Injections around nerves
[vc_row][vc_column width="2/3"][vc_column_text]Injections are often made around nerves in the investigation and treatment of pain. We often inject nerves in the groin, the scalp and the arms and legs. The injection will confirm that the pain is coming from the nerve, and will help to treat it. Without other treatment, the pain will sometimes return. We often arrange for other treatment after the injection to help the nerve work in a more...
Local and “trigger point” injections
[vc_row][vc_column width="2/3"][vc_column_text]"Trigger points" are small areas within muscles that are tender and when they are pressed they cause pain to spread through the muscle. Most patients will have pain from several trigger points. Injections are often made into several trigger points in the investigation and treatment of pain. The injection will confirm that the pain is coming from the trigger points, and will help to treat it. Without other treatment, the pain...
Cervical facet joint injections
[vc_row][vc_column width="2/3"][vc_column_text]The facet joints are small joints that fimit the amount of twisting and bending in the neck. They can be affected by arthritis and strained by unaccustomed or heavy exercise. They are sometimes a cause of neck pain. Injection of the cervical facet joints, in the neck, can help to find out if these joints are contributing to your neck pain, and treat the pain. Without other treatment, the pain...
Injections around joints
[vc_row][vc_column width="2/3"][vc_column_text]Injections are often made around the shoulder, elbow, hip and knee in the investigation and treatment of pain. The injection will confirm that the pain is coming from the joint, and will help to treat it. Without other treatment, the pain will sometimes return. We often arrange for physiotherapy after the injection to help the joint work in a more normal way. Local anaesthetic in the injection will reduce the pain...
Lumbar Sympathetectomy
[vc_row][vc_column width="2/3"][vc_column_text]The sympathetic nerves run beside the spine. The lumbar sympathetic nerves in the lower back control the blood vessels in the legs, and carry some of the sensation of pain from the legs. Pain in the legs, particularly when it is related to problems in the blood supply to the legs, can be helped by numbing the sympathetic nerves. The injection We usually start with a test, injecting a local anaesthetic (bupivacaine)...
Coeliac plexus injection
[vc_row][vc_column width="2/3"][vc_column_text]The coeliac plexus is a place in the abdomen or belly where there is a concentration of nerves that supply the intestines and other abdominal organs. Injection of the coeliac plexus is used to treat pain from these organs. Because the injection is difficult, and occasionally dangerous, it is used for severe pain that has not responded to other treatments. The injection We usually start with a test, injecting a local anaesthetic...
Stellate Ganglion Block
[vc_row][vc_column width="2/3"][vc_column_text]What is the Stellate Ganglion Block? Stellate Ganglion Block is an injection of local anaesthetic in the sympathetic nerve tissue. These are the nerves that are a part of the Sympathetic Nervous System and are located in the neck, on either side of the voice box. Stellate Ganglion Block is an injection of local anesthetic into the front of the neck that is typically ordered for pain located in the...
Facet/Sacro-iliac joint denervation
[vc_row][vc_column width="2/3"][vc_column_text]If you have a good response to facet joint injections in the lower back or in the neck, then it may be possible to make the treatment more effective by doing facet joint denervation. If your pain has returned, then denervation can turn off the nerves that run from the painful joints and produce long-lasting pain relief. If the muscles or nerves are contributing to your pain, then the...
Lumbar epidural injection
[vc_row][vc_column width="2/3"][vc_column_text]An epidural can help back pain. It is a temporary treatment, and cannot be expected to last more than two months. The benefit of an epidural lies in the improvement that occurs when you are able to use your back in a more normal way, once the pain is controlled. Exercise and physiotherapy can be more effective after an epidural. Epidurals are sometimes used in the investigation and treatment of...
Sacro-iliac joint injections
[vc_row][vc_column width="2/3"][vc_column_text]The sacro-iliac joints are large joints that join the spine to the pelvis. They carry the weight of the body from the spine, through the pelvis to the hips. They can be affected by arthritis and strained by unaccustomed or heavy exercise. They are sometimes a cause of back pain and of pain around the hip and buttock that goes down into the leg. Injection of the sacro-iliac joints, can...
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