Injections for Lower Back Pain

Low Back Pain

Low back pain can be due to disc degeneration, disc herniation, facet joint degeneration, muscular spasms or spinal stenosis. In most cases, it’s common for the spinal muscle to stay in a shortened and tight position and this is the body’s protective mechanism to avoid any further aggravation. The disadvantage of this muscular tightness can lead to the development of trigger points (tight painful bands like structures) or simply this tightness will delay your recovery and rehab.

What are trigger point injections?

Injections into trigger points can help to treat lower back pain. One or more trigger points can cause the pain and tenderness associated with myofascial referred pain around your back or in your legs.

An injection into a trigger point can relieve myofascial pain, particularly in the lower back, neck, shoulders, arms, and legs. Your muscles may have painful trigger points that are tender to pressure or contact and cause pain in movement. They may develop as a result of recent trauma or from repeated microtrauma that stresses the muscle fibres. The muscle fibres become constricted as a result. When you rub your muscle, these knots can occasionally be felt. Local anaesthetic injections with or without corticosteroids are frequently used for trigger point injections.


Most often treated muscle groups using trigger point injections are:

  • A deep muscle in your lower back (Quadratus lumborum).
  • A muscle in your hip (Gluteus Medius, Piriformis)
  • The muscle that extends over the back of your neck and shoulders (Trapezius).
  • A muscle on the sides of your neck (Levator scapulae).

Certain sorts of discomfort or problems can be brought on by trigger points. For instance, when the piriformis muscle develops a trigger point, then this additional tightness can cause some discomfort to your sciatic nerve. This ultimately can cause numbness or pain in your buttock or run down the back of your leg.

What are the benefits of trigger point injections?

Injections for trigger points can have diagnostic and therapeutic values. This means that if your pain is resolved with these injections, then not only it helps us to establish the cause of your pain but helps us to treat it at the same time. They are safe and can help patients who have been suffering from trigger points discomfort, albeit have not had relief from more traditional therapies such as over-the-counter painkillers or physiotherapy.

Depending on which muscle is affected, trigger point injections can also significantly enhance your flexibility and general muscular performance.

Let's start your journey with us:

  • Call us on 020 8870 8761 or email us at: to book your appointment. 
  • If you will benefit from our services then the next steps would be:
  • Comprehensive Musculoskeletal examination and testing.
  • Ultrasound scan (if required) to have clarity about why you are in pain.
  • Same day Ultrasound Guided Cortisone Injection for pain relief or Hyaluronic injection (Gel) for arthritic joints.
  • Fixed fee structure so you can plan your expenses. £250 for Cortisone & £350 for Ostenil Plus