Non-Surgical Treatment · Lumbar spine

Nerve Root Block

Image-guided injection of steroid and anaesthetic alongside a compressed spinal nerve root. Used to relieve sciatica or arm pain and confirm the pain source.

Nerve Root Block — treatment

What the procedure is

A nerve root block delivers corticosteroid and local anaesthetic alongside a specific spinal nerve root that has been compressed or irritated. This is most commonly used for sciatica (lumbar nerve root) or arm pain from a cervical nerve root. It reduces local nerve inflammation and can break the pain cycle while the underlying cause — a disc herniation or stenosis — is managed.

On the day

The procedure is performed as a day case under X-ray guidance. Mr. Rath places a thin needle alongside the targeted nerve root and confirms placement before injecting. The whole procedure takes 20–30 minutes. You should arrange for someone to drive you home.

Improvement in leg or arm symptoms typically begins within a few days as the steroid takes effect.

Why Mr. Rath's approach

Selective nerve root blocks are particularly useful when imaging shows pathology at multiple levels and it is unclear which is causing your symptoms. The diagnostic component — how much relief you get — helps Mr. Rath plan whether surgery is needed and at which level.

Risks and considerations

  • Temporary flare of nerve pain after injection (settles within 24–48 hours)
  • Rare risk of nerve injury or infection
  • Blood sugar elevation in diabetic patients
  • Short-lived local bruising at injection site

Nerve root blocks are safe outpatient procedures when performed with imaging guidance by an experienced spinal surgeon.

Frequently asked
Is a nerve root block the same as an epidural?

No. An epidural delivers medication into the epidural space generally. A nerve root block targets a specific individual nerve root — more precise and more useful diagnostically.

Can a nerve root block avoid the need for surgery?

Sometimes. Many cases of nerve root pain resolve with time and conservative treatment. An injection can allow the inflammation to settle and bridge the period while the disc fragment resorbs.

Take the next step

Discuss this treatment with Mr. Rath.

Online and in-clinic consultations available across the North West.

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