Back pain is one of the most common reasons patients seek neurosurgical or spine care. It may present as sudden discomfort, persistent aching, sharp shooting pain, or dull stiffness, and can range from short-term (acute) to long-lasting (chronic). While many patients improve with conservative treatment, selected individuals may benefit from epidural steroid injection when pain persists or imaging findings do not clearly correlate with clinical symptoms.
At the Spine Center, Vejthani International Hospital, back pain management follows a structured, evidence-based approach that emphasizes accurate diagnosis, individualized treatment planning, and long-term functional outcomes.
Clinical care is provided by experienced spine specialists, including neurosurgeons who focus on comprehensive evaluation and minimally invasive pain management options when appropriate.
Back pain may result from various spinal conditions, including:
Symptoms may include localized lower back pain, pain radiating down the leg (radicular pain or sciatica), numbness, tingling, or weakness. Acute pain may last days to weeks, while chronic pain can persist for more than six months and significantly affect quality of life.
Initial treatment typically involves medications, rest, physical therapy, and rehabilitation. When these measures fail to provide adequate relief or when imaging findings are inconclusive, interventional pain procedures may be considered.
Accurate diagnosis begins with:
If imaging does not clearly explain the patient’s symptoms, or when multiple factors contribute to pain, targeted injection therapy may serve both diagnostic and therapeutic purposes.
Epidural steroid injection is a minimally invasive procedure in which a corticosteroid combined with a local anesthetic is delivered into the epidural space near irritated nerve roots.
The goal is to:
In selected cases, a selective nerve root block may be performed, targeting a specific affected nerve to help identify the pain source while providing symptom relief.
Modern techniques allow precise needle placement through a single entry point, enabling both diagnostic confirmation and pain management during the same procedure.
This treatment may be considered for patients with:
Each case is evaluated individually to determine whether injection therapy is appropriate.
An in-depth medical review is performed before any procedure to ensure patient safety.
Pain relief varies between individuals. Some patients experience significant improvement within days, while others may notice gradual changes over several weeks. The procedure does not cure underlying structural problems but may reduce inflammation and provide a window for rehabilitation and functional recovery.
Injection therapy is often combined with physical therapy and lifestyle modification as part of a comprehensive treatment plan.
Back pain can have complex and overlapping causes. At the Spine Center, Vejthani International Hospital, patients benefit from multidisciplinary care involving neurosurgeons, spine specialists, and rehabilitation professionals.
Treatment decisions are based on:
This personalized approach helps ensure that minimally invasive procedures are used appropriately and effectively.
No. It is a minimally invasive, image-guided injection performed without open surgery.
Results vary. The procedure aims to reduce inflammation and pain but does not correct structural spinal problems.
Relief may last from weeks to months, depending on the underlying condition and individual response.
In some patients, it may delay or avoid surgery. However, surgical treatment may still be required in severe cases.
