You will be monitored for approximately 30 minutes after the procedure. Before you leave the clinic, you will be given discharge instructions. Please keep track of your pain as this will help your doctor determine the next step in treatment. It is normal to feel better immediately after the procedure. This is the effect of the anesthetic. It will most likely wear off a few hours after the procedure. This is normal. It may be caused by needle irritation or by the steroid itself. Steroids normally take two to three days to begin working, but can take as long as one week. You should be able to return to work the day after the procedure.
Patients suffering from cervical radiculitis are commonly referred to receive cervical steroid injections. Cervical radiculitis generally occurs as the result of compression placed upon the nerve fibers within the neck, or cervical, region. Excessive pressure placed on the nerves can lead to irritation of the nerve tissue and pain. Given that the cervical nerves extend outward through the arm from the spinal cord, it is not uncommon for patients to report that their pain and discomfort radiates down the arm. In addition to this pain, cervical radiculitis patients may also report numbing sensations and weakness in the area.
Before the injection procedure begins, topical anesthesia is applied to the skin. Next, in order to prevent healthy nerve roots from being exposed to too much medication, the physician will use imaging technology such as fluoroscopy to guide the insertion of the needle and to confirm its correct placement in the epidural space. In addition, contrast dye is typically injected in order to observe where the medication will be administered and to ensure that it will be properly distributed throughout the targets areas. The administration of steroids and an anesthetic such as Lidocaine directly onto the nerves roots results in dramatic or complete pain relief. The steroid decreases inflammation, while the anesthetic disrupts pain signal transmission.