Epidural Steroid Injection (ESI) in the Cervical Spine

Overview

This injection procedure is performed to relieve neck, shoulder and arm pain related to compression of a nerve root 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.

Vertebra and Nerve Root Located

The physician uses a fluoroscope to locate the appropriate cervical vertebra and nerve root. A local anesthetic is applied to numb the skin.

Tissue Anesthetized

All the tissue down to the surface of the vertebral transverse process is anesthetized.

Needle Inserted

The physician slides a thin needle with a slightly curved tip through the anesthetized track.

Foraminal Space Accessed

With the aid of the fluoroscope, the physician carefully guides the needle into the foraminal space near the nerve root.

Contrast Dye Injected

The physician injects a contrast solution and uses the fluoroscope to confirm the correct position of the needle tip.

Steroids Injected

A steroid-anesthetics mix is injected into the foraminal epidural space, bathing the painful nerve root with soothing medication.

End of Procedure

The needle is removed, and a small bandage is applied. In most cases, the patient will be able to return home the same day.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.