Landmark guided pain injections use anatomical landmarks on the body to guide needle placement without the use of imaging. The aim is to deliver local anaesthetic and/or corticosteroids directly into targeted areas to reduce inflammation and ease pain. Consultants may also use them to help diagnose the underlying source of symptoms.
Corticosteroid injections can provide relief that lasts from several weeks to several months, depending on the condition.
A landmark guided pain injection relies on expert anatomical knowledge and clinical experience. A healthcare professional identifies surface landmarks to guide the needle to the correct area. Once positioned, medication is injected into the intended structure – whether that’s nerve roots, facet joints, sacroiliac joints, soft tissues or specific areas of the spine.
Local anaesthetic temporarily blocks nerve signals, easing pain for a few hours, while corticosteroids reduce inflammation and can offer longer-term relief over several weeks or months.
This treatment may be suitable for relieving pain linked to:
It may also help identify the source of your pain.
At your appointment, our team will take time to understand how your pain affects you and discuss suitable options. You’ll be treated as an outpatient and can go home the same day.
Before Your Appointment
Your consultant will review your medical history, previous treatments and current symptoms. If rest, physiotherapy or oral medication haven’t eased your pain, they may recommend landmark guided pain injections. You’ll be advised about any activities to avoid beforehand and whether you should pause certain medications.
It’s sensible to arrange transport home, as you should avoid driving immediately after the procedure.
During Your Appointment
A consultant performs the injection in a clinical outpatient setting. After identifying the anatomical landmarks, they clean the skin and place the needle into the targeted area. You may feel some brief pressure or discomfort, but most procedures take only a few minutes.
After Your Appointment
You’ll stay with us for a short observation period so we can make sure you feel comfortable before going home. Mild soreness or swelling at the injection site is common. Your consultant will advise when you can safely return to normal activities.
Landmark guided injections are generally considered safe. Most side effects are mild, such as temporary soreness or swelling. Serious complications are uncommon, and your clinician will discuss any specific risks with you before treatment.
You may feel immediate relief from the local anaesthetic, although this is short-term. Steroid medication usually begins to work after a few days and can last for weeks or months.
Most people can return to light activities within 24–48 hours. You should avoid strenuous exercise and heavy lifting for the first couple of days.
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They can be highly effective when carried out by experienced clinicians, particularly in areas where imaging is not essential.
Relief varies, but many people experience benefits for several weeks to a few months.
Yes. When performed by trained specialists, they are considered safe.
You may feel some brief discomfort, but most people tolerate the procedure well, and a local anaesthetic is often used.

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Speak to our teamYou can receive this treatment at any one of the locations below.
Your healthcare journey in 4 easy steps
Get in Touch
Call us on Leeds 0113 2494655 or Sheffield 0114 7005811 or use our online booking form to send your enquiry. Let us know your preferred appointment type, either virtual or face to face, and we will work to find a time that suits you.
We Arrange Your Appointment
If you filled out our online booking form, one of our team will contact you within 2 hours with available appointment options. Once your appointment is booked, you will receive an email confirmation with all the details you need.
Attend Your Appointment
Attend your appointment at your chosen time, either virtually or in person, with one of our highly qualified consultants. If your appointment requires a written report, this will be prepared and sent to you within 48 hours.
Aftercare and Follow-Up
If you need any further tests, treatment or follow-up, we will help arrange these for you. If you require a copy of your report or images, please let us know and we will send these promptly.
Your healthcare journey in 4 easy steps
Get in Touch
Call us on Leeds 0113 2494655 or Sheffield 0114 7005811 or use our online booking form to send your enquiry and we will work to find a time that suits you
We Arrange Your Appointment
If you filled out our online booking form, one of our team will contact you within 2 hours with available appointment options. Once your appointment is booked, you will receive an email confirmation with all the details you need.
Attend Your Appointment
Attend your appointment at your chosen time with highly qualified clinicians. If your appointment requires a written report, this will be prepared and sent to you within 48 hours with the option to upgrade to 24 hours.
Aftercare and Follow-Up
If you need any further tests, treatment or follow-up, we will help arrange these for you. If you require a copy of your report or images, please let us know and we will send these promptly.
You can receive this treatment from one of the consultants listed below.
Explore the various options available for this treatment.
With our self-pay service, there are no waiting lists - consultations are offered within 24 hours, with treatment within a week. All costs, including tests or scans, are quoted upfront with no obligation to proceed. Visit our Prices page for full details.
If using medical insurance, contact your provider to confirm coverage for all treatment stages before your first appointment. You’ll need a referral letter from your GP for a private procedure at The LivingCare Group. Once you have it, either you or your GP can book your first appointment with us.