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Although spinal facet joint and epidural injections used to be performed widely in the past for persistent pain, these have now been decommissioned by an NHS England directive to the clinical commissioning groups across the country. This is partly due to the new NICE guidelines on LBP and sciatica published last year which do not advise lumbar facet joint or epidural injections for persistent or long term pain. There are alternatives but these are not suitable for everyone. They are not usually a cure and the benefits vary from individual to individual.

For selected patients, injections may be effective and where appropriate, help to facilitate engagement with a Physiotherapy Rehabilitation Programme depending on the problem.