Spinal injections have two purposes. They have a diagnostic value and help physicians to identify the source of pain and which spinal structure is the cause of the problem. They are also used to treat swelling and inflammation in a specified area which provides pain relief.
Preparing For Your Injections
A spinal injection is an outpatient procedure. Before your injection, you will be asked questions about your health and given instructions on how to prepare for the procedure, for example:
Provide a list of the medicines you take, including blood thinners, aspirin, anti-inflammatory medication. You may need to stop taking some of these before the procedure.
Provide a list of any allergies you may have to medicines, latex or contrast dye.
Have someone available to drive you home after the procedure.
Risks and Complications
All medical interventions have risks and benefits. Spinal injections have certain risks and complications that include:
During the Procedure
The procedure is usually brief. Your skin will be cleaned with a sterilizing solution. Conscious sedation (use of a calming drug while you are awake) may be used if your doctor feels it is appropriate. Local anesthetic (lidocaine) is usually given near the injection site to numb the skin. This typically feels like a pin prick and some burning, like a bee sting.
The procedure is performed under Fluoroscopy (X-ray imaging) for precise placement of the needle. Contrast dye may be injected to confirm the correct placement of the needle. A local anesthetic for numbing (for example, lidocaine, bupivicaine) and/or steroids (to reduce inflammation) is injected.
After the procedure a small bandage may be placed at the injection site. You may spend time in a recovery area after the injection procedure.
It takes a few days, even a week or longer, for the steroid medicine to reduce inflammation and pain.
A nerve root injection targets individual nerves in your spine.
Example of L5 Selective Nerve Root Injection (SNRI)
Example of S1 Selective Nerve Root Injection (SNRI)
A Sacro-iliac joint injection is inserted into a joint at the base of the spine where it joins the pelvis, where it is known as the Sacro-iliac joint.
Example of SI Joint injections
For more information, please contact me at my spinal surgery in Liverpool.
Microdiscectomy or Discectomy is the treatment of choice for the treatment of the lumbar herniated discs. The surgeon will remove portions of the herniated disc to relieve pressure on the spinal nerves. This is generally an effective procedure in removing sciatica pain, which has resulted from a compression of the spinal nerve. More than 90% of patients report good or excellent results after surgery. Typically, patients are discharged from the hospital within 24 hours and return to their activities within a few weeks.
This procedure is indicated for the treatment of lumbar spinal stenosis. The surgery occurs under general anesthetic and can be effective in improving pain and helping people walk. Patients are usually discharged from the hospital within 1-2 days.
This surgical technique is used to fuse (join) two vertebrae. Spinal fusion may include the use of instrumentation (e.g., rods, screws) with or without bone graft.
A Posterior Lumbar Interbody Fusion involves placement of an interbody cage (graft to replace the disc) to increase fusion rates but also to improve local alignment. This fusion technique can be accomplished by different approaches:
Please get in touch for a discussion about lower back surgery options at my spinal surgery in Liverpool.
Interbody fusion involves placement of fusion implants and bone graft into the area between two vertebral bodies and is an effective method for achieving fusion. The procedure can be performed through a traditional open incision or a minimally invasive technique depending on the patient and the condition to be treated. Transforaminal lumbar interbody fusion is performed under general anesthesia. Patients usually remain in the hospital for 2-3 days.
Indications for surgery include:
Antero-posterior and Lateral X Rays of an Open TLIF?
When non-operative treatment is ineffective in relieving pain and improving daily activities, spinal surgery to correct scoliosis and kyphosis is an option. Performed under general anesthetic the aims of surgery can be to restore normal curvature of the spine, to prevent a curve from worsening or to protect the nerves and spine from further impairment.
Spinal decompression is when the surgery relieves pressure on the nerve roots travelling through the spine. Spinal correction is intended to restore as much of the normal alignment of the spine as possible. Spinal fusion is part of the procedure in reconstructive surgery for those with kyphosis and scoliosis.
If conservative means have failed to improve back and leg symptoms, surgery may help in increasing a person’s ability to function, relieving the pain from an impacted nerve or stabilizing the spine.
Please get in touch for a discussion about spinal deformity surgery at my spinal surgery in Liverpool.
Minimally invasive techniques can be more effective in terms of pain relief and recovery after the procedure. Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS TLIF) can to restore disc height, which helps decompress surrounding nerve roots.
The surgery is indicated to treat spondylolisthesis, degenerative disc disease or nerve compression.
Please contact me for a consultation, at my spinal surgery in Liverpool.
Antero-posterior and Lateral X Rays of an MIS TLIF?
Anterior cervical discectomy and fusion (ACDF) is a surgery to remove a herniated or degenerative disc in the neck. Surgery is indicated when physiotherapy or medications fail to relieve your neck or arm pain caused by pinched nerves. A small incision is made in the throat area. The disc is removed and a graft is inserted to allow the bones above and below to fuse.Patients typically go home within 24 hours.
Common indications are:
This is a common procedure aimed at treating the narrowing of the cervical spine. The operation can relieve pressure on the spinal cord and nerve roots and help stabilise the neck.
For more information, please schedule a spinal consultation with me.
Both of these procedures are designed to treat vertebrae compression fractures of the spine which have arisen from osteoporosis or a traumatic injury. Vertebroplasty injects cement into the fractured bone, whereas kyphoplasty aims to restore height by utilising a balloon.
This is a minimally invasive procedure to treat spinal fractures.
Please get in touch and schedule a consultation with me to discuss your spinal fractures.
Sacroiliac Joint Fusion
Adult Scoliosis Surgery
Thingwall, Wirral, Merseyside
Outpatient Appointments: Wed & Thurs 9am-8pm, Fri 5pm-8pm
Secretary: Lynne Ness
T1: 0151 733 7123
T2: 0151 522 1888
E:Book a Consultation
57 Greenbank Road,
Outpatient Appointments: Tues 5pm-8pm, Thurs 9am-1pm
Secretary: Karen Lindsay
T1: 0151 929 518
T2: 0151 929 5342
T: 0151 706 2000