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Spinal Injections

Spinal Injections at The London Spine Unit

Where chronic back pain is experienced, spinal injections ie Caudal epidural nerve root blocks facet joint injections radiofrequency denervation, may be used to diagnose the cause of the pain as well as treat it.

If an injection provides pain relief it is likely that the particular area is the source of the problem but injections also provide temporary relief from pain.

A local anaesthetic called lidocaine is injected into a specific area of the spine, the effects of which wear off within two hours, or Bupivicaine may be used as is lasts longer, providing the patient more relief from pain, Cortisone is a strong anti-inflammatory steroid medication which is often injected as well as a local anaesthetic in order to reduce inflammation in the affected areas.

It may not begin working for several days following the injection but its effects can last for months.

Patients with disc prolapse are offered early injection treatments to eradicate sciatica and back pain. All spinal injections are performed under sedation and fluoroscopy to ensure accuracy and minimal discomfort. Patients failing to respond to injections may undergo keyhole surgery to remove the prolapsed disc

Technical Tips & Info

Benefits of a spinal injection:

-Temporary or prolonged pain alleviation.

-Temporary or prolonged reduction of inflammation in the region of the spine that causes pain.

-Enhanced ability to perform daily life activities without the previous restrictions caused by pain.

-It can help to confirm the exact site that generated pain. This is, in general, a problem in those patients who have more than one possible cause of pain. 

-It could reduce the need for invasive procedures.

-Allows the body mechanisms time to heal the underlying condition

-Allows the ability to undertake physical therapy to enhance healing of the underlying problem. 


An spinal injection is usually highly effective in more recent conditions and has a lower success rate when the problem is longstanding. In a few cases, an epidural injection may offer little or no alleviation of pain.

Each patient is different; however, there are times when the injection can be repeated after a few weeks or months to receive the utmost benefit from the medication. If epidural injections do not help to relieve pain, we will probably recommend another therapy.

Specialist Doctors

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

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Treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function.

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Mr Mo Akmal has developed revolutionary techniques to perform Day Case Spinal Surgery. We avoid traditional General Anaesthetic for all surgery.

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This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus
Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.

Spinal injections Articles

Spinal Stenosis Symptoms
Orthop Surg. 2024 Apr 22. doi: 10.1111/os.14071. Online ahead of print. ABSTRACT OBJECTIVE: In the treatment of lumbar degenerative spondylolisthesis
Turk Neurosurg. 2023 Apr 11. doi: 10.5137/1019-5149.JTN.42998-22.3. Online ahead of print. ABSTRACT AIM: Epidural fibrosis (EF) can cause persistent low
Spinal Stenosis Symptoms
Turk Neurosurg. 2023 May 29. doi: 10.5137/1019-5149.JTN.43753-23.1. Online ahead of print. ABSTRACT AIM: The view that the biofilm layer formed
Front Med (Lausanne). 2024 Apr 8;11:1376680. doi: 10.3389/fmed.2024.1376680. eCollection 2024. ABSTRACT Effective treatment of failed back surgery syndrome (FBSS) remains
J Neurooncol. 2024 Apr 23. doi: 10.1007/s11060-024-04688-1. Online ahead of print. ABSTRACT INTRODUCTION: Current treatment of spinal metastases (SM) aims
J Neurosurg Case Lessons. 2024 Apr 22;7(17):CASE2418. doi: 10.3171/CASE2418. Print 2024 Apr 22. ABSTRACT BACKGROUND: Radicular pain after lumbar decompression

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