Overview
The cervical spine contains nerves that supply the neck, shoulders and arms. When these nerves become inflamed or compressed often due to a disc problem, joint irritation or narrowing of the spinal canal they can produce pain, tingling, numbness or weakness.
A cervical epidural steroid injection places medication into the epidural space around these nerves. The aim is to reduce inflammation, calm nerve irritation and support recovery. In some cases, the procedure may also help clarify which nerve level is contributing to symptoms.
Who this treatment helps
A cervical epidural steroid injection may be considered for people with:
- Neck pain radiating into the shoulder or arm
- Nerve‑related symptoms such as tingling, burning or numbness
- Pain linked to disc bulges, foraminal narrowing or nerve irritation
- Symptoms that worsen with neck movement
- Persistent discomfort despite medication or physiotherapy
- Pain patterns suspected to involve cervical nerve roots
A consultation is required to confirm suitability and rule out other causes of neck or arm pain.
What is a Cervical Epidural Steroid Injection?
This procedure involves placing a fine needle into the epidural space of the cervical spine. A combination of local anaesthetic and steroid medication is delivered to the affected area. Imaging guidance, such as fluoroscopy, may be used to improve accuracy and safety.
The goal is to reduce inflammation around the irritated nerve roots and ease associated symptoms. Some people may benefit from a single injection, while others may require a short series depending on their response.
What to expect during the procedure
- Your consultant reviews the plan and answers any final questions.
- You lie comfortably on the procedure table.
- The skin at the back of the neck is cleaned and numbed with local anaesthetic.
- A fine needle is guided into the epidural space, often using fluoroscopy.
- Contrast dye may be used to confirm correct placement.
- The steroid and local anaesthetic mixture is gently injected.
- You rest for a short period before going home.
The procedure usually takes 15–20 minutes.
After the procedure
- Temporary numbness or heaviness in the arm may occur.
- Mild neck soreness at the injection site is common.
- Some people notice improvement within days, although responses vary.
- Normal activities can usually be resumed the same day, avoiding strenuous exercise for 24 hours.
- Your consultant may recommend physiotherapy or follow‑up injections depending on your progress.
Benefits
- May reduce neck, shoulder or arm pain
- Targets inflammation around irritated nerves
- Can improve mobility and function
- May reduce reliance on medication
- Helps clarify whether symptoms are nerve‑related
- Short recovery time
Possible risks and side effects
Cervical epidural injections are generally safe when performed by experienced clinicians. Possible effects include:
- Temporary numbness or weakness
- Mild headache
- Local soreness or bruising
- Light‑headedness
- Rarely, infection or bleeding
Your consultant will discuss individual risks during your assessment.
When to consider other options
If symptoms persist or the injection provides limited benefit, your consultant may discuss:
- Cervical facet joint injections
- Nerve root blocks
- Trigger point injections
- Medication review
- Physiotherapy or rehabilitation
- Combined approaches for complex neck or arm pain
Safety note
Please inform your consultant if you take blood thinners, have allergies, diabetes, active infection, are pregnant, or have had previous reactions to local anaesthetic. You may need someone to drive you home depending on how you feel after the procedure.
Arrange a consultation to discuss whether a cervical epidural steroid injection may be appropriate for you.