Spine Injection

Instant relief from Back pain and Neck pain

Spine injection offers instant relief for your back pain and neck pain. It is a mixture of a numbing solution as well as a steroid injection that works on the trapped and bruised spinal nerve.

The spinal nerve is usually trapped  by:

 – A slipped or a prolapsed disc that jams the Spinal nerve.

 – Narrowing of the holes in your spine due to wear and tear.

The numbing solution (local anaesthetic) instantly reduces your pain in your lower back and neck. The steroid acts on the inflammation on the bruised nerve.

The result – instant relief of your back pain and neck pain.

Along with the spinal injections, Mr Rajesh always combines physical therapy to give long term relief from back pain and neck pain ! He provides a comprehensive treatment plan that is so personalised to get the best benefit from this procedure.

Do not suffer from pain any longer. Instant relief is possible. Feel free to talk to expert spine surgeon in London, Mr Mangattil Rajesh. Make an appointment today!


About 20 minutes


Home in 4 hours


48 hours to 10 days

You will know more about:

Spine Injection Procedure
Recovery & Aftercare
Benefits of Spine Injections
Why do you need Spine Injections?
Frequently Asked Questions

Spine Injection Procedure

This is done in the hospital. It is a very simple procedure but it has to be done with great accuracy and precision. Your spine is the most important part of your body and hence, great care is taken to do this procedure safely. 

You will need to come to the hospital starved for at least 6 hours.

The spine injection is done under sedation so that you do not feel any pain during the actual spine injection. X-ray guidance is used so that the spine injection is given at the most accurate location. This ensures safety and accuracy.

You will be discharged from the hospital 2-4 hours after the procedure. 

Recovery & Aftercare

Once you wake up from the sedation, you will find a significant improvement in your pain. After a nice cup of tea, you will be allowed home once you have fully recovered from the spine injection procedure. You will be able to walk almost immediately.

You should not drive for 12-24 hours after the procedure.

As the numbing solution numbs the nerve and you will feel no pain. Occasionally, your leg can become numb or weak from the injection. But this settles in a few hours. 

London Spine Specialist Mr Rajesh will arrange physiotherapy to improve your strength, spinal mobility, and stability. 

Benefits of Spine injections

A spine injection can be extremely beneficial during an acute episode of back pain or neck pain. Typically, if the initial injection is effective, up to 3 injections may be given in one year.

When administered in the lumbar space, epidural steroid injections may have the following benefits:

  • Temporary or prolonged reduction of nerve pain and inflammation in the region of the spine that causes pain.
  • Enhanced ability to perform daily life activities without the previous restrictions caused by pain.
  • Pain relief from the spinal injections may help limit or eliminate the need for oral medications.
  • A spinal injection may provide sufficient pain relief to allow a patient to progress with their physical therapy program.
  • Pain relief experienced from spinal injections may help postpone surgery, and if physical therapy is effective, it may eliminate the need for surgical intervention

Read the most recent reviews on London Spine Surgeon Mr Mangattil Rajesh


Mr Rajesh was excellent and I count myself very fortunate that he is my consultant surgeon. I could not have asked for a more courteous and professional experience. I could not fault anything. Mr Rajesh was very professional he explained everything in detail on all my visits. From initial consultation to post op Mr Rajesh took care of everything.

Dr Bhav Gami

Thank you so much to Mr Rajesh for helping my father when he was an inpatient at the height of the pandemic. Mr Rajesh is an amazing surgeon and was very informative, thorough and professional. Luckily my father was not infected with Covid 19 despite being an inpatient for 6 weeks.

Kemal Ykm

Dr Mangattil Rajesh is my hero he has helped me a great deal with my fractured back after a car accident. My recovery has improved significantly ever since he took on my case with regular consultations and real talk. He knows his stuff so I trust him with every decision we make together Lore Epsom.

Got questions?

Feel free to talk to me. I will be happy to answer all your questions and concerns.

Make your appointment today!

Why do you need spinal injections?

Spinal injections give instant pain relief from your back pain and neck pain. It is usually very effective when all other methods – rest, medications, physiotherapy – have failed to relieve your pain.  

Spine steroid injections are safe and useful managing a crisis like sudden severe pain that is quite unexpected. It throws all our plans into chaos. These injections will help you get control of a difficult situation

These injections allows you to back pain physiotherapy and gain good control and tone of your core muscles. The combination of back pain steroid injection followed by physiotherapy rehabilitation is the most effective way of getting long term control of the pain.

The effect of spine injections varies from 6 weeks to 6 months.

But most patients benefit from these injections and feel quite happy that they made the decision to go for spine injection treatment.

Frequently Asked Questions

Spinal injection procedure is painless but you may feel some pressure during the injection. Spinal injections are virtually painless since the procedure is done under local anaesthetic. When the local anaesthetic wears off, you may experience some discomfort where the needles were placed.


Although pain relief with the caudal epidural steroid injections generally occurs within 3 – 5 days, some patients experience improvement & pain relief right after the injection! You will be watched for 15 to 20 minutes after the injection before going home.

Spinal injections are generally safe procedures. If complications occur, they are usually mild and self-limited. However, like with any treatment procedure, some of the common risks with epidural steroid injections are:


1) Infection:

This is rare but there is an increased risk in skin conditions like psoriasis or eczema. The rate is less than 1 in 1000 injections


2) Bleeding:

People who take medications to ‘thin their blood’ will be advised to stop these medications at least a week in advance of the procedure for safety.


3) Steroid facial flushing:

A temporary side effect with flushing of the face and chest, with warmth and an increase in temperature for several days. Settles down very quickly.


4) Anxiety or vasovagal:

Caused due to the stress of the procedure and is not life-threatening. 1 in 100 patients do have such episodes and it settles very quickly.


5) Menstrual changes.


6) Water retention.

Spinal injections tend to provide temporary relief from pain, and the effects could last from one week up to one year. It is especially beneficial for a patient suffering from acute back and/or leg pain.

You should not drive for the first 12-24 hours after your spinal injection procedure. You may experience mild soreness at the injection site(s) for 24–48 hours. 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 back pain persists or is worse, you may need a few days off work. There are no limitations for work if your pain settles after a day.

Insurance Affiliations

Spine Surgeon London is authorised by all major Insurance companies. We offer seamless and world class treatment for your Back pain or Neck pain. We accept all major Insurances. We are fee assured with the following private medical insurers:

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