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Up to 70% of adults can expect to develop spinal pain at some point, with many going on to suffer from chronic disability.
At Silver Spine & Neurological Center – Interventional Pain Management & Spine Surgery, we understand how frustrating chronic back and neck pain can be. Spinal injections offer a safe, targeted treatment that helps people find meaningful relief and even enables many patients to avoid or delay surgery.
The injections we use treat the exact source of back pain instead of relying on medications that affect your whole body. Less pain helps you move more easily, making physical therapy and daily tasks more manageable. Certain injections also help pinpoint the cause of pain when imaging alone isn’t clear.
If you’re considering an injection for pain, here’s what you should know.
Spinal injections deliver medication directly to the source of your pain. This targeted approach reduces inflammation, calms irritated nerves, and decreases discomfort so you can move more freely.
We commonly use two types of medication: a local anesthetic for fast, temporary relief and a steroid to reduce inflammation over the coming days or weeks. When combined, these medications help interrupt the pain cycle and allow your body to heal.
We offer different types of injections depending on the cause and location of your pain.
Epidural injections treat pain that travels from your spine into your arms or legs. Conditions like herniated discs, spinal stenosis, and sciatica often respond well to ESIs.
Facet joints connect the bones that make up your spine. When these joints become irritated, they can cause localized neck or back pain. A facet injection delivers medication directly into the joint to calm inflammation.
These injections target the small nerves that send pain signals from the facet joints to your brain. They work both as a pain treatment and a diagnostic tool to confirm whether your pain comes from the facet joints.
If your pain sits low in your back or radiates into your buttock, the SI joints in your pelvis may be involved. An SI joint injection can reduce inflammation and improve stability.
During your consultation, we evaluate your symptoms, review imaging, and guide you toward the injection that fits your needs.
Most spinal injections take only 10 to 20 minutes. You lie comfortably on an exam table while we clean the skin and numb the area. Using fluoroscopy (a type of real-time X-ray), we guide the needle into the correct placement. Image-guidance technologies like fluoroscopy help ensure the medication reaches the exact location causing pain.
You may feel slight pressure or a brief pinch during the injection, but most patients tolerate the procedure well. Afterward, you rest for a short time before going home. Most people return to normal activities the next day, although we recommend avoiding strenuous exercise for 24 hours.
Some patients feel immediate relief thanks to the local anesthetic. That effect may fade after a few hours, which is normal. The steroid takes a few days to reach full effect, with many patients noticing the most significant improvement after about a week.
Relief may last anywhere from several weeks to several months. If your pain returns, repeat injections or other therapies may help maintain improvement.
You may benefit from spinal injections if you:
Spinal injections often work best when combined with other treatments, such as physical therapy, posture training, lifestyle modifications, or weight management. By reducing pain, injections open the door to more effective rehabilitation, which supports long-term recovery.
If injections don’t provide enough relief, or if imaging shows significant structural issues, we also offer advanced interventional procedures. Our goal is always to provide the least invasive treatment that still delivers meaningful, lasting results.
At Silver Spine & Neurological Center, we help you move with less pain and more confidence. If you’re ready to explore your spinal injection options, call the office, or book an appointment online.