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Non-Surgical Treatment

Spinal Injections

Image-guided spinal injections for targeted pain relief — epidural steroids, nerve root blocks, and facet joint injections to manage back and leg pain without surgery.

Spinal Injections for Pain Relief

Spinal injections are a powerful non-surgical option for managing back, neck, and leg pain caused by nerve compression, disc herniation, or joint inflammation. Performed under fluoroscopic (X-ray) or CT guidance, these injections deliver anti-inflammatory steroid medication precisely to the source of pain — providing targeted relief that oral medications cannot achieve.

Injections play a dual role: they provide therapeutic pain relief (often lasting weeks to months) and serve as a diagnostic tool to confirm the source of pain before any surgical intervention.

Types of Spinal Injections

Epidural Steroid Injection (ESI)

Steroid injected into the epidural space around the spinal cord/nerves. Reduces inflammation around compressed nerve roots. Highly effective for sciatica, spinal stenosis, disc herniation. Relief typically lasts 1–3 months.

Transforaminal Nerve Root Block

Steroid delivered directly into the foramen (nerve exit hole) around a specific nerve root. More targeted than interlaminar ESI. Also diagnostic — confirms which nerve is causing symptoms.

Facet Joint Injection

Steroid injected into the facet (zygapophyseal) joints — the joints connecting adjacent vertebrae. Effective for facetogenic back pain, spondylosis, and post-fusion adjacent segment pain.

Medial Branch Block / RFA

Diagnostic block of the medial branch nerve supplying the facet joint. If effective, radiofrequency ablation (RFA) can provide 12–18 months of pain relief by ablating the nerve.

What to Expect

  • Procedure performed as a day-care outpatient procedure (30–60 minutes)
  • Image guidance (fluoroscopy or CT) used for precise needle placement
  • Local anaesthetic administered before the injection
  • Mild soreness at injection site for 24–48 hours is normal
  • Pain relief begins within 3–5 days as steroid takes effect
  • Can be repeated up to 3 times per year if beneficial

FAQs

How long does an epidural injection last?
The duration varies by individual and condition — typically 6 weeks to 3 months. Some patients get relief for 6–12 months. If the first injection provides good relief, repeat injections may provide longer-lasting benefit. If two injections do not provide adequate relief, surgery is usually discussed.
Are spinal injections safe?
When performed under image guidance by an experienced spine specialist, spinal injections are very safe. Risks include temporary post-injection soreness, rare infection, and transiently elevated blood sugar (relevant for diabetic patients). Serious complications (nerve damage, dural puncture) are very rare with fluoroscopy-guided injections.
Targeted Pain Relief

Expert Spinal Injection Therapy

Dr. Chugh's image-guided injection programme provides precise, effective pain relief — bridging conservative management and surgical decision-making.

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