An ESI is the injection of a small amount of steroid
into the epidural space in the back area. The epidural space
is an area located outside of the spinal cord.
A CESI may be performed if you have neck or arm
Do not have anything to eat for 4 hours prior to
your appointment. You may have clear liquids and take
any medications you need prior to the appointment. If
you take a Blood thinner such as Plavix or coumadin, you
must notify your physician, as these drugs must be
discontinued 5-7 days prior to procedure. If
taking aspirin, advise us of dosage.
You will be placed in the prone position (face down)
on the table with your arms at your sides. The back of
your neck will be cleansed with an antiseptic solution,
and your skin will be numbed with local anesthetic. The
doctor will use fluoroscopy (a special x-ray) to guide
placement of the needle into the epidural space. Once
the correct placement is confirmed, the doctor will
slowly inject the saline/steroid solution. The medicine
injected will “float” to coat nearby nerves.
*You may feel some pressure in your neck or recreation
of your pain symptoms with the injection. The doctor
will inject slowly in order to decrease your discomfort.
Less than 20 minutes
Bleeding problems, infections at the site.
Band-Aid will be applied to the injection site. You
will be taken to the observation area. A nurse will take
your blood pressure, pulse and respirations. You will be
required to stay at least 30 minutes. The nurse will
review your discharge instructions with you and then you
will be able to go home.
REMEMBER: You are not permitted to drive after the
procedure. You MUST have someone drive you home or the
procedure will not be done.
ALSO: Please call to cancel your
appointment if you have a fever, the flu, a cold o other