Injections and non-surgical interventions

For some people, injections or other pain interventions can be helpful as part of chronic pain management — particularly when pain is limiting movement, sleep, or rehabilitation.

These treatments are not cures for chronic pain, but they may reduce pain temporarily, settle flare-ups, or create a window of opportunity to engage in other therapies.

Common types of injections

Depending on the pain condition, injections may include:

• Steroid injections to reduce inflammation around joints, nerves, or soft tissues

• Local anaesthetic injections to calm irritated pain pathways

• Trigger point injections for muscle-related pain and spasm

• Nerve blocks for specific nerve-related pain patterns

• Joint injections (such as into the spine, hips, knees, or shoulders)

The effects can vary widely. Some people experience meaningful relief, others notice little change, and some find benefit only for a short period.

Other pain interventions

In some cases, specialist services may consider:

• Radiofrequency treatments to interrupt specific pain signals

• Neuromodulation techniques such as spinal cord stimulation

• Procedural treatments aimed at supporting function rather than removing pain

These options are usually considered only after careful assessment and when simpler approaches have not been sufficient.

What injections can — and can’t — do

Injections and interventions may:

• Reduce pain intensity for a period of time

• Improve movement or sleep

• Make rehabilitation or activity more manageable

They do not:

• “Fix” a sensitised nervous system

• Address trauma, stress, or lifestyle contributors on their own

• Work equally well for everyone

For chronic pain, repeated injections without a broader plan are rarely helpful in the long term.

A stepped, thoughtful approach

Good pain care uses injections and interventions selectively and thoughtfully, with clear goals such as:

• Supporting participation in physiotherapy

• Reducing a severe flare

• Improving function or quality of life

Decisions should be based on shared discussion, realistic expectations, and regular review of benefit versus risk.

Choice and consent

People should always be:

• Fully informed about potential benefits and risks

• Supported to ask questions

• Given the option to say no or change their mind

Choosing not to have an injection is as valid as choosing to try one.