Pain Management

Interventional pain management is a subspecialty of interventional radiology with the goal to relieve, reduce, or manage chronic and/or acute pain in the spine, adjacent muscles, or joints.

At South Coast Radiology we provide a full range of pain management interventional procedures including, Joint Injection, Facet Block Injection, Nerve Root Injection, Steroid Injection, Plasma Rich Platelet and Vertebroplasty. These procedures are minimally invasive and typically involve injection of local anesthetic along with a steroid medication, and usually involve CT or ultrasound image guidance for precise delivery to the area of concern including joints, bursae, tendons, nerve roots and more.

Our specialist radiologists have the necessary expertise to deal with all aspects of image guided pain management procedures.  If you are a health care specialist needing expert advice for your patient, simply call one of our radiologists to discuss specifics.

Find out more about the services we offer in this area

Please note; not all services are listed below, and not all services are available at every site

Cortisone & Steroid Injection

Cortisone and Steroid injections combine hydrocortisone and a long-acting local anaesthetic, to act as a powerful anti-inflammatory. It can be injected into areas of concern causing pain and inflammation. For sports injuries and pain management, Cortisone and Steroid injections will reduce or eliminate pain associated with:

  • Bursitis
  • Arthritis and joint degeneration
  • Nerve pain, including spine and carpal tunnel
  • Tendonitis and tenosynovitis – plantar fasciitis, trigger finger, de Quervain’s, tennis and golfer’s elbow
  • Frozen shoulder – adhesive capsulitis
  • Ganglion cyst

Depending on the area of pain, CT, fluoroscopy or ultrasound is used to ensure the needle delivering the treatment is exactly within the area suspected of causing pain to maximise pain relief. When a fluid collection is present (such as a ganglion), fluid might be removed to relieve distension before cortisone is injected.

Cortisone is a legal steroid medication.

Nerve Block

People who suffer acute or chronic spine pain affecting the neck, buttocks, legs or arms might benefit from a nerve block injection to achieve temporary pain relief. A nerve block is used to treat a particular nerve or group of nerves by injecting an anaesthetic or anti-inflammatory agent, which will switch-off pain signals or decrease inflammation. CT or fluoroscopy is used for needle guidance, to ensure the needle is correctly placed to maximise pain relief.

Platelet Rich Plasma (PRP)

PRP Therapy is an injection that helps speed the body’s natural healing abilities. A small amount of the patients blood is taken and treated to extracted the platelets, which is then injected into the area of concern. A high concentration of platelets carry Platelet Growth Factors and assist with rebooting the repair cycles in certain body issues. PRP can offer an alternative to surgery as many parts of the body can be treated with PRP therapy, common examples include muscle, ligament and tendon tears and damage, injuries to the; shoulder (rotator cuff repair), elbow (tennis elbow), hip (abductors in Trochanteric Bursitis), knee (patellar Tendon, degeneration and Osteoarthritis) and ankle and foot (Achilles Tendon and Plantar Fasciitis).

PRP Injections are delivered by one of our specially trained Radiologists, and is carried out using Ultrasound or X-ray.

Usually 2 or more injections are required several weeks apart. Patients are encouraged to rest and refrain from any significant activity involving the body part for one week.

Epidural Steroid Injections

Epidural steroid injection is the accurate placement of a very thin needle, at a given level in this space, to inject a steroid and long-acting local anaesthetic. This is performed under the guidance of CT or X-ray as image guidance enables greater accuracy in delivering steroid treatment to the appropriate spinal region.

Your doctor may have referred you for an Epidural if you are suffering from severe or prolonged (chronic) back pain, pain as a result of disc or facet joint problems, or recurrence of back pain after surgery.

Our specialist trained Radiologist will perform this procedure with a nurse at the following locations: John Flynn Private Hospital, Pindara Private Hospital, Robina, Southport, Smith Street, Tweed, Mackay, Darling Downs.

Make an appointment online or call our dedicated bookings line