An anti-inflammatory drug, such as a steroid or corticosteroid, is injected into the epidural space surrounding the spinal nerves in your neck during a cervical epidural steroid injection (cervical ESI).
The primary objective of cervical epidural steroid injections is to assist in the management of chronic pain brought on by irritation and inflammation of the spinal nerve roots in your neck (the cervical area of your spine) as a result of certain ailments or injuries. Cervical radiculopathy is the term used to describe this kind of persistent pain, which can radiate from your neck to your shoulders, arms, and/or hands. When receiving cervical ESIs, between 40% and 84% of patients report momentary pain relief.
The chronic pain condition known as cervical radiculopathy, which is brought on by irritation and inflammation of the spinal nerve roots in your neck, is treated by doctors with cervical epidural steroid injections. The following symptoms of cervical radiculopathy might spread from your neck to your shoulder, arms, and/or hands.
Cervical radiculopathy is a disorder when the spinal nerve roots in the neck get irritated such as:
Although cervical epidural steroid injections are mostly safe, there is a chance of some problems and side effects. All ESI injection types carry the following risks and problems, but they are uncommon:
Because fluoroscopy imaging, an X-ray imaging technique, may be used during your cervical ESI, it is crucial that you inform your doctor if you are or think you could be pregnant before the operation. You must also let your doctor know about all of your prescription and over-the-counter medications, including any herbs or dietary supplements.
You will receive detailed instructions from your doctor on how to get ready for your ESI injection. Make sure to adhere to their recommendations such as:
Your epidural steroid injection will probably be performed at a hospital or an outpatient clinic. A cervical ESI typically takes 15 to 30 minutes. It’s crucial to maintain extreme stillness throughout this process.
Transforaminal (TFESI) and interlaminar (IESI) are the two methods for cervical epidural steroid injections that are used most frequently. These two approaches outline how your doctor will reach epidural space, the region around your spinal cord.
To reach the epidural space during an interlaminar ESI, the needle travels between two laminae in your spine. Each vertebra in your spine has a flat plate of bone called a lamina. Your spine’s laminae create the outer wall of the spinal canal, shielding your spinal cord.
In a transforaminal ESI, the needle travels through the foramina, which are the places where your spine’s nerve roots leave it.
A cervical epidural steroid injection method generally entails the following steps:
You might have some pain where the needle was put after your injection. This is typical and ought to pass in a few hours.
After your cervical ESI, your neck, shoulder, arm, and/or hand may feel heavy or numb if a local anesthetic was used during the operation. This is expected and won’t endure for very long.
Your healthcare professional might advise you to take it easy and limit your activity for the rest of the day.
After your cervical ESI, your pain could go worse for two to three days before it starts to get better. The pain reduction from epidural steroid injections begins to take effect in two to seven days and can continue for a few days to a few months or more.
When a cervical epidural steroid injection is given, between 40% and 84% of patients report at least some pain reduction. Some individuals, though, may not get any pain alleviation.
An acceptable short-term pain reduction is often the aim of a cervical epidural steroid injection, allowing you to start or continue physical therapy or to try to avoid more intensive pain management methods. Through the strengthening of the muscles that support your spine, physical therapy may aid in the promotion of long-term pain reduction.
Your doctor might advise another injection down the road if a cervical ESI relieves your discomfort for you. However, most healthcare professionals only allow two to three cervical ESIs per patient every year.
Cervical epidural steroid injections frequently offer efficient short-term pain alleviation. Your pain alleviation could last for a few days, months, or even longer. According to one study, those who underwent cervical interlaminar ESIs experienced pain alleviation for 12 to 24 months. Rarely do cervical ESIs result in long-term pain alleviation.
+66 2066 8888