Injections for Back & Neck Pain

April 9th, 2018

Keith Burchill, MD, DC, FAAPMR is board-certified in physical medicine and rehabilitation by the American Board of Physical Medicine and Rehabilitation, and is board-certified in Spinal Cord Injury Medicine. Dr. Burchill is now providing injections for neck and back pain at Herrin Hospital.

  • Epidural steroid injections
  • SI (sacroiliac) joint injection
  • Medial branch blocks
  • Radiofrequency ablations

Neck and lower back epidural steroid injections are an effective way to relieve pain that is “radicular,” meaning it radiates from your spine to an arm or leg, and is typically the result of a herniated or slipped disk in the spine.

Injections not only work for lower and mid-back regions but can also relieve pain due to pressure on the sciatica nerve.

Though epidural steroid injections do not “cure” the underlying cause, the injections are often used to treat radicular pain (AKA sciatica) from a pinched spinal nerve.

How they work:

  • An injection delivers steroids directly into the epidural space in the spine.
  • Steroids inhibit the inflammatory response of the body, reducing swelling and irritation in the area of the injection.
  • Effects can last from a week up to 1 year, and may need to be repeated.
Radiofrequency ablations help with local low back or neck pain.

Conditions treated:

  • Diabetic neuropathy, sciatica, pinched nerves in the back, neck, and hip are just a few of the most common conditions.
  • Patients who suffer from long-tern, chronic pain caused by an old injury or a progressive health condition like fibromyalgia, arthritis, or neuropathy.

When used with physical therapy and exercise, radiofrequency ablations can be extremely effective at offering long lasting results. Pain relief is expected to last for 6-18 month. Radiofrequency ablations provide longer term pain relief than injections or nerve blocks.

Referral Process

Patients need a referral from their primary care doctor to see Dr. Burchill. Patients that have an opioid dependence will need to have their medications tapered before starting injections. Dr. Burchill will work with patients on tapering techniques. For additional information about injections, please contact Dr. Burchill’s office at 618.351.4980.