Neurosurgeon · Helsinki

Your spine deserves
a considered assessment.

Good spine care begins when your symptoms, examination and imaging all tell the same story. We go through your situation calmly and find the treatment that fits you best – with surgery only when it offers a real benefit.

Esa-Pekka Pälvimäki, MD, PhD — neurosurgeon, spine surgeon

Neurosurgeon Esa-Pekka Pälvimäki
20+ years
at HUS Neurosurgery, Helsinki
3,000+
neurosurgical procedures
about 150
spine operations a year
2013
founded Helsinki Hospital

I am a neurosurgeon specialising in the treatment of spinal conditions. My work combines over twenty years of experience at the Department of Neurosurgery, Helsinki University Hospital (HUS), with the microsurgical teachings of my long-time mentor, Professor Juha Hernesniemi.

Every patient deserves a careful evaluation and an individual treatment plan. Many of my patients are referred by surgical colleagues – but I am also glad to see patients without a referral.


Areas of expertise

What I can help with

Surgery of the spine and nerve structures – from the lumbar and cervical spine to peripheral nerves, from common disc herniations to demanding revision surgery.

Lumbar disc herniation

Lumbar spine

  • Disc herniation and sciatica
  • Spinal stenosis
  • Spondylolisthesis (vertebral slip)
  • Persistent symptoms after spine surgery
Cervical disc herniation

Cervical spine

  • Cervical disc herniation
  • Pain and numbness radiating to the arm
  • Cervical stenosis and myelopathy
Carpal tunnel

Nerve entrapment

  • Carpal tunnel syndrome
  • Ulnar nerve entrapment at the elbow
Spinal fusion

Complex spine surgery

  • Rheumatoid arthritis affecting the neck
  • Problems where the skull meets the neck (craniovertebral junction)
  • Tumours of the spine and spinal canal
  • Revision surgery and trauma

When to seek an assessment

When is a consultation worthwhile?

  • Back or neck pain radiates to the arms or legs
  • Numbness, tingling or muscle weakness in the limbs
  • Your walking distance has become shorter because of back or leg symptoms
  • A previous spine operation did not bring the hoped-for result
  • An MRI shows a change that compresses a nerve
  • You want an experienced surgeon's opinion before deciding on surgery

Your visit

Your care, step by step

  1. 1

    Booking

    Book at Terveystalo. No referral is needed, but bring your images and reports.

  2. 2

    Consultation

    We go through your symptoms, I examine you, and we look at the images together.

  3. 3

    Plan

    Treatment often starts without surgery. We agree on follow-up together.

  4. 4

    Surgery if needed

    If surgery is the best option, we go through the benefits, risks, alternatives and preparation.

  5. 5

    Recovery

    Most people are up and walking on the day of surgery or the next day. We follow your recovery as agreed.

Please bring: MRI images and reports (if taken elsewhere), earlier operation reports, a list of your medicines – especially blood thinners – and your questions in writing. The illustrated patient guide and surgery guides are available in Finnish.

Treatment philosophy

Precise diagnostics, a listening consultation

In spine surgery, accurate diagnosis and careful listening matter most. Every patient has individual needs, and treatment is planned accordingly. Surgery is not always the best answer – I always assess carefully whether a patient will benefit more from an operation or from other treatment.

In 2013 I founded Helsinki Hospital, where I developed Finland's first day-surgery model for cervical spine surgery – a model later adopted by HUS as well. I believe that modern techniques and patient-centred thinking improve outcomes.

My international experience as a spine surgeon and educator, my long experience in surgical pain treatment (neuromodulation) and my doctorate in neuropharmacology help me form a broad picture of pain mechanisms and treatment options.

Welcome to my practice

Book an appointment at Terveystalo Helsinki – let's look at your situation together.

Book at Terveystalo