Visit Opt Ortho for Physician Recommended ProductsLearn More

Texas Orthopedics
(512) 439-1000
(512) 439-1000
  • Online Bill Pay
  • Patient Portal
  • Schedule An Appointment
  • Refer A Patient
  • CAREERS
(512) 439-1000
  • Online Bill Pay
  • Patient Portal
  • Schedule An Appointment
  • Refer A Patient
  • CAREERS

Texas Orthopedics

  • Home
  • Providers
  • Locations
  • Specialties
  • Resources
  • Contact
  • Watch Video
  • Read Article

Epidural Injections - Neck (Cervical Transforaminal Steroid Injection)

Back to Patient Education

Click the white PLAY button to start video.

Cervical transforaminal epidural steroid injections are a non-surgical option to ease pain in the neck, shoulder and upper extremity.  The neck is a vulnerable part of the spine and is susceptible to injury and degeneration.  A variety of conditions can cause pinched nerves in the neck, which not only can cause pain in the neck, but pain that spreads to the shoulders and arms.  Cervical transforaminal epidural steroid injections deliver medication directly to the affected area, and can be used as a diagnostic tool and as a treatment modality.

 

Read more about Epidural Injections - Neck (Cervical Transforaminal Steroid Injection)

  • Introduction
  • Anatomy
  • Causes
  • Symptoms
  • Diagnosis
  • Treatment
  • Introduction
  • Anatomy
  • Causes
  • Symptoms
  • Diagnosis
  • Treatment

Introduction

Cervical transforaminal epidural steroid injections are a non-surgical option to ease pain in the neck, shoulder and upper extremity.  The neck is a vulnerable part of the spine and is susceptible to injury and degeneration.  A variety of conditions can cause pinched nerves in the neck, which not only can cause pain in the neck, but pain that spreads to the shoulders and arms.  Cervical transforaminal epidural steroid injections deliver medication directly to the affected area, and can be used as a diagnostic tool and as a treatment modality.
Back to top

Anatomy

The cervical area of your spine is located in your neck.  Seven small bones (vertebrae) make up the cervical spine.  A disc between each bone allows movement, provides stability, and acts as a shock absorber. The opening in the center of each bone forms the spinal canal. 

Your spinal cord is located within the protective spinal canal.  The spinal cord extends from the brain and is a major part of your nervous system.  The spinal cord does not fill the entire space in the spinal canal.  Instead, the spinal cord is surrounded by the epidural space (cavity), which contains tissue, nerves, and blood vessels.

Spinal nerves extending from the spinal cord travel out of openings or “tunnels” in the bones (foramina) to exchange nerve signals with your brain about specific parts of your body.  The eight nerves at the cervical level control body functions and sensation for your head and neck, the muscles used for breathing (diaphragm), shoulder and upper arm muscles, and the muscles that control the wrists and hands.
Back to top

Causes

Cervical transforaminal epidural steroid injections are used to relieve pain from pinched nerves in the neck.  Ruptured (herniated) discs and spinal nerve root diseases (radiculopathy) can contribute to pinched or compressed nerves. Another possible cause, spinal stenosis, is a condition that causes the spinal canal to narrow and put pressure on the spinal cord and nerves.

Back to top

Symptoms

The symptoms that you experience depend on the cause of your neck pain.  Pinched nerves in the cervical spine can cause neck pain, tingling, and numbness that radiates to the shoulders, arms, and  hands.  The pain may become worse when you move your neck, cough, or laugh.  Your neck muscles may spasm.  Your arms or hands may feel weak.
Back to top

Diagnosis

Your doctor will examine you and conduct tests to determine the cause of your neck pain.  Imaging tests, lab tests, and nerve studies may be used to provide your doctor with more information.  Your doctor will let you know if cervical transforaminal epidural injections are a treatment option for you.

Back to top

Treatment

Cervical transforaminal epidural injections are used to place local anesthetics and/or corticosteroids directly near the source of pain and inflammation.  The medication is injected in the foramen “tunnel” that the nerve travels through from the spine.  Steroid medication is used to reduce inflammation and relieve pain. 
 
Cervical transforaminal epidural steroid injections are short outpatient procedures that can be received at a surgery center, hospital, or your doctor’s clinic.  You will wear a gown for the procedure.  You will be positioned sitting up or lying down.  Before you receive the epidural injection, the back of your neck will be sterilized and numbed with an anesthetic. You may receive relaxation medicine before your procedure.

Your doctor will use a live X-ray image (fluoroscopy) to carefully insert and guide the needle to the foramen “tunnel” of the affected nerve.  A contrast dye is used to confirm the needle placement.  Next, the medication solution is delivered, and the needle is removed.

You will be monitored for several minutes before you can return home.  Your doctor will instruct you on how to relieve temporary mild pain at the injection site.  It is possible to experience relief with just one injection; however, repeated injections may be necessary.
Back to top

Copyright ©  - iHealthSpot Interactive - www.iHealthSpot.com

This information is intended for educational and informational purposes only. It should not be used in place of an individual consultation or examination or replace the advice of your health care professional and should not be relied upon to determine diagnosis or course of treatment.

The iHealthSpot patient education library was written collaboratively by the iHealthSpot editorial team which includes Senior Medical Authors Dr. Mary Car-Blanchard, OTD/OTR/L and Valerie K. Clark, and the following editorial advisors: Steve Meadows, MD, Ernie F. Soto, DDS, Ronald J. Glatzer, MD, Jonathan Rosenberg, MD, Christopher M. Nolte, MD, David Applebaum, MD, Jonathan M. Tarrash, MD, and Paula Soto, RN/BSN. This content complies with the HONcode standard for trustworthy health information. The library commenced development on September 1, 2005 with the latest update/addition on February 16, 2022. For information on iHealthSpot’s other services including medical website design, visit www.iHealthSpot.com.

Footer

    Blog Post by Category

  • Arthritis
  • General
  • Rheumatology
  • Sports Medicine
  • Spine
  • Shoulder/Elbow
  • Hand/Wrist
  • Hip
  • Knee
  • Foot/Ankle
  • TX Ortho News

    News and Blog

Patient Education

From orthopedic injuries to physical therapy, our patient education library explains many of the conditions and treatments you may want to read about. Learn More

Patient Stories

Our doctors, physician assistants, nurses, and professional staff are what truly make Texas Orthopedics so great. See what our patients are saying about us. Learn More

Why Choose TX Ortho

Why Choose TX Ortho Learn More
  • Services
  • General Orthopedics
  • Sports Medicine
  • Spine Care
  • Joint Replacement
  • Trauma and Fracture Management
  • Physical Therapy
  • Electrodiagnostic Testing (EMG & NCS)
  • Imaging Services
  • Infusion Therapy
  • Surgery Center
  • Pediatrics
  • Telemedicine
  • Specialties
  • Hand & Wrist
  • Elbow
  • Shoulder
  • Hip
  • Knee
  • Foot & Ankle
  • Neck
  • Back
  • Rheumatology
  • Home
  • Contact
  • Locations
  • Patient Education
  • Privacy Policy
  • Sitemap
  • Testimonials
  • Schedule an Appointment
  • Refer a Patient
  • Careers
  • TX Ortho News
  • Patient Login
  • Online Bill Pay

Doctors

  • › W. Parker Abblitt, MD
  • › Abed Abdelaziz, MD
  • › Robert E. Blais, MD
  • › Kenneth Bunch, MD
  • › Christopher M. Danney, MD
  • › Robert A. Foster, MD
  • › Peter M. Garcia Jr., MD
  • › Brian T. Hardy, MD
  • › Austin D. Hill, MD
  • › Vishal Kancherla, DO
  • › Robert J. Koval Jr., MD
  • › Kamen Kutzarov, MD
  • › David C. Laverty, MD
  • › Zachariah Logan, MD
  • › Michael D. Loeb, MD
  • › Joseph R. Martinez, MD
  • › Benjamin A. McArthur, MD
  • › John E. McDonald Jr., MD
  • › Ai Mukai, MD
  • › O. Atilla Onan, MD
  • › Mark S. Parrella, MD
  • › J.P. Rodriguez, MD
  • › Claire Ryan, MD
  • › Vilas Saldanha, MD
  • › Blake Schultz, MD
  • › W. Randall Schultz, MD
  • › Scott A. Smith, MD
  • › J. Brannan Smoot, MD
  • › Joseph H. Snowden, DPM
  • › Jason R. Somogyi, MD
  • › Daniel T. Stewart, MD
  • › Kristopher G. Stockton, MD
  • › Ryan M. Taylor, MD
  • › Ryan M. Tibbetts, MD
  • › Blake Turvey, MD
  • › Todd Walker, MD
  • › Greg L. Westmoreland, MD

INFORMATION ABOUT THE NO SURPRISES ACT AND GOOD FAITH ESTIMATES

Copyright © Texas Orthopedics, All rights reserved.

iHealthspot Medical Website Design and Medical Marketing by iHealthSpot.com

Texas Orthopedics provides comprehensive orthopedic care by offering on-site X-ray, MRIs, bone density scans, physical and occupational therapy, general orthopedic services, sports medicine, spine care, joint replacement, fracture and trauma care, infusion therapy, and a Joint Commission-accredited outpatient surgery center. In addition to orthopedic surgeons, we have physical medicine and rehabilitation specialists at our locations in Kyle, Round Rock, Lakeway, Northwest Austin, Leander, Central Austin, and South Austin, TX.