The treatment of your pain or injury may involve an injection. We do not currently administer injections at the Back and Body Clinic but we have worked for many years with injecting specialist doctors and know exactly when they are appropriate. We will recommend the right consultant, specialist doctor or extended scope physiotherapist to you if an injection is required.
Epidural steroid injections are a common treatment option for many forms of low back pain and leg pain. The injection delivers anti-inflammatory medicine directly to the affected area of the back to reduce the inflammation that may be irritating the nerve root. The injection can provide sufficient pain relief to allow a patient to progress with a rehabilitative stretching and exercise program.
Facet Joint Injections
Facet joints are small joints located along the length of your spine. If the joints are worn, inflamed, traumatised or subject to repeated stress they can give rise to pain. A cortisone injection into the facet joint can have a long acting relief of the symptoms by reducing inflammation in the joint. Just local anaesthetic can also be injected for diagnostic purposes.
Medial Branch Blocks
A medial branch nerve block temporarily interrupts the pain signal being carried by the medial branch nerves that supply a specific facet joint. If the patient has the appropriate duration of pain relief after the medial branch nerve block it confirms the diagnosis and helps to guide the next course of treatment to that specific facet joint.
This safe and effective technique is used to treat facet joint pain in the spine. Radiofrequency energy is used to disrupt the function of a medial branch nerve, so that it can no longer transmit pain signals. The nerves do regenerate but this usually takes between six months and two years. Your pain may or may not return when the nerve regenerates.
Sometimes ligaments can be overstretched, or even torn and not control the joint adequately. This ‘instability’ may put abnormal stresses on the joints and discs in the spine and lead to recurrent back pain. Prolotherapy involves the injection of a dextrose based substance directly onto the ligament. The ligament reacts to the dextrose and make new ‘scar tissue’ fibres thickening and strengthening the ligament and increasing stability.
Nerve Root Blocks
A nerve root block is an injection of local anaesthetic and anti-inflammatory steroid injected under X-ray guidance into the area where the nerve exits the spinal column. A nerve root block is usually administered for pain in the arm or leg that follows the path of a single nerve. A nerve root block may be diagnostic (a test to determine the source of your pain) and/or therapeutic (to relieve your pain).