Back Pain

Exercise & Physiotherapy:

In early stage of back pain some back exercises are very helpful to maintain a muscle strength & tone. Targeted back & core strengthening exercises protect your back by building deep abdominal & lower back muscles that absorb daily loads & reduce pressure on the vertebrae.

At AREVA, we specialise in advanced interventional pain management for back & spine conditions, using precise, image-guided (C-ARM or IITV) procedures to target the source of pain, providing relief in back pain without the need for major surgery. Many treatments are performed as day-care procedures, enabling patients to return home the same day & resume normal activities with minimal downtime. Our goal: Precise treatment, faster recovery & lasting improvement in quality of life. Facet Joint Block: When pain originates from the facet joints (located between each vertebra), a specific type of injection called a facet joint injection, to diagnose & treat pain by reducing inflammation. The pain, commonly associated with facet arthritis & mechanical back pain. Transforaminal Block / Selective Nerve Root Block: A targeted image-guided injection delivered near an irritated spinal nerve root to reduce inflammation & pain, particularly in conditions such as sciatica, slipped or herniated disc & radicular pain. Medications are injected into the neural foramen, the opening through which the spinal nerve exits the spine, & placed close to the affected nerve root. The medication spreads around the nerve root within the epidural/perineural space, helping to reduce inflammation & relieve pain. Interlaminar Epidural InjectionMedication is injected into the epidural space through an interlaminar approach to help reduce inflammation around spinal nerves. It may be considered for radicular pain, sciatica & selected spinal pain conditions. Medial Branch BlockA precise, image-guided injection around the small medial branch nerves that carry pain signals from the facet joints. It can help determine whether the facet joints are a significant source of back or neck pain & may also be used as part of the treatment pathway toward RF neurolysis. Caudal Epidural InjectionMedication is delivered into the epidural space through the sacral opening at the base of the spine. It may be used for lower back pain, sciatica & certain forms of nerve-root irritation Sacroiliac (SI) Joint Injection:An image-guided injection into the SI Joint to diagnose & treat pain arising from the SI joint, which can cause pain in the lower back, buttock & sometimes the leg. Radiofrequency Ablation (RF Neurolysis):A minimally invasive procedure that uses controlled radiofrequency energy to interrupt pain signals from selected nerves, most commonly the medial branch nerves supplying painful facet joints. It provides longer-lasting relief in appropriately selected patients. At AREVA At AREVA, we assess back pain to identify its underlying cause and develop a personalized treatment plan. Depending on the diagnosis, treatment may include medication, physiotherapy, rehabilitation and image-guided procedures such as epidural injections, selective nerve-root blocks, facet joint injections and radiofrequency treatment for selected pain sources. Our goal is to relieve pain, restore mobility and help patients return to daily activities while avoiding unnecessary surgery whenever appropriate.