BVNA
Basivertebral Nerve Ablation (BVNA) Procedure in London
With Mr Irfan Malik | Consultant Spine Surgeon | UK’s Renowned Specialist
Basivertebral Nerve Ablation (BVNA) is a minimally invasive procedure aimed at relieving chronic back pain, particularly in patients diagnosed with degenerative disc disease or other spinal conditions. By targeting the basivertebral nerve, which plays a role in transmitting pain signals from the vertebrae, this technique seeks to disrupt these signals, providing significant pain relief and improved quality of life. Mr. Irfan Malik is the epitome of excellence in BVNA, delivering unparalleled proficiency and outcomes.

What are the Benefits of Basivertebral Nerve Ablation (BVNA)?
Targets the Source of Vertebrogenic Pain
BVNA works by interrupting pain signals from the basivertebral nerve within the vertebrae, addressing chronic low back pain at its origin rather than masking symptoms.
Long-Lasting Pain Relief
Clinical evidence shows sustained improvement in pain and function for carefully selected patients with vertebrogenic back pain.
Minimally Invasive Procedure
Performed through a small incision using image guidance, BVNA avoids large surgical exposure and reduces tissue disruption.
Faster Recovery Time
Most patients return to normal activities sooner compared with traditional spine surgery due to minimal structural disruption.
No Implants or Fusion Required
BVNA preserves spinal movement because it does not involve hardware placement or joining vertebrae together.
Suitable for Chronic Low Back Pain
Particularly beneficial for patients with Modic changes visible on MRI who have not improved with conservative treatments.
Performed with Advanced Imaging Guidance
Precision imaging ensures accurate nerve targeting while protecting surrounding spinal structures.
Improved Function and Mobility
By reducing persistent pain, BVNA helps patients regain confidence in movement and daily activity.
Personalised Patient Selection
Thorough assessment ensures BVNA is offered only when imaging and symptoms indicate vertebrogenic pain.
Our Process
Your Journey with Basivertebral Nerve Ablation (BVNA)
Expert care, without the wait. Here’s how we identify vertebrogenic pain and deliver targeted relief.
Step 1
Specialist Consultation
Your journey begins with a detailed consultation with Mr Irfan Malik. Your symptoms, previous treatments, medical history, and MRI findings are reviewed to determine whether vertebrogenic pain may be the source of your chronic low back pain.
Step 2
Advanced Imaging & Diagnosis
High-resolution MRI is essential to identify Modic changes within the vertebrae, which indicate inflammation linked to basivertebral nerve pain. This confirms whether BVNA is an appropriate treatment option.
Step 3
Targeted Treatment Planning
If BVNA is suitable, a personalised treatment plan is created using advanced imaging guidance to precisely locate and target the basivertebral nerve responsible for persistent pain.
Step 4
BVNA Procedure & Recovery
The procedure is performed using minimally invasive techniques through a small incision under imaging guidance. Most patients return home the same day and gradually experience meaningful pain relief and improved mobility over time.
Google Reviews
EXCELLENT Based on 71 reviews Posted on Ivanna C.Trustindex verifies that the original source of the review is Google. I can’t begin to praise Dr. Malik enough for what him and his staff did for me. When I slipped my disc I was completely incapacitated. I was physically unable to stand on my own. The NHS referred me for an MRI that was 6 weeks away which was just not an option. At the time I also had a 5 month old at home, staying in the state I was in just wasn’t an option. My husband did extensive research and came across Dr. Malik. He was able to see me the day after we contacted him, gave me an MRI that evening and was able to fit me in for a nerve block the following morning. Although everything went perfectly it provided minimal relief as the slip was so bad. (Which Dr. Malik informed me may happen) Unfortunately I had to have spinal surgery and I wouldn’t want anyone other than Dr. Malik to do it. His knowledge is beyond anything I could imagine. Not only is he an unbelievably talented surgeon and highly respected in his field but he made sure I understood each and every step he took to get me back on my feet. He also made sure to give me every option allowing me to make the most informed decision. I’m forever grateful for all that he’s done for me. Please, if you’re looking for a expert in this field, see Dr. Malik. You won’t regret it.Posted on Mark BuckleyTrustindex verifies that the original source of the review is Google. I recently consulted Mr. Malik for acute back pain. He was professional, thorough, and clearly very knowledgeable in his field. He took the time to explain the cause of my pain and discussed treatment options in a clear and reassuring manner. I felt well cared for throughout the consultation and would highly recommend him to all.Posted on arslan rehmanTrustindex verifies that the original source of the review is Google. I cannot recommend Mr. Malik, Neurosurgeon, highly enough. He recently performed surgery on my mother to treat severely compressed nerves and a slipped disc, and the entire experience has been absolutely outstanding from start to finish. The surgery went smoothly, and Mr. Malik kept me fully informed throughout the process. He took the time to call me personally as soon as the procedure was over, which meant so much to me and my family. His approachable, friendly, and professional manner gave us complete confidence at every stage. Thanks to Mr. Malik’s skill and expertise, my mum is now feeling so much better. The difference in her comfort and mobility is remarkable. A big thank you also to Rebecca, Mr. Malik’s secretary, for her efficiency and support. She was on top of all the admin and communication, making the whole process seamless and stress-free. Overall, the care and service we received was exceptional. Mr. Malik and his team truly go above and beyond.Posted on Lindsay CrowtherTrustindex verifies that the original source of the review is Google. I had severe pain down my left hand side due to a disc in my neck bulging out and trapping a nerve. Dr Malik explained he would replace the disc releasing the nerve. After the surgery the relief was instant and I am now pain free. So very thankful for his skilled surgery!Posted on Gail LE MilliereTrustindex verifies that the original source of the review is Google. I would thoroughly recommend Mr Malik - he has been excellent during my post spinal fixation surgery. He listened to my concerns and was understanding during my recovery process, clearly explaining where my body was during the last 2.5 years.Posted on Jonathan WalkTrustindex verifies that the original source of the review is Google. All the staff at the Clinic, were extremely helpful and kind whilst remaining diligent and professional.Posted on C CTrustindex verifies that the original source of the review is Google. I saw irfan Malik couple of week ago beacause of my spine problem. He is the one of the best spinal surgeon in london.Posted on Charlotte DTrustindex verifies that the original source of the review is Google. When I hobbled into Mr Malik’s office for our initial appointment, and saw he was wearing Hoka’s, I knew I’d found my surgeon! I was seen on the Friday evening, and was added to his operating list for the following day. He made the arrangements with the anaesthetist there and then, and Rebecca, his practice manager was able to quickly arrange my admission for the following morning and details for my insurance provider. The whole experience was slick, I am so thankful for the speed at which everything was organised. The difference in Mr Malik and a previous surgeon I had seen about my sciatica was second to none. He listened and explained everything so thoroughly. When I woke up after the op, all my sciatic pain was gone immediately, and my recovery has been great so far! If I ever needed anything doing to my back again, I would definitely be coming back. From appointment to operation in less than 24hrs…. How fantastic!Posted on Anshaal ChawdheryTrustindex verifies that the original source of the review is Google. I had experiencing pain for a while and was seen by Mr Malik who treated me with the utmost professionalism and care. His expertise and knowledge put me at ease while he provided the best treatment I could have hoped for. I am beyond grateful to Mr Malik and his team for the experience and can’t recommend him highly enough! Thank you alwaysPosted on Colette BarryTrustindex verifies that the original source of the review is Google. After extensive research we are so happy we chose Mr Malik to operate on our daughter. He instilled confidence upon our first meeting; he is professional and really cares about this patients. He made such hard decisions easier by explaining everything thoroughly; and his aftercare has been faultless. Thank you Mr Malik & team for treating our daughter & ensuring that she is now back studying at University pain free.
Why London Spine Health?
Experience the London Spine Health Difference
Care that’s Personal. Treatment that Works. Recovery that Lasts.
Expertise You Can Trust
Mr Irfan Malik brings decades of experience in diagnosing and treating spinal conditions with precision and compassion.
Tailored to You
No two backs are the same. We create bespoke treatment plans that match your needs, lifestyle, and recovery goals.
Fast-Tracked Appointments
Say goodbye to long NHS waits. We offer prompt consultations, scans, and solutions—often all in one day.
Modern, Minimally Invasive Care
We use the latest techniques and technologies to reduce pain, speed up healing, and avoid unnecessary surgery.
Support at Every Step
From your first appointment to your final follow-up, we’re with you—ensuring you feel informed, confident, and cared for.
London-Based & Easy to Access
With clinics across the city, expert spinal care is never far from home.
FAQs
Get the facts on Basivertebral Nerve Ablation (BVNA)
What is Basivertebral Nerve Ablation (BVNA)?
BVNA is a minimally invasive procedure that targets the basivertebral nerve inside the vertebrae to reduce chronic low back pain caused by vertebrogenic inflammation.
How does BVNA work?
The procedure uses controlled radiofrequency energy to deactivate the basivertebral nerve, preventing it from transmitting persistent pain signals from the vertebral body to the brain.
What conditions can BVNA treat?
BVNA is designed for chronic low back pain associated with Modic changes seen on MRI, particularly when symptoms have not improved with physiotherapy, medication, or injections.
What are the benefits compared to other spinal procedures?
BVNA treats pain at its source without removing discs, inserting implants, or fusing vertebrae, allowing spinal movement to be preserved with minimal tissue disruption.
Am I a candidate for BVNA?
You may be suitable if you have chronic low back pain lasting more than six months, MRI evidence of Modic changes, and limited improvement from conservative treatments.
What is the recovery time?
Most patients return home the same day. Normal activities can often resume gradually within days, with pain improvement developing over weeks to months.
Get started today
A New Approach to Chronic Back Pain
Basivertebral Nerve Ablation for Lasting, Nerve-Targeted Relief
Spinal Treatments
Related Treatments
Minimally invasive technique using small incisions for faster recovery and minimal scarring.
Precision-guided robotic technology ensures accurate alignment and safer spinal procedures.
Advanced laser technology to remove damaged tissue, reduce pain, and accelerate healing.
Restores natural motion by replacing damaged discs with artificial implants for long-term relief.
Restores natural motion by replacing damaged discs with artificial implants for long-term relief.
Restores natural motion by replacing damaged discs with artificial implants for long-term relief.
Memberships & Affiliations
Mr Irfan Malik’s memberships and affiliations reflect his commitment to surgical excellence, advanced spine treatments, and the highest standards of clinical practice in spinal surgery.






Locations
Find Us Across London
Expert Diagnosis. Day Case Treatments. Now Across London.
Winning Moments
Awards
Excellence Recognised. Care Personalised.
Zenith Global Health Award
Zenith Global Health stands as a leading force in the realm of global health
King’s Commendation Award
A King's Commendation for Valuable Service is awarded for meritorious service in an operational theatre.
Insurance Coverage
We Accept All Major UK Health Insurance Providers
Where Excellence in Spine Care Meets Insurance Ease.





