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SPECIALISTS > SPINE

Spine

Your back pain in the hands of experts

We are dedicated to putting your back pain worries at ease with our world-renowned spinal specialists treating a wide range of back and spine-related conditions. 

Spinal injections are a useful tool when it comes to relieving pain associated with your neck and spine. Our expert consultants have a range of pain-relieving injection options depending on your diagnostic results. From facet joint injections, sacroiliac joint injections, and epidural injections to other evidence-based pain relieving options, we have got you covered.

Our injections of local anaesthetic and steroid can offer temporary relief from pain and can be used alongside gentle daily exercises, to prevent the pain from returning.

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What makes us different?

We embrace a patient-led philosophy when approaching the needs of our patients. With access to innovative imaging facilities, all of our expert consultants believe in creating bespoke treatment plans for every individual based on your medical history, lifestyle, and condition.

Back and spine conditions

The spine is split into three different sections: the lumbar region (lower back), the thoracic region (middle of your back), and the cervical region (upper back and neck). 

The lumbar and cervical regions are the most prone to muscle strains and sprains because they bear most of your weight and are responsible for moving and bending. Strains and sprains can result in severe inflammation and pain.

The central spine and nervous system are responsible for much of your body’s sensations. Some spinal conditions can affect other parts of the body, which may result in acute or chronic pain. Chronic pain is a common, complex, and often distressing problem that has a profound impact on your day-to-day life.

Most people will suffer from spine or back pain at some point in their life. Over time, wear and tear in the spine can result in a range of conditions, such as disc degeneration, slipped discs, sciatica, and spinal claudication. This means that as we get older, we are more likely to need treatment for back pain.

Spinal injections are a highly technical procedure and must be performed by an experienced specialist under the guidance of X-ray/ultrasound imaging.  There are three main types of spinal injections:

Epidural injections are injections to the outermost part of the spinal canal, which protects the spinal cord and lumbar spinal nerve roots.
Using x-ray guidance, the spinal specialist injects a local anaesthetic to the precise location that is causing pain along with a steroid to ease inflammation and reduce swelling. 

The injection can be administered at the base of the spine or between vertebral bones around the mid-lumbar region.
Typically used for pain management, epidural injections can treat chronic back pain caused by osteoarthritis, inflammatory arthritis, and sporting injuries.

 

These injections go into the joints around the spine and contain both a local anesthetic to provide pain relief and a steroid to reduce inflammation in the area.

These injections can be used to treat back pain and help determine if your facet joints are the cause of your back pain. 

Facet joints act to stabilise your spine and help control movement by linking the bones (vertebrae). They are separated by discs, which act as a unit allowing your spine to bend. It is natural that they become more prone to wear and tear injuries due to aging and are a  common cause of back pain issues.

 

This involves injecting directly around the root of the nerve that is causing the pain in order to block the pain signals.

Sometimes these injections need repeating, but most people will experience the benefit after one to three injections.

Nerve blocking injections target a specific nerve and ‘block’ the transmission of pain signals that travel from the where the pain starts to the brain. These have been shown to greatly improve back pain in people with uncontrolled symptoms who wish to avoid surgery or those who are not suitable for surgery.

 

What kind of pain can we help you with?

If you suffer from neck or back pain, speak to an expert pain consultant and take steps to improve your quality of life.

Specialists spine neck pain

Back & neck pain

There are numerous reasons why you may be suffering from neck or back pain. Our on-site testing facilities allow our spinal and MSK teams to make a fast and accurate diagnosis. We can then create a plan to alleviate chronic pain and treat the underlying cause.

Slipped disc

A slipped disc occurs when the soft tissue between the bones in your spine is pushed outwards, putting pressure on the nerves. This can be incredibly painful and prevent sufferers from exercising or moving without intense pain. 

 

Sciatica

Sciatica is a condition affecting the sciatic nerve running from the spine down the leg. It can become compressed or trapped, causing chronic pain, tingling, and numbness in the legs and restricting mobility and movement. 

We provide support to help those suffering from sciatica, including bespoke at-home treatment plans, physiotherapy, and chronic pain management. With proper care, sciatica can be managed and have minimal impact on your life.

The Procedure

Diagnostic MRI scanning

At Living Room Health, an MRI scan can be performed in our quiet, open MRI scanners to confirm the diagnosis, and our qualified technicians can administer pain relieving injections using image guidance to ensure accuracy. 

How do I prepare for the procedure?

On the day of your injection, you should have no food or drink (including water) for at least four hours before the procedure. If you need to take any medication within this time, a sip of water may be allowed; however, you should check with your doctor prior to taking any medication before the injection.

 

The procedure itself

You may be asked to remove some of your clothing for the procedure and wear a gown that opens in the back to allow access to your spine. You will lie on your stomach, or your side with your knees pulled up to your chest. The consultant will clean your back and numb the skin with a local anaesthetic. The consultant will then insert a fine hollow needle into your back. The location will depend on the facet joint affected.

The injections should only take about 5-10 minutes with minimal discomfort. Most injections use a mixture of local anaesthetic and steroid. We take live pictures during the procedure to position the needles in the correct place. This makes the injections more comfortable, accurate, and effective.

 

What happens after the procedure?

Immediately after the procedure, you may feel that the area which has been injected with the anaesthetic solution feels numb and heavy, and you may have some leg numbness. Alternatively, you may feel an instant reduction or complete relief of your back pain. After a local anaesthetic it may take several hours before the feeling comes back into the treated facet joints. You should be able to walk immediately after the procedure, although some people have some tingling or numbness for a few hours. We recommend that you don’t drive immediately and get a loved one/friend/carer to take you home.
We perform all injections under local anaesthetic – this ensures you are ready to go as soon as possible.


Other treatments for back pain

Radio-frequency

If you have back pain that is not responding to steroid injections, an alternative option may be to consider radio-frequency (RF) treatment. This is another needle technique, but, instead of injecting through the needle, a radio-frequency probe is inserted under image guidance to where the pain is being generated. This is then connected to a pulse generator, which makes the tip of the probe vibrate at a very precise frequency and intensity. This vibration can be used either to heat the tissue and treat the areas causing pain or to pulse the treatment to assist healing. RF has been used for many years in the management of spinal pain and other related problems. The same technique is used in functional neurosurgery in the brain, to treat Parkinson’s disease and other conditions.

 

What is RF treatment?

Radiofrequency denervation is a specialised injection that uses heat to reduce or stop pain being transmitted by the target nerve. 

During this procedure, a needle is passed into one of the joints in the spine under image guidance. Heat then runs through the tip of the needle to the target nerve. 

This procedure stops the nerves from transmitting pain, and can help reduce symptoms for longer than traditional spinal injection.

A Patient-Led Healthcare Solution

Living Room Health is revolutionising the healthcare industry by providing a comprehensive experience for our patients from beginning to end. Our forward-thinking team uses the latest technology to provide fast, accurate diagnoses. We will help to create a personalised care plan to provide lasting pain relief and improved function. 

Where possible, our team will treat your condition without the need for invasive surgery. Where surgery is required, our clinic strives to provide a stress-free experience. Every treatment plan and post-treatment recovery includes full support from our multidisciplinary team. Ongoing rehabilitation allows us to adjust your treatment as your condition improves for optimal results. 

From your first appointment, we believe in providing the highest-quality patient support and customer service so you can be sure your health is in the best hands.

Get in Touch

We offer free advice, including free consultations, to start you on your road to better health or peace of mind. Anything we cannot offer directly, we signpost to our network of selected specialists and clinicians around the country.

Please complete the form and the right person will contact you to discuss your next steps.