Defined
A Cervical Epidural Steroid Injection (CESI) is a minimally invasive procedure used to relieve pain, inflammation, and irritation affecting the nerves in the neck. It is commonly recommended for patients experiencing neck pain that radiates into the shoulders, arms, or hands due to conditions such as herniated discs, spinal stenosis, or cervical radiculopathy (“pinched nerve”).
Procedure
During the procedure, you will lie comfortably on an exam table while the treatment area is cleaned and numbed with a local anesthetic. Using fluoroscopy (live X-ray) for precision, your physician carefully guides a needle into the epidural space surrounding the affected nerves. A contrast dye may be used to confirm proper placement before a corticosteroid medication is injected to reduce inflammation and help relieve pain. The procedure typically takes 15–30 minutes, and most patients return home shortly afterward.
After Care
You may experience temporary soreness at the injection site for a day or two. Pain relief may begin within a few days, although it can take up to one week for the steroid to reach its full effect. You should avoid strenuous activity for the remainder of the day but may generally return to normal activities the following day. Follow your physician’s instructions regarding medications and follow-up appointments.