Cervical Epidural Steroid Injection

What is CESI?
A Cervical Epidural Steroid Injection (CESI) is an injection of cortisone steroid in your cervical spine (neck). The steroid is injected to calm the inflammation around the spinal roots, so they cannot transmit pain to the brain. Between each vertebra there is a sac called the ‘Dura’ which contains the nerve roots, Cerebrospinal fluid, Spinal Cord, and nerves. There is a space around the dura called the Epidural space which the nerves in the cervical spine travel through before going down the shoulders into the arms and hands. If one of these nerves is pinched or irritated, you may feel pain along the path in your shoulder, arms, or hands. This is called cervical radiculopathy.
How does it work?
A CESI uses a steroid to reduce inflammation to the nerves and therefore ease pain. The doctor will use X-ray guidance called Fluoroscopy to position the needle in the Epidural space. Once the needle is positioned, the doctor will inject a cortisone steroid solution which can take 2-3 days to start working and easing the inflammation. The relief felt from this procedure varies greatly from person to person, depending on the root cause of the pain.
Conditions
- Arthritis
- Cancer Pain
- Chronic Pelvic Pain
- Chronic Abdominal Pain
- Cervical Radiculopathy
- Complex Regional Pain Syndrome
- Compression Fractures of the Spine
- Diabetic Neuropathy
- Fibromyalgia
- Herniated Discs
- Knee Pain
- Low Back Pain
- Migraine Headaches
- Neck Pain
- Neuropathy
- Post Laminectomy Syndrome
- Shoulder Pain
- Trigeminal Neuralgia
- Whiplash CAD
Treatments
- Botox Injection
- Capsaicin (8%) Patch
- Cervical Epidural Steroid Injection
- Disc Nucleoplasty
- Dorsal Root Ganglion Stimulator (DRG)
- Endoscopic Discectomy
- Facet Joint Syndrome
- Hip Joint Injections
- Intrathecal Pain Pump
- Intercostal Nerve Block
- Ketamine Infusion
- Knee Joint Injection
- Kyphoplasty
- Lidocaine Infusion
- Lumbar Epidural Spinal Injection (LESI)
- Lumbar Sympathetic Ganglion Block
- Lumbar Radiofrequency Neurotomy
- Minuteman Procedure
- Medial Branch Block (MBB)
- Minimally Invasive Lumbar Decompression (MILD)
- Platelet Rich Plasma
- Peripheral Nerve Stimulation
- ReActiv8 Procedure
- Radiofrequency Ablation (RFA)
- Regenerative Medicine
- SI Joint Injection
- Stellate Ganglion Block
- Sympathetic Nerve Block
- Spinal Cord Stimulation (SCS)
- Trigger Point Injection
- Transforaminal Epidural Spinal Injection (TFESI)
- Vertebroplasty
- Vertiflex Procedure