What is a Cervical Epidural Steroid Injection?  

A cervical epidural steroid injection is a minimally invasive procedure used to treat pain and inflammation in the neck and upper extremities caused by conditions such as herniated discs, spinal stenosis, or other nerve compression issues in the cervical spine. 

How is a Cervical Epidural Steroid Injection Performed?  

To perform a cervical epidural steroid injection: 

1. 1. The patient lies down comfortably and may be given a mild sedative to help them relax. 
2. 2. The injection site on the neck is numbed with a local anesthetic. 
3. 3. Using fluoroscopic (X-ray) guidance, the physician inserts a small needle through the numbed skin and tissue and into the epidural space surrounding the inflamed nerve roots in the cervical spine. 
4. 4. Contrast dye may be injected to confirm the proper placement of the needle within the epidural space. 
5. 5. Once the needle position is verified, the physician injects a mixture of corticosteroid and local anesthetic medication into the epidural space to reduce inflammation and pain. 

What Supplies and Medications are Used for a Cervical Epidural Steroid Injection?  

The key components of a cervical epidural steroid injection include: 

• Local anesthetic (e.g. lidocaine) to numb the injection site 
• Contrast dye to visualize the epidural space 
• Corticosteroid medication (e.g. triamcinolone, dexamethasone) to reduce inflammation 
• An additional anesthetic medication (e.g. bupivacaine) to provide short-term pain relief 

The specific medications and doses are selected by the physician based on the patient’s condition and individual needs. 

What to Expect After a Cervical Epidural Steroid Injection?  

After the procedure, the patient may experience mild discomfort or soreness at the injection site, but this is usually temporary and resolves within a few days. Many patients begin to experience pain relief within a few days to a week, as the anti-inflammatory effects of the steroid medication take effect. 

Some patients may require additional injections over time to maintain the benefits. The physician will provide instructions on any activity restrictions and schedule any necessary follow-up appointments. Patients should report any concerning symptoms, such as increased pain, numbness, or weakness to their healthcare provider.