Spinal Injections

Nonsurgical treatment: Spine injection, recommended for treatment of chronic back pain. Injection of medicinal agents relieves the pain where the nerve signals are blocked between targeted areas of the body and the brain. The treatment approach involves injections of local anaesthetics, steroids, or narcotics into the affected soft tissues, joints, or nerve roots. It includes complex nerve blocks and spinal cord stimulation. Can be used in two different ways as diagnostics and therapeutics. Delivers the steroids directly to the dura space in the spine. This is successful in relieving the lower back pain about 50% of patients.

There are several types of spinal injections, each targeting different structures within the spine and serving distinct therapeutic purposes:

  1. Epidural Steroid Injections (ESIs): ESIs are administered into the epidural space, the area surrounding the protective covering of the spinal cord and nerve roots. These injections typically contain corticosteroids, which help reduce inflammation and relieve pressure on spinal nerves. ESIs are commonly used to manage conditions such as herniated discs, spinal stenosis, and radiculopathy (nerve root compression).
  2. Facet Joint Injections: Facet joints are small joints located between adjacent vertebrae in the spine. Facet joint injections involve delivering medication, such as a local anesthetic or corticosteroid, directly into the facet joint space. These injections can help alleviate pain and inflammation associated with facet joint arthritis, facet joint syndrome, or spinal osteoarthritis.
  3. Sacroiliac Joint Injections: The sacroiliac joints are located in the pelvis, connecting the sacrum to the ilium of the pelvis. Injections into the sacroiliac joint space can help reduce pain and inflammation caused by conditions such as sacroiliitis or sacroiliac joint dysfunction.
  4. Trigger Point Injections: Trigger points are localized areas of muscle spasm or tension that can contribute to spinal pain and dysfunction. Trigger point injections involve injecting a local anesthetic or corticosteroid directly into these tender points to relieve muscle pain and improve mobility.

 

  • Caudal epidurals (popular with orthopods)
  • Interlaminar epidurals
  • Lumbar nerve root blocks (transforaminal)
  • Sacroiliac injections

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