Many interventional pain procedures use imaging guidance, such as fluoroscopy. Fluoroscopy is a real-time X-ray technique that helps the clinician see bony landmarks and guide treatment to the intended area.
Patients do not need to become radiologists, thankfully. But understanding why imaging is used can make the procedure feel less mysterious.
Spine and joint anatomy can vary. Image guidance helps confirm the target area and can be used with contrast when appropriate to assess spread before medication is delivered.
Depending on the condition and clinician judgment, fluoroscopy may be used for epidural steroid injections, facet procedures, medial branch blocks, radiofrequency ablation, SI joint injections, and other targeted procedures.
Patients should feel comfortable asking what imaging is used, why it is used, what the risks are, and what to expect after the procedure. Good explanations reduce anxiety.
Related PSG resources: Epidural, Spinal Stenosis, Lower Back Pain, Request an Appointment.
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This article is educational and is not a substitute for individualized medical advice. Seek urgent medical care for severe or rapidly worsening symptoms, new weakness, fever, trauma, or bowel/bladder changes.
