Cervical Epidural Steriod Injection

The epidural space is the area between the Dura (covering of the spinal cord) and ligaments that connect the vertebrae. Injecting steroid into this area can help symptoms associated with spinal stenosis, spondylolysis, disc degeneration or disc herniation. The epidural injection delivers a long-lasting steroid and an anesthetic agent to the irritated and inflamed area or nerve. Injection often allows patients to resume a more normal activity level.

When a nerve is pinched in the neck, numbness and occasionally weakness can occur. Treatment for this neck pain includes anti-inflammatory medication to relieve swelling, physical therapy (cervical traction, heat or cold and exercise), or epidural steroid injection.

Cervical epidural steroid injection places antiinflammatory medication around the irritated nerve root. These nerve roots pass through the epidural space prior to leaving the neck area and eventually going to the arm. The compression of the nerve also occurs in this space. This syndrome is termed cervical radiculopathy.

Pre Injection Instructions

If you are anxious about your procedure, sedation can be provided. If you choose this option you must meet the following criteria:

  • Come to your appointment with a responsible adult driver
  • Fast for at least 6-8 hours prior to our appointment time. Morning medications can be taken with a sip of water no later than 2 hours prior to you appointment time. Exceptions may include diabetic medications, in this case please call the office for specific instructions
  • If you are taking blood thinners or supplements, we may ask that you discontinue them prior to your procedure. Never stop these medications without approval from the physician prescribing them.

Here is a short list of blood thinners and the amount of days they should be discontinued prior to your procedure:

Acenocoumarol 3 days
Agggrenox 7 days
Aggrastat 24 hours
Arixtra 4 days
Asprin 7 days
Brillinta 7 days
Edoxaparin 2 days
Efflent 7 days
Eliquis 3 days
Heparin 8 hours
Integrillin 24 hours
Lovenox 12 hours
Pentoxil  2 days
Plavix  7 days
Pletal  7 days
Pradaxa  6 days
ReoPro  3 days
Ticlid  14 days
Warfarin/Coumadin  5 days
Xarelto 3 days

Please call our office if your blood thinner is not listed.

If you are taking any supplements such as Fish Oil, Garlic, Ginseng, Vitamin A&E, Ginger, Kava Kava, Clove, White Willow bark, or Gingko please stop these 7 days prior to your procedure.

   Cervial Epidural Space Diagram
 Pinched Nerve in Epidural Space
 Cervial Radiculopathy
1055 Bowles Ave.
Suite 200
Phone (636) 496-3900
Fax (636) 496-3939
  St. Peters
4800 Mexico Rd, Ste. 101,
St. Peters, MO 63376
Phone (636) 442-5035
Fax (636) 442-5036
1601 Wentzville Pkwy
Suite 101
Phone (636) 332-8902
Fax (636) 332-8904

© Physicians Pain Services 2018. All rights reserved.
Web Design by Captiva Marketing | Empoweren CMS