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Spinal Injection Procedures

Image-guided interventional treatments for radicular and axial spine pain

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Spinal Injection Procedures?

Spinal injections complement physical therapy and oral medication when conservative care does not relieve radicular pain or axial back pain. Fluoroscopy or computed tomography guidance ensures accurate needle placement and contrast confirmation prevents intravascular injection that could lead to serious neurologic events.

Epidural steroid injection delivers triamcinolone or dexamethasone to the epidural space through interlaminar, transforaminal, or caudal approaches and treats radicular pain from disc herniation or spinal stenosis. Facet joint injection and medial branch block address mechanical low back pain from zygapophyseal joint pathology and identify candidates for radiofrequency neurotomy.

Patient selection requires correlation of symptoms with imaging findings and exclusion of red flags such as cauda equina syndrome, infection, and malignancy. Procedural risks include vasovagal reaction, transient pain flare, and rare serious complications such as infection, hematoma, and neurologic injury. Anticoagulant management follows specialty society guidelines.

Symptoms

Radicular leg pain in dermatomal pattern
Mechanical low back pain with movement
Cervical radicular pain with weakness
Pain unresponsive to oral analgesics
Activity limitation despite physical therapy

Risk Factors

Failed response to conservative care
Anticoagulant or antiplatelet therapy
Active local or systemic infection
Severe bleeding diathesis
Allergy to local anesthetic or contrast

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When radicular pain persists beyond six weeks
  • When mechanical pain limits function
  • When prior injection benefit has waned
  • When candidate for radiofrequency neurotomy is considered
  • When postoperative recurrence appears

Treatment Methods

01
Pre-procedural review of imaging and laboratory tests
02
Fluoroscopy or computed tomography guidance
03
Contrast confirmation before steroid injection
04
Triamcinolone or dexamethasone delivery
05
Local anesthetic for diagnostic block
06
Post-procedural rehabilitation program
07
Outcome reassessment at four to six weeks

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.