I studied at UCH in London, and my post-graduate training was in London at UCH, Queen's Square, RNOH Stanmore and Northwick Park, and in Nottingham where I was a Spinal Research Fellow and a Registrar in Orthopaedics.

At Spire Bushey Hospital, my typical patient has a degenerative or structural problem with the lumbar spine, causing back pain and/or sciatica. Many of my patients are seeking second opinions.

I was a consultant in Orthopaedics with an interest in Spinal Surgery at the Whittington Hospital in London for seven years before moving to the RNOH as a Spinal Surgeon with an interest in degenerative conditions of the Lumbar Spine. I believe that the trauma of the surgical approach adversely affects our ability to achieve consistently good outcomes in lumbar spine surgery, and until we overcome this, our ability as surgeons to evaluate the success or failure of the surgery itself will remain compromised. My Fellowship in 1990 was spent evaluating minimal access treatments for lumbar disc protusions (chemonucleolysis and percutaneous discectomy), and this has been the most important thread in my career.

My NHS practice is for complex spinal disorders including revision surgery. Over 90% of the Posterior Lumbar Spine operations that I perform are minimal access, either endoscopic (for lumbar disc protrusions) or using minimal access tubes (Lumbar Fusions - mostly TLIFs). I am involved in the development of the next generation of spinal implants and biologics and am an advisor to Medtronic, Apatech (Baxter Travenol) and K2M.

I have a professional relationship with Premiership Football and Rugby, the English Cricket Board (County and National) and English National Ballet.