Types of Spinal Injections

Anil Kesani MD – 3 Types of Spinal Injections

Prior to founding the Texas orthopedic clinic SpineMD, Anil Kesani, MD, spent several years as a spine surgeon caring for patients in Illinois. Dr. Anil Kesani also shares his expertise through his YouTube channel – see here. In his video discussing back pain, he mentions the use of spinal injections in the treatment process.

Spinal injections have both diagnostic and therapeutic purposes. They are often used in combination with other therapies including physical therapy and strengthening exercises.

Three commonly used injections include:

Selective nerve root injection: The spinal cord sends 62 nerve roots through the 31 vertebrae. When these nerves become damaged or compressed, it can cause numbness and pain in the legs or arms. Injections near the nerve root can help determine which nerve root pair is causing the problem.

Epidural injection: These injections are administered to numb pain that originates from a pinched spinal nerve and radiates to the upper or lower limbs. Epidural injections channel medicine such as steroids and local injections into the epidural space that is adjacent to the nerve causing the pain and thereby reduces the pain.

Provocation discography: This diagnostic procedure is usually performed as a precursor to spinal surgery in particular spinal fusion for discogenic neck pain or discogenic back pain. During a discography, fluid is injected into the center of the intervertebral discs that separate each vertebra. Since the liquid creates pressure, it can help localize the source of spinal pain.

Anil Kesani MD Neck Back Spine Physician Spinal Injections
Anil Kesani MD


At SpineMD, our physicians and staff are passionate about treating patients with spine problems.  We enjoy the challenge of accurately diagnosing patients enabling us to render the appropriate treatment.  

Our highly trained and experienced providers specialize in the treatment of all types of spine problems including back pain, neck pain, slipped or herniated disc disease, disc degeneration, pinched nerves, and many more conditions, Back Pain Specialist Fort Worth, Texas.  

Our physicians are experts in the latest nonsurgical and surgical care including minimally invasive spine surgery and disc replacements, among others.  At SpineMD, what makes us stand out is our caring philosophy of being very conservative with our treatment approach; we reserve surgical treatment as a last resort and only consider surgery if all other nonoperative treatments have failed.  Please come visit our spine doctors “Dr. Anil Kesani Spine Surgeon” for a thorough systematic evaluation of your spine problem.  We look forward to seeing you!

We serve patients from North Richland Hills and the surrounding areas including Dallas, Keller, Watauga, Bedford, Haltom City, Blue Mound, Saginaw, Haslet, River Oaks, Fort Worth, Colleyville, Euless, Hurst, Roanoke, Southlake, Trophy Club, Westlake, Grapevine, Flower Mound, Irving, and Arlington.

Anil Kesani MD discussing issues related to neck back and spine problems

By anilkesanimd

Anil Kesani MD is a fellowship trained and board certified spine specialist. After completing his orthopedic surgery residency; Dr. Anil Kesani undertook additional training in spine surgery by completing a combined orthopedic and neurosurgery spine fellowship. He is board certified by the American Board of Orthopedic Surgery.