Spine Injection in London

Instant relief from Back & Neck pain

A spinal injection is used to provide immediate relief for back pain caused by problems like sciatica, herniated disc, etc. In serious cases of strain and injury, inflammation or herniated discs can cause too much pressure on the nerves surrounding the spine which causes severe pain. In those cases, we have to first reduce the pain to begin any kind of treatment.

A spinal injection injects a long-acting steroid into the foramen – an opening at the side of the spine where the nerve roots exit. This injection reduces swelling and inflammation of the nerve roots and the surrounding tissue, which ultimately reduces pain, numbness, and other irritating symptoms.

Spinal injections are effective because it delivers the steroid as close as possible to the herniated disc or joint causing the pressure on your nerves, and thus providing instant and lasting pain relief.

In some cases, the spinal injection is used to locate the source of back pain to the specific spinal nerve root before surgery.

Along with the spinal injections Mr Rajesh always combines physical therapy to give long term relief from back pain! He provides comprehensive treatment plans personalized for the needs of each of his patients.

Feel free to talk to expert spine surgeon in London, Dr Mangattil Rajesh. He listens patiently and will answer all your questions. Make an appointment today!


About 20 minutes


Same day to 3 days



More information about this procedure

Spinal Injection Procedure

The spinal injection procedure is done as an outpatient procedure. You will need to come in starved for at least 6 hours and will be at the hospital for less than a day.

You will be given a local or general anaesthetic by the anaesthetist so that you do not feel the pain of the procedure.

The spinal injection procedure takes around 15 minutes and is very safe.

A thin hollow needle is inserted through the skin and muscles to the nerves in the spine. A fluoroscopy X-ray is used 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.

When the doctor is satisfied with the position of the needle, the anaesthetic drug and corticosteroid are injected through the same needle inserted in the spine.

The spinal injection procedure is painless but you may feel some pressure during the injection. 

Recovery & Aftercare

Following the spinal injection procedure, Spine surgeon Mr Rajesh’s team will monitor your recovery. You will be able to go home when you are up and about and have passed urine. However, a friend or family member should escort you home.

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

Once the spinal injection procedure is done, you may feel an immediate reduction or complete relief of your back pain. Because of the local anaesthetic, it may occasionally take several hours before the feeling comes back to your leg. 

You should be able to walk immediately after the procedure, although some people have some tingling or numbness for a few hours.

London Back Pain Specialist Mr Rajesh will give you exercises to improve your strength, spinal mobility, and stability. Mr Rajesh and his team are always available for support and guidance if you have any problems or concerns at any point during your recovery.

Benefits of spinal injections

A spinal injection can be extremely beneficial during an acute episode of back and/or leg 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, some of which may have side effects when taken long-term.
  • Spinal injections could reduce the need for invasive procedures.
  • Spinal injections allow the body mechanisms time to heal the underlying condition
  • 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

Recent Reviews about 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?

Back pain and related symptoms can interfere with our lives in all possible ways. Spinal injections are recommended for control of your lower back pain.

Spinal injections give instant pain relief and help to treat chronic pain in your back or neck that is related to a disc disease (when the discs in your spine wear down) or arthritis in the facet joints in your spine.

Inflammation caused by the wear and tear of your spine makes it susceptible to disc prolapse, herniation, facet joint problems, nerve root problems, etc. This is the main cause of low back pain in the middle-aged and elderly. 

Back pain gets worse if you sit for very long – something that causes particular problems for people with office jobs. 

If you have injured your back while exercising or simply lifting a box from the ground you may believe it has nothing to do with the way you sit at your desk. Yet analysis shows us that the way we maintain the strength, balance and alignment of our musculoskeletal system, the more resistant our bodies are to such injuries.

As well as being one of the main reasons people take time off work, back pain can prevent you from:

  • Taking part in exercise or sport
  • Playing with your children and family
  • Driving 
  • Using computers for work or leisure.

Back pain along with leg pain is caused by deterioration or other damage to the spines that link together the bones in your back. Spondylolisthesis can also be a contributing factor in facet pain. The joint becomes inflamed and it is this inflammation that causes the pain. You are more likely to be affected if you are older but it can also affect young people. Some people sustain facet bone damage playing a sport, for example.

The spinal injection procedure is a simple outpatient procedure that approximately takes just around 20 minutes, including the time for a local anaesthetic to take effect.

Spinal injections provide temporary or prolonged reduction of nerve pain and inflammation that causes pain. This pain relief provided by the spinal injection allows a patient to progress with their physical therapy program for long term pain relief from back pain! 

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’ like warfarin, rivaroxaban or clopidogrel 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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