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Cervical Epidurals

What are Cervical Epidurals?

A cervical epidural is an injection of medication into the epidural space in the lower section of the cervical region to provide relief from pain or inflammation affecting the neck and upper back. The epidural space is the space between the outermost covering of the spinal cord (dura mater) and the wall of the spinal canal and runs along the length of your spinal cord. It is approximately 5 mm wide and is filled with spinal nerve roots, fat, and blood vessels.

How Do Cervical Epidurals Work?

Cervical epidural injections are a mixture of anesthetic and steroid. By delivering an epidural injection directly into the cervical epidural space, the medication moves throughout this space, coating the inflamed or irritated nerve roots. The anesthetic functions by numbing the nerves to provide short-term or sometimes long-term pain relief and the corticosteroids act as anti-inflammatory agents providing long-term effects by decreasing the inflammation and irritation around the nerves.

Indications for Cervical Epidurals

Cervical epidurals Injections are usually employed as a treatment when conservative measures, such as physical therapy or oral medications have failed to alleviate symptoms of pain or inflammation. Cervical epidurals are indicated to treat conditions, such as:

  • Spinal stenosis
  • Bulging or herniated disc
  • Bone spurs
  • Cervical radiculitis
  • Failed cervical surgery (persistent pain despite surgery)
  • Other injuries to the spine

Pre-Procedure Preparation

Your doctor will review your medical history thoroughly before the procedure. You must inform your doctor about any health conditions you may have such as diabetes or bleeding disorders, and about any medications that you may be taking, such as blood thinners, over-the-counter medications, or supplements. You may be asked to stop taking certain medicines for several days before the procedure. You will be instructed not to consume any food or drink for several hours prior to the procedure.

Procedure for Cervical Epidurals

A cervical epidural injection is often performed as an outpatient procedure. You will lie down on the operating table on a face-down position. Your neck and upper back are sterilized with a cold antiseptic solution. The injection is performed using fluoroscopy (live x-ray images) to assist the doctor with the placement of the needle in the exact location to target the specific area causing the pain, so the patient can derive maximum benefit from the injection. X-ray dye is utilized to ensure that the spread of the injection is satisfactory. A small dressing is applied at the site of the injection to complete the procedure.

Postoperative Care

A cervical epidural injection is often performed as an outpatient procedure. You will lie down on the operating table on a face-down position. Your neck and upper back are sterilized with a cold antiseptic solution. The injection is performed using fluoroscopy (live x-ray images) to assist the doctor with the placement of the needle in the exact location to target the specific area causing the pain, so the patient can derive maximum benefit from the injection. X-ray dye is utilized to ensure that the spread of the injection is satisfactory. A small dressing is applied at the site of the injection to complete the procedure.

Side Effects of Cervical Epidurals

Some of the possible side effects of cervical epidural injections include:

  • Pain at the injection site for a couple of days
  • Fluid retention for a couple of days due to the effect of steroids
  • Headache in some patients
  • Risk of infection
  • Facial flushing for a couple of days
  • Menstrual periods may be affected in females due to the effect of steroids
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Rating & Review

Melinda Bess
Melinda Bess
2024-02-14
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Dr. Iqbal is the best pain management doctor I have ever had and will have. She does her homework first which I think makes the difference in diagnosis. She is the total package, a very smart and beautiful doctor, wife, and mother. Hand on Bible she changed my life, and I will forever be in debt to her. I can't say thank you enough. I appreciate her staff; they are all awesome as well. I laughed and cried in her office, but her smile and staff always made me feel welcome like part of their family. I would and will drive across country to see her. The referral to a new knee surgeon to fix a bad knee replacement was the best. I got a new knee, and it has been a huge blessing as well. Thank you, Dr. Iqbal and staff you all are 5 stars, in my life.
Nikin Mehta
Nikin Mehta
2024-02-13
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Brian Knopf
Brian Knopf
2024-02-13
Trustindex verifies that the original source of the review is Google.
Dr. Iqbal and her staff are fantastic! I couldn’t have asked for a better experience. I highly recommend her and her team
Brenda Jones
Brenda Jones
2024-02-02
Trustindex verifies that the original source of the review is Google.
I visited this facility in January for severe back pain I was experiencing. The whole ordeal from beginning to end was amazing. I wish I had known about this place years ago before suffering from so much pain. Dr. Mehreen Iqbal, her assistant Michealle Dooley and their staff is the best. I had a procedure done on 1/17/24 and I no longer suffer from back pain and I'm able to walk again. I highly recommend this facility, 10 Stars!!!
Ann Adkins
Ann Adkins
2024-02-01
Trustindex verifies that the original source of the review is Google.
Wonderful experience with Dr. Iqbal & her staff! She is amazing! She listens to her patients & immediately developed a plan to address my back & neck pain. I already feel SO much better and am confident that her plan for me will mean continued improvement. Her staff is wonderful too - friendly, helpful & responsive. I highly recommend Dr. Iqbal & her team!
Camille Adams
Camille Adams
2024-01-22
Trustindex verifies that the original source of the review is Google.
The staff are very kind and helpful, and Dr. Iqbal is very good at what she does. Would recommend to all my friends and family.
Noor Malik
Noor Malik
2024-01-02
Trustindex verifies that the original source of the review is Google.
My PCP recommended Dr. Mehreen and she was wonderful through out the entire injection process. She took her time explaining everything and was patient through out the process. In my opinion, she is the best pain management doc around.
Jessie Wilson
Jessie Wilson
2023-12-08
Trustindex verifies that the original source of the review is Google.
I love Dr. Iqbal and her staff, I couldn't be any luckier to have found her practice. Dr. Iqbal listens well and explains in detail any procedures. She is honest, caring, and down to earth. She and her staff are the greatest. I would recommend her to any of my friends or family.
Shimmerynight Skies
Shimmerynight Skies
2023-12-08
Trustindex verifies that the original source of the review is Google.
My mother is a patient here and the staff is super nice, fun, and sweet! I highly recommend coming here for friendly service
M
M
2023-12-04
Trustindex verifies that the original source of the review is Google.
Excellent doctor. Dr. Iqbal explained every thing in detail and laid out a very clear plant to treat the problem/pain.