A spinal injection for back pain is a minimally invasive procedure designed to deliver medication directly into or around the spine, aimed at reducing pain and inflammation. This approach is often considered when back pain persists despite conservative treatments such as physiotherapy or oral medication. While a spinal injection is not a cure, it can provide significant relief, allowing patients to engage more effectively with rehabilitation and improve their quality of life.
Mr Sujay Dheerendra is a specialist orthopaedic and spinal surgeon with expertise in both adult and paediatric spinal conditions. He treats patients across Manchester and Liverpool, offering a range of evidence-based treatments, including spinal injections for those suffering from persistent back or leg pain.
What Does a Spinal Injection for Back Pain Involve?
A spinal injection typically involves the administration of a corticosteroid, which is an anti-inflammatory medication. Sometimes, this is combined with a local anaesthetic to enhance pain relief. The medication is injected into a targeted area of the spine, with the goal of reducing inflammation around irritated nerves or joints. This can significantly alleviate pain and improve mobility.
The procedure is usually conducted under image guidance, such as fluoroscopy (live X-ray) or ultrasound, to ensure precise needle placement. It is typically performed as a day-case procedure, meaning most patients can return home the same day, which is a significant advantage for many.
What Types of Spinal Injection Are There?
Several types of spinal injections are available for back pain, and the most appropriate option will depend on the underlying cause of your symptoms. Common types include:
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Epidural steroid injection: Medication is delivered into the epidural space surrounding the spinal cord, often used for nerve-related leg pain, such as sciatica, or disc-related conditions.
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Facet joint injection: This targets the small joints along the spine, which can become inflamed due to arthritis or injury.
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Nerve root block: A targeted injection around a specific spinal nerve root aimed at reducing inflammation and pain.
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Sacroiliac joint injection: This addresses pain originating from the joint that connects the spine to the pelvis.
Your clinician will discuss which type of spinal injection may be most appropriate for your individual situation, based on a thorough assessment of your symptoms and medical history.
Who Might Be Suitable for a Spinal Injection?
A spinal injection for back pain may be considered for patients suffering from persistent pain that has not improved with non-surgical treatments. It is often recommended for conditions such as:
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Sciatica or leg pain caused by a herniated disc.
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Spinal stenosis, which is the narrowing of the spinal canal.
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Degenerative disc disease, leading to chronic pain.
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Facet joint arthritis, causing joint inflammation.
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Sacroiliac joint dysfunction, affecting the lower back and pelvis.
However, spinal injections are not suitable for everyone. A comprehensive assessment is necessary to determine whether this approach is appropriate, taking into account your medical history, imaging results, and overall health.
What Can You Expect During and After the Procedure?
During the Injection
Typically, the procedure is performed with the patient either lying down or seated. The skin over the injection site is cleaned, and a local anaesthetic is applied to minimise discomfort. Using image guidance, the needle is carefully positioned, and the medication is delivered. The entire process usually takes between 15 and 30 minutes.
After the Injection
Some patients notice an improvement in pain within a few days, although it can take up to two weeks to experience the full benefit. Mild soreness at the injection site is common and usually resolves quickly. According to NHS guidance on epidural procedures, most people can resume normal activities shortly after the procedure, though strenuous activities should generally be avoided for a short period.
The duration of pain relief varies among individuals. Some patients may experience relief for several months, while others might require repeat injections or additional treatments. Your clinician will monitor your response and discuss the next steps.
Are There Any Risks Associated With Spinal Injections?
Like all medical procedures, spinal injections do carry some risks, although serious complications are uncommon when performed by an experienced specialist. Potential risks may include:
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Temporary increase in pain at the injection site.
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Headache, particularly following epidural injections.
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Infection, which is rare.
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Nerve irritation.
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Short-term rise in blood sugar levels, particularly relevant for patients with diabetes.
Mr Sujay Dheerendra will discuss the potential risks and benefits with you before proceeding, ensuring that you are fully informed and able to make a confident decision about your care.
Is a Spinal Injection the Right Option for You?
A spinal injection for back pain is one of several treatment options available for managing persistent spinal conditions. It is most effective when used as part of a broader management plan that may include physiotherapy, lifestyle changes, and, where necessary, surgical interventions such as lumbar decompression or cervical discectomy.
If you are living with back or leg pain in Manchester or Liverpool and would like to explore whether a spinal injection may be suitable for you, speaking with a specialist is the most important first step.
To find out whether a spinal injection is appropriate for your condition, book a consultation with Mr Sujay Dheerendra to discuss your symptoms and treatment options in detail.
If you are experiencing severe or sudden back pain, loss of bladder or bowel control, or weakness in your legs, please seek urgent medical attention immediately.
Frequently Asked Questions
What is the success rate of spinal injections?
Research indicates that about 50-70% of patients experience significant pain relief from spinal injections, depending on the underlying condition.
How long do the effects of a spinal injection last?
The effects can vary widely. Some patients may feel relief for weeks or months, while others may require repeat injections to maintain pain control.
Can spinal injections help with chronic pain?
Yes, spinal injections can be effective for chronic pain conditions, particularly when other treatments have failed.
Are there any alternatives to spinal injections?
Yes, alternatives include physiotherapy, medication, and lifestyle changes. In some cases, surgery may be an option.
How is a spinal injection administered?
A spinal injection is administered using image guidance to precisely place a needle into the targeted area of the spine, where medication is delivered.
Mr. Sujay Dheerendra
Consultant Spinal Surgeon · FRCS (Orth)
With over 15 years of specialized experience in advanced spinal surgery, Mr Aldon is committed to providing world-class care and sharing expert insights on spinal health.
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About the Author
Mr. Sujay Dheerendra
Consultant Spinal Surgeon
Expert in comprehensive spinal surgery with 15+ years of experience.