West Wake News

Spine injections are becoming a popular alternative for those suffering from back and neck pain without resorting to surgery. Dr. Guo explains that these injections are particularly effective in managing radicular pain, which radiates from the back to the legs, or from the neck to the arms, as well as axial pain, which remains localized in the back or neck.

Radiating back or neck pain often results from pinched nerves, such as those caused by slipped discs, arthritis, or spinal ligament overgrowth. Sciatica, characterized by leg pain, with or without accompanying back pain, is also relieved through this method. Epidural steroid injections are frequently employed, with doctors using fluoroscopy to ensure accurate needle placement and inject steroids to mitigate inflammation. Generally, pain relief from these injections can last up to three months or more, although this varies per individual and the extent of spinal deterioration.

In cases of axial pain, which does not extend to the limbs, steroid injections are administered into the affected joints. These can alleviate pain for an average of three months or longer. Another treatment for facet joint pain involves nerve blocks followed by radiofrequency ablation, potentially offering longer-lasting relief by damaging nerves to prevent pain transmission.

Spine injections may be suitable for individuals not finding relief from medication, physical therapy, or chiropractic care. Dr. Guo comments, “There are patients whose spinal changes are so severe that they may have limited or no pain relief from other treatments. Those patients may need to undergo surgery.”

Choosing a qualified spine injection expert is crucial. At Duke Health, non-surgical spine specialists and surgeons have undergone specific training for these procedures. They utilize fluoroscopy in sterile environments to minimize risks associated with injections. Potential risks include bleeding, infection, and nerve damage, while side effects may involve mild site pain, temporary symptom worsening, or other minor discomforts.