Spinal Steroid injection is used to offer instant pain relief from Neck and arm pain. The pain from the neck travels down your arm and to your fingers. You feel that your fingers are going numb. Surprisingly, your pain in the arm worsens when you move your neck in certain directions. The neck pain is constantly achy and it irritates you all the time. Sounds familiar? 

This is also known as Cervical Radiculopathy

Don’t worry. We all  know of someone who suffers from neck pain due to poor posture at work as it is so common. You can bounce back very quickly. Treatment for neck and arm pain is very simple, straightforward in most cases and may need spinal steroid injections.

If your neck pain is severe with pain, numbness, weakness, or altered sensation in the shoulders, arms or fingers, there is a possibility that the spinal nerve coming out of your spine in the neck is trapped. Spinal nerves are trapped due to a disc herniation, spondylolisthesis (slip of bones in the neck) and osteoarthritis. Spinal steroid injection can offer instant pain relief to relieve neck pain before it creates lasting nerve damage.

Spine surgeon and Consultant Mr Mangattil Rajesh has provided effective neck pain treatment in London for a number of years now. He understands how neck pain can be painful and debilitating. Mr Rajesh has an excellent reputation as a neck pain specialist in London for ensuring that his patients are correctly diagnosed and for delivering the right treatment plan for the individual’s neck pain.

If you are suffering from prolonged neck pain in London, don’t hesitate to give our pain clinic a call today. Spine specialist Mr Rajesh’s friendly and professional team will be happy to talk through the best managment plan for your neck pain. They will arrange an appointment for you to see the best reviewed London neck pain specialist.

Call us at  07956 318 383

Book an online Consultation for you neck pain treatment in London right away!

Table of Contents:

  • Neck & Arm Pain Treatment begins with Diagnosis.
  • Diagnosis helps the search for cause of Neck & Arm Pain
  • What are the causes of Neck & Arm Pain?
  • Options for Neck & Arm Pain treatment in London
  • Procedure for Neck pain Injection treatment in London
  • What is the Cost of Neck & Arm Pain treatment in London?
  • How do I know if my Neck pain is serious?
  • How does Spinal steroid injections help in Neck & Arm pain treatment?
  • Manage Neck pain at Home
  • Neck Pain Exercises at Home
  • What our Clients say
  • Frequently Asked Questions
Mangattil Rajesh, Consultant Spine Surgeon in London

Mr. Mangattil Rajesh

Consultant Spine Surgeon
Royal London Hospital
London

I am a Consultant Spine Surgeon at Royal London Hospital, London. My experience in treating your Back pain is from the extensive training in Spine Surgery from surgical rotations in London and from further 3 Spinal Fellowships at Manchester, North Tees, Royal London Hospital in the UK and further advanced training in France and USA in Minimally Invasive Surgery.

Neck Pain Treatment begins with Diagnosis

Diagnosis is the most important first step

There is no treatment without a diagnosis and there are several stages in the diagnosis of neck pain.

  • History
  • Clinical Examination
  • Blood Investigation
  • Imaging
  • Nerve Conduction Test
  • Diagnostic Nerve Root Injection

History: Your history of neck and arm pain starts with a very good story. Mr Rajesh carefully listens to your story of how your neck and arm pain started and progressed to the current state of pain. He will also be interested in understanding the severity of your arm pain and any associated numbness, pins and needles or weakness in your arm.

The amount and frequency of the medications that you take will give Mr Rajesh a clear idea of the severity of your neck and arm pain. He will then be able to decide on the nature of the examination and the investigation that is required to study the cause of your neck and arm pain.

Clinical Examination: Mr Rajesh ascertains the severity of your injury and devises an appropriate neck amd arm pain treatment plan in the initial consultation sessions by conducting a thorough physical examination. This will include a thorough neurological assessment of the sensation in your arms and fingers. He will also assess the strength of grip and movement of your arm and fingers. What he finds on the examination will give him a clue on the type of investigations that he needs to order for further information on your neck and arm pain.

Blood Investigation: Blood investigations are usually not required as a routine in the diagnosis of neck and arm pain. However if you have fever, loss of weight, loss of appetite or any other medical problems like diabetes, high blood pressure along with your neck and arm pain, then blood investigations will be necessary.

Imaging: X-ray are useful to look at the bones of our spine in case of a fall to confirm a fracture. However, these x-rays cannot show the soft tissues around the bones of your spine and the nerves that are trapped in your spine. Therefore, we need an MRI scan to look at the nerves much more clearly to have a good idea of the cause of your neck and arm pain. MRI scans will show the trapped nerves in your spine that will help Mr Rajesh manage your neck and arm pain effectively.

CT scans can also be used but they carry a risk of high radiation. Whereas MRI scans do not have that risk of high radiation and they are very safe to be used in the diagnosis for the cause of your neck and arm pain.

Special Tests – Nerve Conduction Test: Nerve conduction tests are occasionally used if there is difficulty in identifying the exact cause of the neck and arm pain with MRI scans. Nerve conduction tests will only be recommended by Mr Rajesh to identify the exact spinal nerve causing your neck and arm pain, numbness and weakness.

The more accurate the diagnosis, more successful will be the treatment for your neck and arm pain

Diagnosis helps the search for cause of Neck pain

What are the causes of Neck and Arm pain?

Neck pain or stiffness happens mostly because of muscle tension and strain caused by activities and behaviors such as:

  • Poor posture
  • Sitting & working at a desk for too long without changing position
  • Sleeping with your neck in a bad position
  • Jerking your neck during exercise
  • Injury due to whiplash in accidents

Neck and Arm pain however is caused by:

  • Cervical Disc Prolapse
  • Spinal Nerve trapped by Arthritis of the neck 
  • Spinal Stenosis 
  • Neck Fractures
  • Spine Infection
  • Scoliosis

Neck pain due to injuries:

The neck is particularly vulnerable to injury, especially in falls, car accidents, and sports, where the muscles and ligaments of the neck are forced to move outside of their normal range. If the neck bones (cervical vertebrae) are fractured, the spinal cord may also be damaged. Neck injury due to sudden jerking of the head is commonly called whiplash.

Neck pain due to other problems in the spine:

As you age, your cervical discs can degenerate. This is known as cervical spondylosis, or osteoarthritis of the neck. This can narrow the space between the vertebrae. It also adds stress to your joints.

When a disc in your neck bulges out due to injury and wear and tear, it may add pressure on the spinal cord or nerve roots. This is called a herniated cervical disc, also known as a Cervical Disc Prolapse or a Slipped Disc in the Neck. Disc Prolapse traps the spinal nerve that supply your arm and fingers causing numbness and weakness.

Spinal stenosis occurs when the spinal column narrows and causes pressure on the spinal cord or on the nerve roots as it exits the vertebrae. This can be due to long-term inflammation caused by arthritis or other conditions due to wear and tear. 

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Options for Neck and Arm pain treatment in London

The first line of neck and arm pain (Cervical Radiculopathy) treatment usually consists of non-surgical methods such as physical therapy and spinal injections. Most people with neck and arm pain do not require surgery. Mr Rajesh and his treatment methodologies focus on relieving your pain and keeping you as active as possible through physical therapy and practice.

Experienced neck pain specialist in London, Mr Rajesh, deeply understands the underlying causes for neck and arm pain (Cervical Radiculopathy) and the various ways it affects you. Mr Rajesh creates a tailor-made multi-disciplinary neck and arm pain treatment plan specifically for each individual patient. Depending on the underlying cause of your neck and arm pain, Spine surgeon & Consultant Mr Rajesh would suggest a neck and arm pain treatment plan involving one or more of the following:

CONSERVATIVE TREATMENT FOR NECK AND ARM PAIN

Medications: Paracetamol and Non-steroidal anti-inflammatory drugs are usually prescribed to help relieve pain and reduce inflammation caused by a trapped nerve in your neck. Muscle relaxants are also prescribed in some cases to treat muscle spasms in your neck and ease the arm pain caused from a trapped nerve.

Physiotherapy & Exercises: Mr. Rajesh believes in treating most of the neck and arm pain problems through non-surgical ways such as lifestyle correction, exercises, and physiotherapy as part of his comprehensive neck and arm pain treatment in London.

SPINAL INJECTIONS FOR NECK AND ARM PAIN

Spinal injections for Neck and Arm pain (Cervical Radiculopathy): Spinal steroid injections are an effective way to offer instant pain relief for your neck and arm pain. Spinal steroid injections are administered into the outermost part of your spinal canal (not directly into the canal). Under X-Ray guidance, Spinal specialist Mr Rajesh would precisely inject a local anaesthetic to treat pain and a steroid to ease the inflammation and reduce swelling due to the trapped nerve in your spine.

Spinal injections are safe and effective treatments for neck and arm pain that spreads from the neck to your arms and fingers. The options are:

  • Caudal epidural injection
  • Nerve root injection
  • Transforaminal epidural injection
  • Facet joint injection
  • Trigger point injection

These injections offer immediate relief from acute neck and the radiating arm pain. Spine specialist Mr Rajesh takes a multi-disciplinary approach for the management of neck and arm pain. He believes in treating and healing the causes of your neck pain without surgery in most cases.

Patients may feel some pressure during the injection but mostly the procedure is painless. Spinal injection for neck pain treatment in London is done as an outpatient procedure, so you will not need to stay in hospital overnight. The re is an instant relief from your neck and arm pain!

The procedure takes about 15-30 minutes to complete. Mr Rajesh will give you specific post-care instructions to recover faster

Mr Mangattil Rajesh recommends physiotherapy and will guide you with some mild exercises to get long term relief from your neck and arm pain (radiculopathy). A Spinal steroid injection can reduce neck and arm pain for up to three months. However, it is usually a crucial part of a holistic neck pain treatment programme. The Spine steroid injection reduces the symptoms so that physiotherapy is more effective.

Procedure for Neck Pain Injection Treatment in London

Once the exact source of your neck & arm pain (cervical radiculopathy) is determined, Mr Rajesh would decide the type of spinal injection that is appropriate for your neck & arm pain along with a comprehensive neck & arm pain treatment plan that will give you long lasting pain relief.

Administering a neck ansd arm pain injection usually involves:

  • Insertion of a thin hollow needle into the epidural space, guided by fluoroscopy X-ray to place the needle in the correct position. This system gives real time X-ray images of the position of the needle in the spine on a monitor for the surgeon to view.
  • A contrast material is then injected through the properly placed hollow needle to confirm that the drug flows to the affected nerve when injected.
  • When Mr Rajesh is satisfied with the position of the needle, the anaesthetic drug and corticosteroid are injected through the same needle inserted in the spine.

When the neck pain travels down your arm to your fingers, it can be associated with a feeling of pins and needles, tingling and a loss of sensation at the tips of your fingers. MRI scan will possibly show a prolapsed or a slipped disc trapping the spinal nerve supplying your fingers.

Sometimes there is a block in the spinal canal due to a disc prolapse or chronic arthritis. Gradually, this will affect the way you walk.  MRI scan will show a blocked spinal canal trapping the spinal cord in the neck called Cervical Canal Stenosis. Your bladder, bowel and sexual function can be compromised. This requires urgent surgical intervention. 

Cervical Spine surgery may be recommended in a prolapsed disc or a stenosis to relieve the trapped spinal nerve and spinal cord. Anterior Cervical Discectomy and Fusion (ACDF) is the most common procedure recommended in these situations.

Mr Rajesh is a skilful practitioner of Minimally Invasive Surgery (MIS) procedures such as Anterior Cervical Discectomy and Fusion (ACDF)

You are in safe hands with Mr Rajesh when seeking surgical treatment for neck pain in London. Mr Rajesh firmly believes in minimal tissue dissection, faster recovery and early return to normal life when it comes to surgical procedures.

You’re in safe hands!

Mr Mangattil Rajesh understands what it’s like to live with neck pain and how it can be exhausting, both emotionally and physically. He is personable and approachable and believes in empowering his patients to live a pain-free life. As an experienced Spine surgeon & Consultant in London, Mr Rajesh’s approach is to help his patients with effective but minimally invasive treatments.

What is the cost of neck pain treatment in London?

Depending on the underlying causes of your neck pain, Spine Consultant & Surgeon in London, Mr Rajesh, will advise you on the best course of treatment for your neck pain and help ease your pain completely. Specialist Spine Consultant & Surgeon Mr Rajesh offers affordable, competitive packages for neck pain treatment in London. Mr Rajesh accepts all Health Insurances for Neck pain treatment in London.

Feel free to call us about any information regarding insurance.

Neck pain treatment with Mr Rajesh offers you the ability to avoid long waiting lists or expensive insurance premiums and access treatment quickly and easily in London

Mr Rajesh is committed to providing the highest quality of care throughout his patient’s neck pain treatment in London. For neck pain treatment in London, he offers a full range of services, from initial assessment and diagnosis to individualised treatment and rehabilitation plans.

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How do I know if my lower neck pain is serious?

Some neck problems can cause pain in other parts of your arm, depending on the nerves affected. The main symptom of neck pain is an ache or pain anywhere in the neck, and sometimes all the way down to the arm and fingers. Most neck pain often goes away without treatment, but if it occurs with any of the following features, you should consult a doctor without delay!

  • Weight loss
  • Fever
  • Neck pain worse at night 
  • Pain down your arms
  • Worsening numbness of your fingers
  • Weakness in your arms
  • Loss of bladder and/or bowel control
  • Difficulty in walking

Most neck pain conditions can be treated effectively with medication, physical therapy and spinal injections. Only in very few cases, neck pain treatment requires surgery. London spine surgeon Mr Rajesh skilfully performs Minimally Invasive Surgery (MIS) procedures with minimal tissue dissection for faster recovery and early return to normal life.

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for a Consultation with Mr Mangattil Rajesh

How does spinal injections help in neck pain treatment?

Spinal injections are safe and effective treatments for neck pain that spreads from your neck into arm and fingers. Spinal injections are administered into the outermost part of the spinal canal. Under X-Ray guidance, Spinal specialist Mr Rajesh would precisely inject a local anaesthetic to treat pain and a steroid to ease inflammation and reduce swelling around the trapped nerves in your spine.

As part of his comprehensive neck pain treatment in London, neck pain specialist Mr Rajesh offers a range of highly-specialised spinal injection treatments to address different types of neck pain: 

      • Caudal Epidural Injection
      • Cervical Nerve Root Injection
      • Trigger point Injection
      • Cervical Facet joint Injection

Patients may feel some pressure during the injection but mostly the procedure is painless. Spinal injection for neck pain treatment in London is done as a Day procedure, so you will not need to stay in hospital overnight. The procedure takes about 15-30 minutes to complete. Mr Rajesh will give you specific post-care instructions to recover faster. 

Mr Mangattil Rajesh recommends physiotherapy after the spinal injection and will guide you with some mild exercises to get long term relief from neck pain. A spinal injection can reduce pain for up to three months. However, it is usually a crucial part of his holistic neck pain treatment programme. Mr Rajesh uses the injection to reduce the symptoms so that physiotherapy is more effective.

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for a Consultation with Dr. Mangattil Rajesh

Manage Neck pain at Home

These home remedies for Neck pain will give you much-needed relief during moments of pain

Sciatica pain and how to manage them at home
Take bed Rest first for back pain

REDUCE NORMAL PHYSICAL ACTIVITY

Stop physical activity only for a few days.

Bed rest for not more than 3 days is enough to rest the tissues of your neck

Just a few days rest will help calm your neck pain and stiffness

This will give you the confidence and mindset to move around as the neck pain is well under control.

Pinched Nerve - Apply Heat or Ice packs to manage your low back pain due to pinched nerve. Mangattil Rajesh at Spine Surgeon London

APPLY HEAT OR ICE TO YOUR NECK

This helps control your symptoms. Some are comfortable with a hot water bottle as it helps muscles to relax.

But others find a cold compress useful as it reduces the inflammation.

Choose what you feel that is comfortable for you. Both methods give the same result.

Do not use them for more than 5 minutes at a time.

Lumbar Disc Prolapse - Medications help in managing Low Back Pain due to Pinched Nerve. Mangattil Rajesh Spine Surgeon in London

OVER THE COUNTER PAIN MEDICATIONS

Most of us try an anti-inflammatory gel or ointment that can be applied over the painful area.

This is a very safe practice and it also helps to massage the area gently to relieve the pain. It works directly all the skin and muscles. The side-effects are far less than oral medications.

The most commonly used over the counter pain medications are non-steroidal anti-inflammatory drugs (NSAIDs) like Paracetamol and Neurofen (Brufen).

Lumbar Disc Prolapse - Mild Stretches for your low back pain helps in pain control. Mangattil Rajesh Spine Surgeon London

MILD STRETCHES

Mild stretches loosens your tense neck muscles and strengthens other muscles to help you move.

It is a good idea to take each step gently as any stretches that causes pain can cause damage to the muscles.

These stretches need to be simple with gentle forward bending, backward bending and mild twisting of your neck within the limit of your pain.

Once you get used to it, regular stretching can ease your neck pain effectively.

Lumbar Disc Prolapse - Improve your Posture to improve back pain Mangattil Rajesh Spine Surgeon London

IMPROVE YOUR NECK POSTURE

We all spend most of your time sitting down. This may be during eating, reading, watching TV or at work.

Your posture may be more harmful than you realise and contributes to making your neckpain worse.

Look carefully at your posture, pay a little attention and make sure that your neck is lined up nicely in a straight line while standing, sitting and during all the activities of daily living.

Doing the above steps reduces the pain considerably and naturally for most cases of neck pain. However, if your neck pain is caused by any severe injury or some other underlying cause, the neck pain might return soon. It’s always good to get a consultation with a Neck pain specialist for long term relief. Book an appointment with Specialist Spine Surgeon Mr Rajesh at 07956 318 383 and get a customised individual assessment for your neck pain!

Neck pain exercises at Home

Best exercises for Neck pain relief recommended by Spine surgeon and Consultant Mr Mangattil Rajesh
6 Simple stretches for Neck pain that will help with instant pain relief Mangattil Rajesh Spine Surgeon in London

London Spine surgeon and Consultant Mr Rajesh recommends these 6 quick stretches as the best exercises for Neck pain relief in the comfort of your own home:

 

  1. Forward Bend
  2. Backward Bend
  3. Side Bend
  4. Side to Side Turn
  5. Roll your Neck
  6. Pull your Neck Back and Hold

 

Perform these stretches as per the instructions in the above image and you’ll feel an instant relief in your Neck pain. These pain-relief exercises recommended by Mr Rajesh helps relieve the tension in your neck and shoulder muscles.

Remember to breathe in and out slowly and deeply during these neck pain-relief exercises. Also, stop whenever you feel any discomfort during the exercises.

As part of your comprehensive Neck pain treatment plan, London Neck pain specialist Mr Mangattil Rajesh will guide you with more specialised physiotherapy and exercises to get complete relief from Neck pain. Call spine specialist Mr Rajesh at 07956 318 383 today, for your effective neck treatment in London!

What our Clients Say

Mr Rajesh is an experienced Spine consultant & Surgeon in London. He is very personable and approachable. Neck pain specialist & Surgeon Mr Rajesh has the care and wellbeing of his patients at the heart of everything he does. You can read of some of the London neck pain specialist reviews for Mr Rajesh

Frequently Asked Questions

1. How long do the effect of neck pain injections last?

Neck pain injections have an immediate effect of pain relief from the local anaesthetic which wears off over a few hours. The steroidal cortisone starts to work in about 3 to 7 days and it can last up to a few months. More injections may be required for longer-lasting pain relief. Most specialists would wait for at least six months before repeating the injection.

2. How painful is a neck pain injection?

Neck pain injections are virtually painless since the procedure is done under local anaesthetics. When the local anaesthetic wears off, you may experience some discomfort where the needles were placed. Although pain relief with the neck pain injections generally occurs within 3 – 5 days, some patients experience improvement & pain relief right after the injection!

3. How many Facet joint injections can you have?

Most experts recommend not more than 3 injections over a 12-month period. There are concerns about the adverse side effects of repeated steroid injections on your spinal cord, nervous system function and on your metabolism. A Spine specialist would check & analyse for repeated symptoms before repeating the facet joint injection.

4. What is the recovery time for Neck pain injections?

You are advised to take the next day off work as you had intravenous sedation. You can return to normal life with gentle activity right after, and you can return to an active lifestyle within 3 – 5 days. If your neck pain persists or worsens, you may need to take a few days off from work.

5. Are there any risks and complications with Neck pain injections?

There are very few chances of any risks with neck pain injections and they tend to be minor and temporary. 1 in 1000 patients may experience some of the most common complications associated with neck pain injections such as:

  • Headache
  • Facial flushing
  • Lightheadedness
  • Rash
  • Increase in neck pain
  • Prolonged numbness

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