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Understanding Image-Guided Spine Injections

How X-ray guided injections work, who they may help, and what to expect.

Illustration of a C-arm fluoroscopy machine and monitor used to guide pain procedures

Sample article for demonstration. It will be reviewed and replaced by the clinic.

TL;DR Quick answer

Image-guided injections use live X-ray or ultrasound to place medicine exactly where it is needed. Most are day-care procedures under local anaesthetic, taking 15 to 45 minutes. Results vary, and they work best as part of a wider plan with exercise.

Key takeaways

  • Image guidance shows the needle position in real time
  • Most injections are day-care procedures under local anaesthetic
  • Results vary; injections work best as part of a wider plan

Image-guided injections allow medicine to be delivered precisely to the structure causing pain.

How they work

Live X-ray (fluoroscopy) or ultrasound shows the needle position in real time, so the medicine reaches the right place.

What to expect

Most injections are day-care procedures under local anaesthetic. Your doctor will explain the benefits and risks for your situation.

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About the author

Dr. Nikhilesh Samudrala

Consultant Pain Physician

Dr. Nikhilesh Samudrala is a Consultant Pain Physician at Advanced Spine and Knee Hospital (ASK). After training in anaesthesiology at MVJ Medical College, Bengaluru (DA) and Indraprastha Apollo Hospitals, New Delhi…

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This page is for general information. Whether a treatment is suitable for you is decided after an individual consultation.

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  • Assessment by a Consultant Pain Physician
  • Non-surgical options considered first
  • Image-guided procedures where appropriate
  • Day-care treatment for suitable patients
  • Every option, benefit and risk explained clearly

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