Spinal injection is a targeted treatment that delivers medication to a specific area around the spine to help reduce pain and inflammation. It may be considered for selected types of back pain, particularly when symptoms are persistent or associated with irritation around the spinal nerves.
Ultrasound guidance allows the clinician to view the treatment area in real time and helps guide the injection towards the intended location.
An injection is not suitable for every type of back pain. Your symptoms, medical history and clinical findings will be assessed to determine whether it is an appropriate treatment option.
For suitable patients, a spinal injection may help to:
The level and duration of relief varies between individuals, and an injection is not intended to be a guaranteed cure for back pain.
Not all back pain requires or responds to spinal injection. They may be considered for selected cases where there is a specific clinical reason for targeting an area around the spine.
This may include back pain associated with:
SciaticaPain travelling from the lower back into the legNerve-related symptomsCertain disc-related conditionsPersistent symptoms affecting normal activitiesPain that has not improved sufficiently with appropriate treatmentFor straightforward, non-specific lower back pain, an injection may not be appropriate. Your symptoms and clinical findings need to be considered before treatment is recommended.
A caudal epidural injection delivers medication into the epidural space through the lower part of the spine.
It may be considered for selected patients with lower back pain accompanied by leg pain or sciatica, particularly where irritation around a spinal nerve may be contributing to symptoms.
Your clinician will discuss whether this type of injection is appropriate based on your individual symptoms and assessment.
A spinal injection may be discussed when back pain is:
The decision is not based simply on how long you have had back pain. Your symptoms, medical history and previous treatment are all important when considering whether an injection is appropriate.
With options including Steroid, Ostenil, Durolane, Spinal, PRP and Arthrosamid injections, our one-to-one consultation helps you understand your options and choose the most suitable treatment for your symptoms.
Consultation only. Treatment may be available on the same day, subject to availability, and is charged separately depending on the option chosen.
Before the procedure, your symptoms, medical history and previous treatment will be reviewed. If an injection is considered appropriate, your clinician will guide you through each step.
Your clinician will review your symptoms and determine whether the procedure is suitable.
The proposed treatment, potential benefits and relevant considerations will be explained before you proceed.
Real-time ultrasound is used to help identify the relevant treatment area and guide the procedure.
The appropriate medication is delivered to the selected area.
You'll receive advice about what to expect afterwards and how to approach your recovery.
Everyone responds differently to treatment. Some people experience an improvement in their symptoms, while others may experience limited or shorter-term relief.
You will receive advice about activity following the procedure.
If your symptoms improve, everyday movement and exercise may become easier. This can provide an opportunity to gradually work on restoring normal movement and physical function.
Reducing pain is only one part of managing persistent back pain.
Once symptoms are more manageable, physiotherapy can help you work towards:
Improving movement
Building strength
Gradually increasing activity
Improving physical function
Returning to everyday activities
Developing confidence with movement
Where appropriate, spinal injection therapy can form part of a broader rehabilitation plan rather than being used as a standalone treatment.
A spinal injection will not be appropriate for everyone.
Your clinician will consider:
The location and nature of your back pain
How long you have experienced symptoms
Whether pain travels into your leg
Any associated symptoms
Your medical history
Previous treatment
Relevant medication
How your pain affects your daily life
This helps determine whether an injection is suitable or whether another treatment approach would be more appropriate.
Persistent back pain can have different causes, so treatment needs to be tailored to the individual. Ultrasound guided spinal injection may be considered for selected types of back pain where targeted treatment could help manage symptoms and support rehabilitation.
At Sevenoaks Physiotherapy, we provide ultrasound guided spinal injection for appropriate back pain, following an individual assessment and discussion of the most suitable treatment options.
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