Back pain has to be one of the most common ailments we see in general practice. Pain may originate from nerve root irritation, facet joint dysfunction, degenerative disc disease or poor muscle function or even osteoporotic fractures. There has been numerous systematic reviews and meta-analyses and most have highlighted how ineffective cortisone injections are in relieving the symptoms in the medium and long term. There are equally numerous and well-presented arguments to the contrary. The intentions for a CT-guided spinal injections may be for symptom relief, for diagnostic reasons or to facilitate physical therapy. There are a number of areas you can inject.