Nerve Root Block Injections

Nerve root block injections are a highly effective treatment for nerve-related pain that travels into your arm or leg. This type of pain is often described as sciatica when it affects your leg, or as shooting or burning pain when it affects your arm. A nerve root block targets the specific irritated nerve root that is causing your symptoms, helping to reduce inflammation and calm the pain signals.

At Ramsay Health Care, nerve root block injections are carried out by experienced consultants using X-ray guidance for accuracy. Patients benefit from fast access to appointments, clear explanations at every stage and transparent self-pay pricing. 

Whether you are exploring treatment for the first time or have been living with nerve pain for some time, this page explains what nerve root blocks are, how they work and what to expect.

What is a nerve root block injection?

A nerve root block injection places a small amount of local anaesthetic and steroid around your spinal nerve root. Your nerve root is the point where a nerve leaves your spine and travels into your arm or leg. When this nerve becomes irritated or compressed, it can cause pain that radiates along its pathway.

This type of pain is known as radicular pain. Radicular pain in the leg is often called sciatica. Radicular pain in your arm may feel like shooting pain, tingling or numbness caused by a trapped nerve in your neck.

A nerve root block has two purposes. It can relieve pain by reducing inflammation around your nerve. It can also help diagnose which nerve is responsible for your symptoms. If the injection reduces your pain, it confirms that the targeted nerve root is the source.

What happens during a nerve root block injection?

A nerve root block is a day-case procedure. You arrive at the hospital, have the injection and go home the same day.

The procedure is guided by X-ray or CT imaging to ensure your injection is placed precisely around the correct nerve root. Before your injection, a local anaesthetic is used to numb your skin. Once the area is numb, your consultant places a fine needle near your nerve root and injects a combination of local anaesthetic and steroid.

The anaesthetic provides short-term relief. The steroid reduces inflammation and can provide longer-lasting improvement.

You will need someone to drive you home, as you cannot drive yourself after the procedure.

Book a consultation to discuss whether a nerve root block is right for you.

How much do nerve root block injections cost?

Ramsay Health Care offers fixed, transparent self-pay pricing for nerve root block injections. Costs are agreed before treatment, so you know exactly what to expect. Most major private medical insurers cover nerve root block injections.

Contact us for a guide price or book a consultation to get a personalised quote.

Nerve root block recovery time

Most people return to normal daily activities within twenty-four to forty-eight hours. Some soreness at the injection site is normal and usually settles quickly.

It is also common for pain to temporarily worsen for a day or two before improving. This happens because the steroid takes time to work. A short flare-up is expected and not a sign of a problem.

If you have temporary numbness or weakness in your arm or leg after the injection, this usually settles within a few hours.

Nerve root block injection side effects

Nerve root block injections are generally safe. Your consultant will explain all relevant risks before you consent to treatment.

Common side effects include:

  • Soreness or bruising at the injection site

  • Temporary numbness or weakness in your arm or leg

  • A short increase in pain before improvement

Less common side effects include:

  • Infection

  • A temporary drop in blood pressure

  • Headache caused by a dural puncture

Serious complications are very rare.

If the injection does not provide lasting relief, this does not mean the procedure has failed. It simply means the nerve may need a different type of treatment. You can read more about next steps below.

What if a nerve root block doesn't work?

If a nerve root block provides only short-term relief or does not improve symptoms, your consultant will discuss other options. These may include:

Radiofrequency ablation

Radiofrequency ablation uses heat to disrupt pain signals from your affected nerve. This can provide longer-lasting relief. 

Further investigation or spinal surgery

If imaging shows a structural cause such as a disc prolapse, your consultant may discuss referral to spinal surgery. Explore lumbar discectomy

Your consultant will always start with the least invasive option and only escalate treatment when clinically appropriate.

Speak to a pain specialist about the right next step for you.

Nerve Root Block at Ramsay Health Care

Ramsay Health Care provides consultant-led nerve root block injections with fast access to appointments and personalised care. Our specialists use X-ray guidance for accuracy and work closely with physiotherapists and spinal teams to support your recovery.

Why choose Ramsay:

  • Experienced pain management specialists

  • Shorter waiting times than the NHS for consultation and treatment

  • Full spectrum of care from conservative management through to surgical options

  • Physiotherapy available to support rehabilitation

  • Self-pay options with the Total Care package and 0% payment plans available

  • Most major private medical insurance accepted

  • Clear pricing and flexible booking

Explore:

  • Other pain relief injections [link to /injection-overview]

Book an appointment or call us on 0808 223 0500

Nerve Root Block FAQs 

 

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