Lumbar spine
Blocks and injections of the paraspinal muscles and quadratus lumborum
Painful muscle points and fascial planes are well visualised and lend themselves to a targeted treatment.
How it is performed
An important component of back pain originates from the muscles and fascia surrounding the spine. Using ultrasound, the fascial planes between the erector spinae muscle and the quadratus lumborum can be identified, and local anaesthetic can be deposited there, with or without corticosteroid (erector spinae plane block, quadratus lumborum block), or the painful trigger points can be treated selectively. The result is a reduction in pain and muscle tightness that facilitates rehabilitation.
Who it is for
- Myofascial low back pain and chronic muscle tightness
- Persistent non-specific low back pain
- Need to reduce pain to allow active physiotherapy
Recovery
Ultrasound-guided procedure under local anaesthesia, through an access point of a few millimetres: you return home immediately and resume movement the same day.
Conditions treated in this area: chronic low back pain, disc herniation and sciatica, sacroiliac joint pain, muscle tension and pain (paraspinal, piriformis).
Scientific evidence
Systematic reviews on lumbar fascial plane blocks in non-specific low back pain report a reduction in short-term pain and a good safety profile; a recent randomised study compares their effectiveness with transforaminal epidural injection in low back pain with radiating symptoms.
References on PubMed
- Efficacy and safety of erector spinae plane block in non-specific low back pain: an exploratory systematic review
Slouma M, Zarati S, et al. — Pain Manag, 2026 · PMID 41549965
- Transforaminal epidural steroid injection versus high-volume lumbar erector spinae block in patients with low backache and radicular pain — a randomized clinical trial
Singhrol RA, Reena D, et al. — Agri, 2025 · PMID 40856394
Published data describe average results in groups of patients and are not a prediction of an individual outcome. The indication for treatment must always be assessed during a consultation.
Want to know if it is right for you?
At the first consultation we review your clinical history and previous imaging together.