Spinal Injections for Pain Relief – Dr. Mohamed Ibrahim Zoheiry Explains

Dr. Mohamed Ibrahim Zoheiry, Consultant of Neurosurgery, explains that spinal injections are among the most common methods used to relieve back pain and treat herniated discs, especially in the early stages or for patients who are not candidates for surgery.

But when are these injections truly effective—and when are they just a temporary solution? In this article, Dr. Mohamed Ibrahim Zoheiry answers these important questions.

What Are Spinal Injections?

Spinal injections are medical procedures in which a medication—typically a corticosteroid combined with a local anesthetic—is injected into the spinal area or near the affected nerves to reduce inflammation and pain caused by nerve compression.

Common types include:

• Epidural steroid injections

• Nerve root block injections

• Facet joint injections

Dr. Mohamed Ibrahim Zoheiry stresses that these injections are performed under image guidance for maximum accuracy and safety.

When Are Spinal Injections Effective?

According to Dr. Mohamed Ibrahim Zoheiry, spinal injections work well in the following cases:

• Early-stage herniated discs

• Sciatica (inflammation of the sciatic nerve)

• Mild spinal canal narrowing without severe compression

• Back pain caused by arthritis or inflamed joints

• Patients who wish to postpone surgery or are unfit for surgical intervention

In such situations, the injection may provide relief lasting from several weeks to months.

When Are Injections Not Enough?

 Spinal injections may not be effective in the following scenarios:

• Severe nerve or spinal cord compression

• Large disc herniation causing weakness or constant numbness

• Previous injections that failed to relieve pain

• Structural instability of the spine or complex anatomical issues

In these cases, Dr. Mohamed Ibrahim Zoheiry advises surgical evaluation and intervention if appropriate.

Are There Side Effects or Risks?

Spinal injections are generally safe when performed by an experienced specialist and under imaging guidance. However, some mild side effects may occur, including:

• Post-injection headache

• Temporary pain flare-up

• Slight blood sugar elevation in diabetic patients

• Rare risk of infection or bleeding

Dr. Mohamed Ibrahim Zoheiry emphasizes the importance of careful post-procedure monitoring and following medical instructions to avoid complications.

Conclusion

Spinal injections can be an effective tool for pain management, but their success depends on accurate diagnosis and proper timing. Dr. Mohamed Ibrahim Zoheiry advises patients not to view injections as a permanent solution, but rather as part of a comprehensive treatment plan that may also include physical therapy, medication, and—when needed—surgical intervention.