Long-standing episodes of neck, shoulder and arm pain with nerve root irritation may benefit from cervical epidural steroidal injections. The solution may be as close as your back door – right here in Watchung, New Jersey.

Patients with chronic neck pain and inflammation that are not responding to conservative treatment options such as physical therapy and chiropractic care, may be candidates for epidural injections. This article will cover the details of what epidural steroidal injections consist of and aims to answer questions surrounding this non-surgical treatment option.

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Cervical Epidural Explained

The cervical spine consists of many different structures such as vertebral bones, muscles, nerves, and ligaments. Many different injuries can affect the structures in the neck. The focus of this article will be on the spinal cord and the
circumstances where a cervical epidural may be indicated. The spinal cord sits inside a small vertebral canal and has a protective layer surrounding it known as the Dura. The area between the Dura and the spinal cord is known as the epidural space. Nerves that pass through the epidural space become irritated, usually due to damaged discs in the neck.  An epidural is a cortisone based steroidal injection that is delivered under x-ray guided fluoroscopy to the area involved, which accurately targets both the irritation and inflammation in the neck. Epidural injections, when combined with chiropractic and physical therapy may provide permanent relief or provide a period of pain relief for several weeks while you continue to strengthen and rehabilitate your spine.

What does the procedure consist of?

An epidural is a non-surgical treatment option aimed at reducing pain and inflammation so individuals can enjoy a happy and pain free healthy lifestyle. At Performance Rehabilitation & Regenerative Medicine, epidurals are administered along with a local anesthetic with the patient lying in a comfortable position. Once the area is prepared, x-ray guidance is used to accurately deliver the medication. Once the numbing medication has taken effect, a small amount of contrast dye will be injected to ensure proper placement of the needle into the epidural space. The epidural “cocktail”, which consists of a mixture of the cortisone steroid and numbing medication, is then administered. Epidural steroidal injections are a very common treatment method for patients seeking non-surgical solutions, for neck, shoulder, and arm pain.

Post procedure involvement

Following an epidural the patient will be monitored for 30-60 minutes in our facility by our nurse. The patient is then asked to keep a record of the relief that they experience from the time of the injection until their follow up appointment. Epidural injections are done in a series of 1-3 injections. When interventional pain management and conservative therapies are combined, it allows the epidural to work more effectively, getting you better, faster!  For this reason, we encourage our patients to participate in physical and / or chiropractic therapy so they receive the full benefit of the integrated medical approach at Performance Rehabilitation & Regenerative Medicine.

If you find yourself struggling with this chronic neck, back or arm pain, please feel free to contact one of our patient care coordinators at 908-754-1960 or you may contact us online.

About the Authors:

Joseph Mejia D.O., F.A.A.P.M.& R, is a graduate of University of Michigan and West Virginia School of Osteopathic Medicine. He is Board Certified in Physical Medicine & Rehabilitation and Sports Medicine. Dr. Mejia received his Fellowship Training in Interventional Pain Management from University of Medicine and Dentistry. He has advanced training in Regenerative Medicine and is the Medical Director and Partner of Performance Rehabilitation & Regenerative Medicine.

Vincent J. Diana D.C. Is a graduate of New York Chiropractic College. He is a Board Certified Chiropractic Physician with licenses held in New Jersey and Pennsylvania. Dr. Diana is a Chiropractic Physician at Performance Rehabilitation & Regenerative Medicine.