A study to investigate the role of F-18 sodium fluoride in localizing the pain generator in participants with chronic nociceptive musculoskeletal low back ache and to study the use of PET/CT guided robotic arm assisted injection for targeted injection of a combination of corticosteroid and local anesthetic for pain palliation.
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Inclusion Criteria: * Participants with chronic nociceptive low back ache (for more than three months) do not have adequate pain relief with oral analgesics. * Participants who are ready to give written informed consent for the procedure Exclusion Criteria: * MRI showing the neuropathic cause of pain with spinal cord or nerve root compression. * Extensive bone or joint destruction and displacement such as spondylolisthesis or compression fractures of the vertebra. * Imaging, clinical and hematological findings suggestive of infective/ malignant pathology. * Patients with deranged coagulation profile * Pregnant and lactating women