Don’t let relentless back or joint pain dictate your lifestyle. Book an image-guided injection consultation at Liv & Harley Street Hospital today and experience swift, targeted relief with world-class safety.
Pain Management Injections at Liv & Harley Street Hospital
Target Pain at Its Source—Fast
What Do “Pain-Management Injections” Mean?
At Liv & Harley Street Hospital’s Spine & Orthopaedics Clinic, pain-management injections are precision-guided procedures that deliver anti-inflammatory medication, platelet-rich plasma or radio-frequency energy directly to the spinal or musculoskeletal pain generator. Using real-time fluoroscopy or ultrasound, our fellowship-trained interventional specialists target nerves, joints, discs and trigger-points with sub-millimetre accuracy—reducing pain, confirming diagnosis and, in many cases, postponing or eliminating the need for surgery.
Who do we treat?
| Ideal Candidates | Typical Pain Patterns |
|---|---|
| Lumbar or cervical disc herniation | Shooting sciatica or arm pain, worse when coughing |
| Spinal stenosis not yet ready for surgery | Leg cramps after walking, eased by sitting |
| Arthritic facet-joint or sacro-iliac pain | Localised low-back ache, morning stiffness |
| Spondylolisthesis or mechanical instability | Ache on extension, relief when flexed |
| Coccyx or tailbone pain (coccydynia) | Pain sitting on hard surfaces |
| Piriformis / trochanteric bursitis | Deep gluteal ache radiating down thigh |
| Chronic discogenic low-back pain | Central lumbar ache, aggravated by sitting |
| Athletes with trigger-point or iliopsoas spasm | Local knot, jump sign, night cramps |
(Contra-indications: uncorrected coagulopathy, uncontrolled diabetes infection at injection site, pregnancy for radiographic procedures unless benefits outweigh risks.)
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Why Choose Us
Liv & HSH London
Consultant Anaesthetists & Spine Surgeons – > 10,000 image-guided injections performed.
Dual Imaging Suites – fluoroscopy + ultrasound for maximal safety and near-zero misplacement.
Radio-frequency & Biologic Options – from pulsed RFA rhizolysis to intradiscal PRP / stem cells.
CQC ‘Outstanding’ Safety Culture – WHO checklist, sedation led by consultant anaesthetist, real-time radiation monitoring.
What do we do?
Core Injection Therapies
| Procedure | Target / Indication | Anaesthetic & Guidance | ||
|---|---|---|---|---|
| Lumbar / Cervical Epidural Steroid (interlaminar, caudal) | Disc, facet or stenosis inflammation | Local + light sedation; X-ray | ||
| Trans-foraminal Nerve-Root Block | Radicular leg/arm pain, diagnosis + therapy | Local; X-ray | ||
| Facet-Joint / Medial-Branch Block | Axial back pain from arthritic joints | Local; X-ray | ||
| Radio-frequency Rhizolysis | Long-term facet or SIJ pain after positive block | Local + IV sedation; X-ray | ||
| Sacro-Iliac & Coccygeal Joint Injection | Pelvic or tailbone pain | Local; X-ray / US | ||
| Trigger-Point / Piriformis / Iliopsoas Injection | Myofascial knots, piriformis syndrome | Local; ultrasound | ||
| Intradiscal PRP / Stem-Cell | Chronic discogenic pain, annular tear | Local + sedation; X-ray |
Pain relief during procedure: skin anaesthetic + dilute lidocaine with steroid/PRP; IV sedation available for comfort.
Benefits of Image-Guided Injections
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Rapid pain reduction.
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Acts as a diagnostic map to identify exact pain source before surgery decisions.
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Out-patient or day-case – walk in and out in under two hours.
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Radio-frequency rhizolysis offers 12–18 months average relief for facet/SIJ pain.
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Intradiscal PRP / stem-cells target root cause inflammation and may delay fusion surgery.
Potential Risks & Limitations
| Common & Mild | Rare but Serious |
|---|---|
| Temporary soreness or numbness for 24 h | Bleeding in canal (especially if on anticoagulants) |
| Facial flushing, transient insomnia from steroid | Infection (discitis, abscess) < 0.1 % |
| Elevated blood sugar 24–48 h (diabetics) | Nerve injury or allergic reaction (< 0.05 %) |
| Incomplete pain relief / need for repeat | Dural puncture headache (< 0.5 %) |
Mitigation: strict asepsis, single-use needles, antibiotic prophylaxis for disc access, and pre-procedure coagulation screening.
FAQ
Frequently Ask Questions.
Everything you want to know about Pain-Management Injections in London Liv & Harley Street Hospital.
Epidural or facet steroid 3–9 months; RFA 12–18 months; PRP may give durable relief once disc inflammation settles.
Up to three steroid-based injections per anatomical region per year. Biologics have no steroid limit.
Steroid reduces inflammation; it may allow natural healing + physiotherapy. PRP/stem-cell aim at regeneration. Diagnostic blocks confirm surgical targets.
Most patients choose light IV sedation; local anaesthetic alone is fine if you prefer to remain fully awake.
Not on the day if sedated. Bring a friend or take a taxi. Driving next morning is usually safe.