Pain at the very base of the spine that flares when you sit, especially on hard surfaces — often after a fall or childbirth.
Lower Back
You will typically feel this in the low back, sometimes radiating into the buttock or down a leg. Standing for long periods, bending, lifting, or rolling over in bed can make it worse, and many people find they cannot sit comfortably for more than a few minutes. Mornings are often the stiffest part of the day.
Wherever possible, we start with the least invasive option that has good evidence — and we use live image guidance (ultrasound or fluoroscopy) for any injection so the medication goes exactly where it needs to. Many of the procedures we offer for this condition are OHIP-covered when ordered for an appropriate clinical reason; we will be straight with you about what is and what is not before you book.
These are the procedures we most commonly use for the lower back area. The right one depends on your imaging, history, and what has helped before.
A regenerative injection using concentrated cells and growth factors drawn from your own bone marrow. We typically consider this for advanced joint arthritis or stubborn tendon and cartilage problems when other treatments have not held.
A precise injection of long-acting anti-inflammatory medication into the small joints between your vertebrae. Used to relieve confirmed facet-joint pain — typically 4–12 weeks of relief.
An image-guided steroid injection placed between the vertebrae to calm inflamed nerve roots in the neck, mid-back, or low back. Most people feel relief within a week, lasting 4 to 12 weeks.
A diagnostic injection that numbs the small nerves supplying the facet joints. If your pain quiets, we know facets are the source — and you become a candidate for radiofrequency ablation.
A regenerative injection using a processed form of your own platelets in which the healing growth factors are released up front. We typically consider this for nerve-related and tendon pain where a gentler regenerative option is preferred.
A regenerative injection using the healing factors from your own blood. We typically offer this for chronic tendon problems or arthritis when other injections have lost their effect.
Using a fine probe, we gently heat the specific nerve carrying the pain signal from a spinal facet joint. When that nerve quiets down, relief typically lasts 6 to 12 months.
A fluoroscopy-guided steroid injection into the sacroiliac joint. Used for one-sided buttock or low-back pain caused by SI joint dysfunction or sacroiliitis. Both diagnostic and therapeutic in one visit — typically 6–12 weeks of relief.
A more targeted version of the epidural injection — placed precisely at the spinal nerve root that imaging shows is being compressed. Used when one specific nerve is the source of your pain.
A small injection of local anaesthetic into the tight, painful muscle knots that come with myofascial pain. Releases the muscle on the spot, easing tension and referred pain.
If Coccydynia (tailbone pain) has been getting in the way for more than a few weeks, ask your family doctor for a referral. We will take it from there.
