Spine & Orthopedic Assessments​ at Liv & Harley Street Hospital

Book Your Precision Spine & Orthopaedic Assessment

What does Spine & Orthopaedic Assessment mean?

At Liv Harley Street Hospital’s Spine & Orthopaedic Assessment Suite we blend cutting-edge imaging with consultant-grade clinical testing to pinpoint the exact cause of back, neck, joint or postural pain—often in a single visit. Our multidisciplinary team (spinal surgeons, orthopaedic surgeons, foot & ankle surgeons, pain management specialists, radiologists, neuro-physiologists and physiotherapists) use the latest ultra low-dose radiation scans, dynamic studies and targeted diagnostic injections to build a 360-degree map of your spine or limb alignment before any treatment plan is suggested.

Stop guessing and start healing. Schedule a one-stop diagnostic package at Liv Harley Street Hospital today and let our experts chart the shortest, safest path back to pain-free movement.

Who do we Assess?

  • Persistent back or neck pain

  • Suspected disc herniation, sciatica, stenosis or facet arthritis

  • Scoliosis, kyphosis or post-fracture deformity needing precise angle measurements

  • Recurring knee or hip pain

  • Athletes with recurrent sports spine or joint injuries affecting performance

  • Pre-surgical or post-surgical patients requiring outcome scans

  • Anyone seeking a second opinion before committing to injections or surgery

(Not suitable during pregnancy for X-ray/CT studies; acute spinal cord compression requires emergency care first.)

Contact Us

Get in touch with our experienced team to book your consultation.

Book Appointment

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Why Choose Us

Liv & HSH London

  • EOS 3-D Upright Imaging – one of only three UK centres offering Nobel-Prize technology with < 10 % of standard X-ray radiation.

  • One-Stop Diagnostic Pathway – MRI, CT, nerve-conduction studies and consultant report completed the same day.

  • Inter-Specialty Review Board – spine, orthopaedics, pain and physio experts discuss complex cases every week.

  • CQC-rated ‘Outstanding’ Imaging Department – strict dose-monitoring and double consultant reporting for accuracy.

What do we do?

Assessments & Tests

Test / AssessmentWhat It ShowsTypical Time
EOS Full-Body 3-D X-rayStanding posture, scoliosis or limb-length inequality with 1:1 scale accuracy15 min
High-Resolution MRIDisc degeneration, nerve compression, soft-tissue injury25 min
CT / CT-MyelogramBony stenosis, fractures, post-fusion evaluation20–30 min
Dynamic Flexion-Extension X-rayInstability or spondylolisthesis under movement10 min
Provocative Facet / Nerve-Root BlocksPinpoint pain generator; double as therapeutic shot30 min (day-case)
Electro-Diagnostic EMG / NCSNerve root vs. peripheral nerve injury, neuropathy45 min
DEXA Bone DensityOsteoporosis or fracture-risk profiling10 min
Gait & Balance AnalysisFunctional impact of spine or limb deformity20 min

Pain-relief: local anaesthetic is used for injection studies; MRI/CT scans are painless.
Back-to-routine: Imaging-only visits have zero downtime; injection blocks require 24 h of light activity only.


Benefits of a Comprehensive Assessment

  • Accurate diagnosis first time → avoids unnecessary surgery or months of trial-and-error therapy

  • Ultra-low radiation with EOS for children & repeat-scan adults

  • Immediate treatment decisions – targeted injections, rehab pathway or minimally invasive surgery scheduled without delay

  • Baseline measurements enable objective tracking of posture or fusion progress


Potential Risks & Limitations

  • Small radiation exposure with X-ray/CT (minimised by EOS and dose-modulation)

  • Rare bruising or temporary numbness after diagnostic injections

  • Claustrophobia in MRI (open-MRI or sedation available)

  • False-negative blocks if pain source is multi-factorial—confirmed with second-level tests if needed

FAQ

Frequently Ask Questions.

Everything you want to know about Spine & Orthopedic Assessments in London Liv & Harley Street Hospital.

Remove metal objects; continue normal diet unless having a contrast CT (fast 4 h). Comfortable clothing advised.

Its primary role is to confirm the pain generator; relief may last hours to weeks. Definitive options (ablation, surgery, rehab) follow.

Yes—our radiologists will compare them to see progression. Bring discs or reports on the day.

Most UK insurers pre-authorise consultant-ordered scans and blocks. Our team supplies all codes for approval.

Verbal feedback before you leave; full written consultant report and images delivered via secure portal within 24 h.