Cervical Epidural Steroid Injection

Overview
This injection relieves pain in the neck, shoulders,
and arms caused by a pinched nerve (or nerves) in
the cervical spine. Conditions such as herniated
discs and spinal stenosis can compress nerves,
causing inflammation and pain. The medication
injected helps decrease the swelling of nerves.


Patient Sedated
The procedure is performed with the patient lying
down. Intravenous sedation may be administered,
and a region of skin and tissue of the neck is
numbed with a local anesthetic delivered through a
small needle.


Needle Inserted
Using x-ray guidance (also called fluoroscopy), the
physician guides a larger needle to the painful area
of the neck. The needle is inserted into the epidural
space, which is the region through which spinal
nerves travel.


Contrast Dye Injected
Contrast dye is injected into the space to make sure
the needle is properly positioned near the irritated
nerve or nerves.


Steroid Injected
A combination of an anesthetic and cortisone
steroid solution is injected into the epidural space.
The steroid is an anti-inflammatory medication. It is
absorbed by the inflamed nerves to decrease
swelling and relieve pressure. The needle is
removed and a small bandage is applied.


End of Procedure
The patient goes to a recovery room and is given
food and drink and discharged with post treatment
instructions. Some patients may need only one
injection, but it may take two or three injections
(administered weeks apart) to provide significant
pain relief.

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