Interventional Pain Management
Spinal Stenosis Treatment Options
Many patients can be treated without major surgery using minimally invasive, image-guided interventional pain procedures. The aim is to reduce inflammation around compressed nerves, improve walking capacity and support long-term function with rehabilitation.
- Epidural Steroid Injection - Medicine is injected near compressed nerves to reduce inflammation and pain in selected cases of leg pain, sciatica or neurogenic claudication
- Transforaminal Nerve Root Block - A targeted injection around the affected spinal nerve root for radiating leg pain or nerve irritation
- Facet Joint Injection - Helpful when facet joint arthritis is contributing to spinal stenosis pain or back stiffness
- Radiofrequency Ablation (RFA) - Uses controlled heat energy to block pain-transmitting nerves for longer-lasting relief in suitable facet-mediated pain
- Minimally Invasive Spine Interventions / MIPSI - Selected patients may benefit from image-guided decompression-focused procedures that aim to reduce pressure around nerves and avoid open surgery where safe
- Physiotherapy and Rehabilitation - Core strengthening, posture correction, flexibility exercises and walking rehabilitation improve long-term outcomes
- Surgical Evaluation - Needed when there is severe spinal cord compression, progressive neurological weakness, bladder or bowel symptoms, or failure of appropriate non-surgical care