Cervical Epidural Injection: Indications, Techniques, and Nursing Considerations
Abstract
Background: Cervical radiculopathy is a common cause of neck and upper-extremity pain, often resulting from degenerative cervical spine conditions. While many patients respond to conservative management, a substantial proportion experience persistent symptoms requiring interventional treatment. Cervical epidural corticosteroid injections have emerged as a widely used option for short-term pain relief in refractory cases.
Aim: This article aims to review the indications, anatomical considerations, procedural techniques, complications, and nursing roles associated with cervical epidural corticosteroid injections in the management of cervical radiculopathy.
Methods: A narrative review approach was used, integrating anatomical knowledge, clinical indications, injection techniques, imaging guidance, complication profiles, and interprofessional nursing responsibilities. Evidence from clinical studies and established procedural practices was synthesized to provide a comprehensive clinical overview.
Results: Cervical epidural injections, particularly via the interlaminar approach, demonstrate effective short-term pain relief for selected patients, with approximately half achieving significant symptom reduction for up to three months. Fluoroscopic guidance enhances procedural accuracy and safety. Although generally safe, these injections are associated with potential complications, especially with transforaminal techniques, underscoring the importance of meticulous patient selection and skilled execution. Nursing involvement is critical in pre-procedural preparation, intra-procedural monitoring, and post-procedural care.
Conclusion: Cervical epidural corticosteroid injections represent a valuable interventional modality for cervical radiculopathy when conservative therapies fail. Optimal outcomes depend on appropriate patient selection, precise technique, and coordinated interprofessional care.
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Copyright (c) 2025 Salehah Batil Nouman Alhazmi, Maha Mamdouh Shawkan Aldhafeeri, Fadha Ali Omar, Essam Saeed Al-Zahrani, Abtafhaed Bn Rashed, Fahad Munays Al-Qahtani, Sami Hadi Jamil, Naif Mohamad Almutairi, Fawzya Saeed Alahamri, Haiam Rifadah Alanazi, Jamilah Saad Alyan Alhazmi, Ibrahem Yhia Ahmed Mubarake
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