A Cervical Epidural Steroid Injection (CESI) is a minimally invasive procedure designed to relieve pain in the neck, shoulders, arms, or upper back caused by conditions such as:
- Herniated discs
- Degenerative disc disease
- Spinal stenosis
- Cervical radiculopathy (nerve root irritation or compression)
- Post-surgical pain
This treatment can reduce inflammation around irritated nerves, leading to pain relief and improved mobility.
How Does It Help?
The steroid medication reduces inflammation around the affected nerves in your cervical spine (neck), which is often the root cause of your pain. Pain relief can be experienced as early as a few days post-injection and may last from weeks to months. This relief allows you to engage in physical therapy or other rehabilitative activities that further enhance recovery.
Steps of Administering a Cervical Epidural Steroid Injection
- Pre-procedure Preparation
- You’ll lie face down on an X-ray table.
- Your skin will be cleaned with antiseptic, and a local anesthetic will be applied to numb the area.
- Using Fluoroscopic Guidance
- The physician will use a special X-ray device called fluoroscopy to precisely guide the needle into the epidural space in your cervical spine.
- Injection of Medication
- Once the needle is properly positioned, a contrast dye may be injected to confirm accurate placement. Then, a combination of corticosteroid and a small amount of anesthetic is injected into the epidural space.
- Post-Procedure
- After the injection, you will be monitored for 15-30 minutes to ensure there are no immediate side effects. Most patients experience mild soreness at the injection site, which typically subsides in a day or two.
When Can You Go Home?
- You’ll be able to go home shortly after the procedure, typically within 30-60 minutes.
- It’s recommended that you have someone drive you home, as the anesthetic may cause temporary weakness or numbness in the neck or arms.
- You can resume light activities the following day, but strenuous activities should be avoided for about 24 hours.
How Many Injections Are Needed?
The number of injections varies depending on the severity of your condition and how your body responds to the treatment. Typically, patients experience significant relief after 1 to 3 injections spaced a few weeks apart.
- Initial Relief: Some patients feel relief after the first injection, but optimal results usually occur after 2 to 3 injections.
- Follow-up: In some cases, additional injections may be recommended for longer-lasting relief.
Final Thoughts
Cervical epidural steroid injections can be an effective part of a comprehensive pain management plan. Remember, it is not a cure for the underlying condition but helps manage symptoms. If your pain persists, we can discuss other treatment options to ensure the best possible outcome for your situation.
If you have any questions or concerns about the procedure, please don’t hesitate to reach out to our office.