This procedure is well suited to relieve pain from pinched nerves’ in the spine. The nerve can be impinged or pinched due to multiple possible causes. The nerve or nerve root then swells due to this condition, and the pain radiates along the path of the nerve causing pain in the places where the nerve endings terminate. The effect of the injection is too place anti-inflammatory steroid medication near the source of the painful swelling and decrease the pain by helping the nerve return to its normal state.
This procedure is indicated for radicular type pain coming from ‘pinched’ nerves in the spine. Cervical radiculopathy, cervical stenosis, spondylosis with myelopathy, neck injury, HNP or herniated discs of the cervical spine, nerve root injury of the cervical spine, or other conditions that would cause nerve or nerve root swelling in the cervical spine are all well suited for treatment with this procedure.
The patient can expect to have the procedure done while gaining access to the back of the neck. Usually, the procedure occurs while lying face down and having fluoroscopic guidance for the placement of the needle into the central epidural space. Mostly this is done in the midline of the intraluminal space, the middle of the neck below the spinous processes you feel in the back of your neck. Local anesthesia to numb the skin and injection of steroid is done as an outpatient or office procedure without sedation needed.
The procedure may take several days to get enough of the nerve swelling down to understand how the pain relief will take effect. The pain relief can last for several weeks to months or even longer. If the area is reinjured or the nerve impinges again, the pain may recur, and the procedure can be repeated as indicated.
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