or spinal cord injury. In this video, I explain: • Patients with progressive weakness • Patients with suspected cauda equina syndrome • Patients with cervical myelopathy (spinal cord compression) We discuss: • Why these conditions are different from ordinary back pain • The symptoms that should never be ignored • Why timing is important • When urgent assessment may be needed • Why protecting nerve function sometimes becomes more important than treating pain The aim of this video is not to create unnecessary anxiety, but to help people recognise the uncommon situations where prompt specialist assessment can make an important difference. There are multiple professionals (surgeons, physiotherapists, chiropractors, osteopaths and more) who treat back and spine problems. But often they work independent of each other and few patients have someone taking responsibility of overall oversight of care in a team. I started my practice to bring all professionals of spine care together under my direction as a surgeon to provide spine care that gets results. TOTAL SPINE CARE THAT GETS RESULTS! KEEPING PEOPLE MOVING This video is only a guide and is no substitute for being seen and assessed by a healthcare professional. More information visit https://SpineMDT.com info@SpineMDT.com 020 8088 1222 5:38
The 3 Spine Patients I Worry About Most
YouTube Video VVV6dzNhMHVJcGs2QlgtY3pkc21nVTBnLmE1dkV6MnY3ZWhn

The 3 Spine Patients I Worry About Most

Why Bigger Disc Herniations Often Shrink Faster Try our spine diagnostic tool: https://p.spinemdt.com/widget/form/Yh1W3mGYZH3k6jmpZLQ7 Get free expert tips and updates from a spine surgeon: https://www.spinemdt.com/expert-tips-and-updates/ Related video: https://youtu.be/GwPWh0CC0FQ?si=_g337V0RHOiJoC6b Most people assume that a larger disc herniation means a worse prognosis and a greater need for surgery. Surprisingly, that isn't always true. In this video, I explain why larger disc extrusions and sequestrations often have a greater tendency to shrink naturally than smaller contained disc protrusions. We discuss: • The different types of disc herniation • How the body can remove herniated disc material naturally • The role of inflammation and macrophages • Why symptoms often improve before MRI scans change • When surgery is still the best option • Why MRI size alone should never determine treatment decisions The key message is that a large disc herniation does not automatically mean a poor outcome. The natural biology of disc resorption is one of the reasons many patients recover without surgery. There are multiple professionals (surgeons, physiotherapists, chiropractors, osteopaths and more) who treat back and spine problems. But often they work independent of each other and few patients have someone taking responsibility of overall oversight of care in a team. I started my practice to bring all professionals of spine care together under my direction as a surgeon to provide spine care that gets results. TOTAL SPINE CARE THAT GETS RESULTS! KEEPING PEOPLE MOVING This video is only a guide and is no substitute for being seen and assessed by a healthcare professional. More information visit https://SpineMDT.com info@SpineMDT.com 020 8088 1222 6:21
Why Bigger Disc Herniations Often Shrink Faster
YouTube Video VVV6dzNhMHVJcGs2QlgtY3pkc21nVTBnLjNOdXRFa29ZVk1j

Why Bigger Disc Herniations Often Shrink Faster

Tarlov Cysts: Are They Really Causing Your Pain? Try our spine diagnostic tool: https://p.spinemdt.com/widget/form/Yh1W3mGYZH3k6jmpZLQ7 Get free expert tips and updates from a spine surgeon: https://www.spinemdt.com/expert-tips-and-updates/ Related video: https://youtu.be/dkZY4Rhzg2Q?si=p3qytxg7gCTU4zbn Tarlov cysts are often found on MRI scans of the lower spine and sacrum. The name can sound worrying, and many patients become concerned when they read it on their scan report. But are Tarlov cysts actually dangerous? And are they really the cause of pain? In this video, I explain: • What Tarlov cysts are • Why they are often found incidentally • When they may be relevant • Why MRI findings must be interpreted in context • Symptoms that may suggest a Tarlov cyst is clinically important • Why most Tarlov cysts do not require treatment • When specialist assessment may be needed The key message is that the presence of a Tarlov cyst on MRI does not automatically mean it is causing your symptoms. Diagnosis depends on matching the scan findings with the clinical picture. There are multiple professionals (surgeons, physiotherapists, chiropractors, osteopaths and more) who treat back and spine problems. But often they work independent of each other and few patients have someone taking responsibility of overall oversight of care in a team. I started my practice to bring all professionals of spine care together under my direction as a surgeon to provide spine care that gets results. TOTAL SPINE CARE THAT GETS RESULTS! KEEPING PEOPLE MOVING This video is only a guide and is no substitute for being seen and assessed by a healthcare professional. More information visit https://SpineMDT.com info@SpineMDT.com 020 8088 1222 8:19
Tarlov Cysts: Are They Really Causing Your Pain?
YouTube Video VVV6dzNhMHVJcGs2QlgtY3pkc21nVTBnLkQ0MUhPSlhLeWRz

Tarlov Cysts: Are They Really Causing Your Pain?

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