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
- Cervical Radiculopathy
- Compression Fractures of the Spine
- Herniated Discs
- Lumbar Radiculopathy (Sciatica)
- Post Laminectomy Syndrome
- Trigeminal Neuralgia
- Whiplash CAD
- Complex Regional Pain Syndrome
- Fibromyalgia
- Neck Pain
- Chronic Abdominal Pain
- Chronic Pelvic Pain
- Neuropathy
- Diabetic Neuropathy
- Migraine Headaches
Treatments
- Kyphoplasty
- Lidocaine Infusion
- Lumbar Epidural Spinal Injection (LESI)
- Lumbar Radiofrequency Neurotomy
- Medial Branch Block (MBB)
- Minimally Invasive Lumbar Decompression (MILD)
- Peripheral Nerve Stimulation
- Radiofrequency Ablation (RFA)
- Regenerative Medicine
- SI Joint Injections
- Spinal Cord Stimulation (SCS)
- Stellate Ganglion Block
- Sympathetic Nerve Block
- Transforaminal Epidural Spinal Injection (TFESI)
- Trigger Point Injections
- Vertebroplasty
- Capsaicin (8%) Patch
- Cervical Epidural Steroid Injection
- Disc Nucleoplasty
- Dorsal Root Ganglion Stimulator (DRG)
- Endoscopic Discectomy
- Facet Joint Syndrome
- Intrathecal Pain Pumps
- Ketamine Infusion
- Hip Joint Injections
- Platelet Rich Plasma
- Knee Joint Injections
- Botox Injections
- Lumbar Sympathetic Ganglion Block
- Intercostal Nerve Block
- Minuteman Procedure
- Vertiflex Procedure