Image-guided spinal injections are a key tool for diagnosing and treating back and neck pain. Using X-ray or CT guidance, specialists can deliver medication with remarkable precision—right where it’s needed most.
Why Imaging Matters
The spine is a complex structure. Imaging ensures the needle is placed safely and accurately, improving results and reducing risks.
Common Imaging Types Used
- Fluoroscopy (live X-ray) — most commonly used
- CT guidance — for difficult-to-reach areas
- Ultrasound — sometimes used for peripheral nerve injections
Types of Image-Guided Spine Injections
- Epidural steroid injections (ESIs) for disc herniations or sciatica
- Facet joint injections for arthritic back pain
- Medial branch blocks for diagnosing facet-related pain
- Sacroiliac joint injections for SI joint dysfunction
What Happens During the Procedure
- You lie comfortably on the procedure table.
- The skin is cleaned and numbed.
- Using imaging, the physician directs a fine needle to the precise target.
- Contrast dye may be used to confirm needle placement.
- Medication—often a mix of anesthetic and steroid—is injected.
- You’re monitored briefly and can usually go home the same day.
Benefits of Image-Guided Injections
- Improved accuracy
- Faster pain relief
- Diagnostic value (helps pinpoint the exact source of pain)
- Minimally invasive and low recovery time
These injections can be an important step in your pain-relief plan, especially before considering surgery.
