Chronic Back Pain Treatment

Chronic Back Pain Treatment

Pain-medicine specialist–led care

Midline facet or SI-joint pain, or sciatica-type pain radiating down the leg — we confirm the source with targeted diagnostic blocks and MRI, then treat it with image-guided procedures from RFA to epidural steroid injection and balloon neuroplasty.

Where does chronic back pain come from?

Chronic low back pain has several possible sources — the muscles, the facet joints, the sacroiliac (SI) joint, or a nerve root compressed by a herniated disc. Each one is treated differently, so confirming the source comes first.

At YOUNIFY we use targeted diagnostic injections and MRI (for radiating symptoms) to identify the pain generator, then treat it with minimally invasive, image-guided procedures — most of them same-day.

When to see a specialist
  • Back pain lasting beyond 3 months despite medication and physiotherapy
  • Pain radiating down the leg, numbness, or tingling
  • Pain that limits standing, walking, or sleep
  • You want options before considering surgery

Back pain care pathway

Two symptom patterns, two pathways — choose the one that matches your pain

Diagnostic medial branch block / SI joint injection

Depending on the suspected source, a small local-anaesthetic injection tests the facet joints or the sacroiliac joint. Clear relief confirms the pain generator.

Read the response

Relief points to facet joint or SI joint pain. Little or no relief usually means muscular pain, managed with physiotherapy, massage, and trigger point injections.

Radiofrequency ablation (RFA)

Radiofrequency energy quiets the pain signal from the confirmed facet or SI joint — needle-sized entry, outpatient, fast recovery.

If the block confirms facet or SI joint pain
  • RFA for longer-lasting relief
  • Optional: joint injection with steroid, PRP, or prolotherapy
If the block brings no relief — muscle pain
  • Physiotherapy and therapeutic massage
  • Trigger point injection to release painful muscle knots

Every procedure is performed by a pain-medicine specialist, with image guidance — fluoroscopy or ultrasound — on every case.

Comparing back pain procedures

All options are minimally invasive, outpatient procedures

ProcedureBest forImage guidanceInvasivenessHome the same day
Diagnostic medial branch block / SI joint injectionConfirming facet or SI joint painFluoroscopyNeedle onlyYes
Radiofrequency ablation (RFA)Confirmed facet or SI joint painFluoroscopyNeedle onlyYes
Facet / SI joint injection (steroid / PRP / prolotherapy)Adjunct for joint painFluoroscopyNeedle onlyYes
Epidural steroid injection — transforaminal / interlaminar / caudalNerve-root pain radiating down the legFluoroscopy (caudal: ultrasound possible at L5/S1)Needle onlyYes
Pulsed RF of the nerve rootWhen ESI is unsuitable or insufficientFluoroscopyNeedle onlyYes
Epidural balloon neuroplastyPersistent radicular pain with adhesionsFluoroscopyFine catheterYes
Trigger point injectionMuscular back painLandmarks / ultrasoundNeedle onlyYes

FAQs

Common questions about back pain procedures

Which epidural steroid injection route will I get?
Your doctor chooses among the transforaminal, interlaminar, and caudal routes based on your MRI findings, the level involved, and your anatomy — the goal is to deliver medication as close to the irritated nerve root as possible.
How long does RFA last?
Relief typically lasts many months and the procedure can be repeated if the pain returns. Individual results vary.
Will I need surgery?
Most patients without weakness or spinal cord compression can start with these minimally invasive options. If surgery is genuinely indicated, our team will coordinate the referral.
Get your back pain properly diagnosed
Book an assessment with our pain-medicine team and find the pathway that matches your symptoms.
Book a consultation