A cervical epidural is a procedure involving the injection of corticosteroids, typically along with a local anesthetic, into the epidural space around the spinal cord in the cervical (neck) region. This procedure is often performed to relieve pain and inflammation associated with conditions affecting the cervical spine, such as herniated discs, spinal stenosis, or radiculopathy (pinched nerves). Here's a breakdown of what the procedure typically involves: Preparation: Before the procedure, the patient may undergo a physical examination, review of medical history, and possibly imaging tests such as X-rays, MRI, or CT scans to identify the source of pain and ensure that cervical epidural injection is appropriate. Positioning: The patient is usually positioned lying face down on an examination table. The area where the injection will be administered is cleaned and sterilized. Anesthesia: Local anesthesia is administered to numb the skin and tissues around the injection site. This helps minimize discomfort during the procedure. Injection: Using fluoroscopic guidance (live X-ray imaging), the healthcare provider carefully inserts a thin needle into the epidural space in the cervical spine. Fluoroscopy helps ensure precise placement of the needle and medication. Medication: Once the needle is in the correct position, a combination of corticosteroid medication (such as cortisone) and a local anesthetic (such as lidocaine) is injected into the epidural space. The corticosteroid helps reduce inflammation and swelling around the affected nerves, while the local anesthetic provides immediate pain relief. Post-procedure: After the injection, the patient is typically monitored for a short period to ensure there are no immediate complications. Some patients may experience temporary numbness or weakness in the arms or hands due to the effects of the local anesthetic, but this usually resolves quickly. Recovery: Patients are usually able to go home shortly after the procedure. It's common to experience some soreness or mild discomfort at the injection site for a day or two, but this can typically be managed with over-the-counter pain medications and ice packs. It's important to note that while cervical epidural injections can provide significant pain relief for many patients, the effects are often temporary. Some patients may require multiple injections or additional treatments such as physical therapy or surgery to address the underlying cause of their neck pain. Additionally, like any medical procedure, cervical epidural injections carry some risks, including infection, bleeding, nerve damage, or allergic reactions to the medications used. These risks should be discussed with a healthcare provider before undergoing the procedure.