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For certain types of neck pain, your doctor may suggest a cervical epidural injection. During this procedure, medicine is injected deep into your neck near your spine. The injection helps the doctor find the source of your pain. It can also help relieve your pain and soreness either temporarily or more permanently. However, it can be associated with serious complications.
The injection can be done in your doctor's office, but it is sometimes done in a hospital or surgery center. You’ll be asked to fill out some forms, including a consent form. You may also be examined.
Before treatment, tell your doctor what medicines you take. This includes aspirin. Ask whether you should stop taking any of them before treatment.
Tell your doctor if you are pregnant or allergic to any medicines.
You may be asked to stop eating or drinking for several hours before you check in for your injection.
If asked, bring X-rays, MRIs, or other tests with you to your treatment.
You may be given medicine to help you relax. You will lie on an exam table on your stomach or side, or sit in a chair. Stay as still as you can. During your treatment:
The skin over the injection site is cleaned. A pain medicine (local anesthetic) numbs the skin.
X-ray imaging (fluoroscopy) may be used to help your healthcare provider see where the injection needs to go. A contrast “dye” may be injected into the region to help obtain a better image.
The cervical epidural injection is given. It may contain a local anesthetic to numb the region, medicines to ease inflammation (steroids), or both.
Spinal cord damage
Prolonged increase in pain
Other more serious complications have been reported. Talk to your doctor about your risks.
Call your provider right away if you have:
Increased arm weakness or numbness
Severe increase in pain
Most often, you can go home shortly after the procedure, generally in about an hour. Have an adult friend or relative drive you. When the anesthetic wears off, your neck may feel more sore than usual. This is normal. Rest and put ice on the area for 20 minutes a few times during the first day. The steroids most often begin to work within a few days. Ask your provider when it’s OK to return to your job.
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