Cervical Epidural Steroid Injection

What is a Cervical Epidural Steroid Injection?

This procedure provides pain relief to the arms, neck and shoulders caused by a pinched nerve (or multiple nerves) in the cervical spine. Illnesses, like  herniated discs and spinal stenosis, can place pressure on the nerves resulting in inflammation and pain from the cervical spine. This pain usually radiates to the neck, shoulders and arms. The injection administers a medication to assist in managing the swelling and aggravation of the nerves.

Cervical Radiculopathy

Also known as “pinched nerve”, this condition occurs when a nerve in the neck becomes irritated or compressed. This pain affects the neck and radiates into the shoulders. This condition also causes weakness in the muscles and sometimes numbness.

What does the procedure look like?

The procedure is done in the clinic at Portland Pain & Spine, with the patient lying on their back. Intravenous sedation is administered and an area of the neck is desensitized using local anesthesia through an injection.

Using an x-ray device known as a fluoroscope, the physician navigates a larger needle to the affected area of the neck.  The needle is then guided into the epidural space, the area where the spinal nerves traverse.

The contrast dye needle is injected through the epidural space and securely positioned near the inflamed nerve roots.

The fusion of both anesthetic and cortisone steroid solution is infused into the epidural space.  This steroid solution is an anti-inflammatory drug that relieves swelling and inflammation in the affected area. The nerves absorb the solution to combat the swelling and relieve nerve pressure.

Once the procedure is complete, the patient is provided food and drink in the recovery room to restore strength. They are then given take-home medications and post-treatment care instructions. While some of the patients that undergo this procedure requires only one injection, some require two or three procedures (usually done weeks apart) for significant pain relief.

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We want to assure our patients that Portland Pain and Spine remains open and actively managing your pain. Medication management is given the highest priority. Our relocation across the hall in the Washington building is complete but requires office renovation before we can accommodate patient visits. Staffing shortages affected our ability to communicate last month, however, this was temporary. Dr. Balog has reached out to all patients but asks that if anyone has additional questions or concerns to contact him at balog@pdxpainandspine.com.
We have updated our phone messaging system to assist with calls. There are now options to speak with a live receptionist, leave messages or speak with our new billing company. Medical record requests can be processed on our website at www.pdxpainandspine.com and are handled by Morgan Records Management. Thank you for your patience during this transition. We look forward to providing you high-quality care as we enter into 2024! 

Wishing you all a joyful holiday season.