Neck, shoulder, and arm pain can significantly impact daily life, limiting movement, work productivity, and overall comfort. One effective treatment option for managing this pain is a Cervical Epidural Steroid Injection (CESI). This minimally invasive procedure has helped countless patients find relief, especially when conservative treatments such as medication or physical therapy have not provided sufficient improvement.

Understanding Cervical Epidural Steroid Injection

A Cervical Epidural Steroid Injection is a medical procedure in which a corticosteroid medication is injected into the epidural space of the cervical spine (neck region). The primary goal of the injection is to reduce inflammation around irritated nerves, which often causes pain, tingling, and weakness in the neck, shoulders, and arms.

The procedure is commonly recommended for conditions such as:

  • Herniated or bulging cervical discs

  • Spinal stenosis in the neck

  • Degenerative disc disease

  • Radiculopathy causing arm pain or numbness

By targeting the inflamed nerves directly, a Cervical Epidural Steroid Injection can provide significant pain relief and improve mobility.

How the Procedure Works

The procedure is usually performed in an outpatient setting, meaning patients can go home the same day. It begins with the patient lying face down or sitting up, depending on the doctor’s approach. Using advanced imaging guidance such as fluoroscopy, the physician carefully inserts a needle into the epidural space in the cervical spine.

Once the needle is correctly positioned, a corticosteroid mixed with a local anesthetic is injected. This combination helps reduce inflammation and provides immediate pain relief from the anesthetic, while the steroid works over several days to weeks for longer-lasting benefits.

The entire procedure typically takes less than 30 minutes, and patients may experience mild soreness at the injection site afterward. Most people can resume normal activities within a day, although strenuous activity is usually restricted for a short period.

Benefits of Cervical Epidural Steroid Injection

A Cervical Epidural Steroid Injection offers several advantages for patients suffering from chronic neck and arm pain:

  • Targeted Pain Relief: By delivering medication directly to the affected area, the injection addresses the source of pain rather than just masking symptoms.

  • Non-Surgical Option: CESI provides an effective alternative for patients who want to avoid surgery or are not candidates for surgical intervention.

  • Quick Recovery: Since the procedure is minimally invasive, recovery time is short, allowing patients to return to daily life quickly.

  • Improved Functionality: Many patients notice increased mobility and reduced stiffness after the injection, making physical therapy and other exercises more effective.

Who Can Benefit

Not every patient with neck or arm pain is a candidate for a Cervical Epidural Steroid Injection. Ideal candidates are those with:

  • Chronic pain that has not improved with medications or physical therapy

  • Pain radiating into the shoulders or arms due to nerve compression

  • Diagnosed cervical spine conditions confirmed through imaging studies

Your physician will evaluate your medical history, conduct a physical examination, and review imaging results to determine whether CESI is appropriate for you.

Potential Risks and Considerations

While Cervical Epidural Steroid Injection is generally safe, it is important to understand potential risks, including:

  • Temporary pain or soreness at the injection site

  • Headache or dizziness

  • Rarely, infection, bleeding, or nerve injury

Discussing your complete medical history with your doctor ensures the procedure is safe and tailored to your specific needs.

Consultation and Next Steps

If you are experiencing persistent neck, shoulder, or arm pain, a Cervical Epidural Steroid Injection may provide the relief you need. Dr. Oliver Ghalambor in Texas offers expert evaluation and treatment for patients suffering from cervical spine conditions.

Call our office today to schedule a consultation and learn if a CESI is right for you. Early intervention can help reduce pain, restore function, and improve quality of life.