Cervical Interlaminar Epidural Steroid Injection
This procedure can be recommended in order to reduce pain associated with pinched or irritated nerves in the neck resulting in arm pain and/or shoulder pain.
This procedure involves injection of numbing and anti-inflammatory steroid medication into the epidural space close to a presumed irritated nerve.
This procedure typically involves placement of a needle into the upper back or lower neck to access the epidural space.
Subsequently the therapeutic medication can either be injected into the epidural place through the needle or by placement of a small piece of tubing (catheter) through the needle in order to place the medication closer to the target area. This procedure is performed with x-ray guidance.
Pre Injections Instructions
If you are anxious about your procedure, sedation may be an option for you.
If your plan of care involves sedation, you must meet the following criteria:
01
Come to your appointment with a responsible adult driver.
02
Fast for at least 6-8 hours prior to our appointment time. Morning medications can be taken with a sip of water no later than 2 hours prior to you appointment time. Exceptions may include diabetic medications, in this case please call the office for specific instructions.
03
If you are taking blood thinners or supplements, we may ask that you discontinue them prior to your procedure. Never stop these medications without approval from the physician prescribing them.
If you are taking blood thinners your pain physician may ask they be discontinued prior to injection. Never stop these medications without permission from the physician prescribing them. Please call our office if your blood thinner is not listed:
- Acenocoumarol
- Agggrenox
- Aggrastat
- Arixtra
- Aspirin
- Brilinta
- Edoxaparin
- Effient
- Eliquis
- Heparin
- Integrilin
- Lovenox
- Pentoxil
- Plavix
- Pletal
- Pradaxa
- ReoPro
- Ticlid
- Warfarin/Coumadin
- Xarelto
If you are taking any supplements such as Fish Oil, Garlic, Ginseng, Vitamin A&E, Ginger, Kava Kava, Clove, White Willow bark, or Gingko please stop these 7 days prior to your procedure.
Start the Path Towards Healing
Our physicians offer diagnostic testing, fluoroscopic guided procedures and steroid injections. Our goal is to restore function of damaged joints, nerves, and muscles to treat low back, neck, and other pain. Our mission is to have all patients living their lives with minimal pain and to meet each of our patients’ needs with the highest quality care. We offer innovative solutions utilizing the latest, minimally invasive technologies.