What happens during a Cervical Epidural?

[@Just_MHO_thomasina]

Thank you for showing start to finish.... I'm so glad you showed the entire procedure like the good old days of youtube. Nothing is sugar coated or blurred out.. now I totally know what to expect for my injection coming up. It has lowered my anxiety about it tremendously. Beautiful facility! Thanks again! 🙂🙂👍👍

[@rebeccabalasco3559]

I have one coming up too for the first time and I agree this video was very helpful ❤

[@dans9228]

This was an incredibly educational video. Patients should take responsibility of their health care and first they need the knowledge, you are graciously providing that information. Thank you very much!

[@familyjewelz4113]

Just had my second injection today. First one lasted about 5 or 6 months. Helped with the pain but more importantly it stopped the vertigo I was having.

[@Lovinglife43]

❤

[@chaparruzca1]

❤

[@melaniecruz3547]

That is awesome!

[@GoodByeSkyHarborLive]

Did they do two injections spaced out the first time? Did they ask how much pain relief you had the first time+

[@familyjewelz4113]

@@GoodByeSkyHarborLive after my first injection I went back for a recheck in two weeks. I started to feel relief about a week after injection. It lasted close to 8 months before I got another. They have me get an mri before doing the first one and as long as you haven’t been injured between injections they haven’t repeated it.

[@SaintsWife924]

I had my third injection today. No sedation necessary or requested. Absolutely no big deal and the relief I get is profound and complete. I could tell the day the previous injection wore off, 13 days ago. I went to OrthoSouth Acute Care in Memphis and was scheduled for another injection within the week. I’m very happy with my care and my results. I’m a 61 year old fitness freak in great physical shape.

[@krichardson689]

There’s no way you had this done without being numb

[@quanahedwards2778]

@@krichardson689They said no sedation, nothing about no numbing agent. They were awake when it was done.

[@Vamatt99218]

How long did it last?

[@MrThe1234guy]

​@@krichardson689just had it done today there was no sedation no numbness and no waiting room after they did ask me to get a ride home but I was completely fine. I hardly felt it was not even qualifying as a pinch the pain I have from the nerve damage is much worse

[@am2427]

Very happy for you. How are you feeling now?

[@lindaradle4959]

Thank you for this information. Im having This procedure done sept 4th 2024 in C7. I have a herniated disc with pinched nerve. I have been in excruciating pain for 2 months. I have so much hope in some relief with having this procedure.

[@Lord_Don]

Any numbness in fingers?

[@enlightenedlauren]

@@Lord_DonI have numbness in my left pinky and finger finger. They thought it was pinched in my elbow but we’re doing the epidural in my spine bc I have a bulging disc and bone spur. Do you have numbness in fingers? Have you had an epidural. I pray this helps the pain and numbness so badly. I’m so tired of suffering w this.

[@Lord_Don]

@@enlightenedlauren yes I had it in my left index and middle finger. I was diagnosed with cervical stenosis and had three level ACDF surgery. Even had some muscle weakness on the left side of my body. Stenosis is only going to progress as far as I know so I opted for surgery. Sometimes surgery is the only option. I hate to say

[@Lord_Don]

@@enlightenedlauren could be your ulnar nerve causing this. I’m not a doctor I’m just all over the internet

[@5PenniesShaw]

**HIGHLY SUGGEST WATCHING TO THE END** Thank you for providing such a detailed explanation of what this is and how it is done start to finish with things to help during recovery. Fantastic job I’m having this done through Stanford University for a pinched nerve in my neck. I don’t think it’s gonna do much because I have every symptom for complex regional pain syndrome and I’ve had it since for about six months now with no resolve I think my fingers are going to stay twisted now because they don’t seem to really care at least this doctor doesn’t. I’m still trying to raise my kids. It’s so messed up can’t drive hardly at all too much chemotherapy I guess. Grateful to be alive but I’m definitely not living.

[@kirstenmurtagh6283]

Appreciate this perspective from the providers, since I have gone through it but obviously did not have the view of what was going on. Thank you!!

[@angjmills]

Thank goodness you are here to help!

[@Hsuny12]

Excellent explanation as always. Thank you Dr. Su.

[@deannamuffley]

I have a bulging disc in c6-c7 on my left side. I’ve been in horrible pain for a week now. As a mother, it’s been so difficult because it’s limited my day to day tasks so much. I’ve been in tears over the pain. Went to an ortho surgeon, and he suggested pain management and to get a epidural injection. I have an apt next week to discuss. I’m so ready to be over this pain and back to my energetic self!

[@elizabethlawrence4615]

Same. Xoxo

[@deannamuffley]

@ I’m doing so much better! I got my neck epidural last week. Ironically, it seems that the anxiety I was dealing with that started in August amplified the pain I had in my arm. As soon as my anxiety left, so did the pain. Anxiety is definitely horrible for your health. Thankfully I’m doing fantastic now! 🙏

[@rosebuchanan8768]

I really appreciate this video. My anxiety is totally gone. Thank you. I've shared this also with my family. Now we all know what's going on and what to expect.

[@Commonsenseonsocial]

I am a IR / Cath Lab Tech who has to get this done. Thank you so much for this awesome content

[@michaelmurray5413]

Dr. Su Thank you once 3 years pain free. MM

[@jenaccess4luv]

May I ask what is MM?

[@AndyL940]

You are wonderful for providing this information Dr Su . I wish I was able to be treated by you unfortunately I’m in Australia

[@ayshapm7321]

Thank you for this information. I will be getting this instead of surgery for now. I have two bulging disc and the pain is always there.

[@jlappin6277]

Very informative thank you for your expertise in explaining the process of a cervical epidural.

[@mariamacias8809]

❤ I really like your videos. I have hernias. L4,L5L,L5, S1. And C6-C5. C5-C4

[@anthonyrefour3023]

Had an epidural in L5S2 years ago. Took 4 before I had no more pain. Getting one in C7T1 on Wednesday. Lot more anxious this time around. Video has helped.

[@rdamp]

Very, very informative. You're the best and provide the most info and details on youtube. Thanks

[@barbarablount4272]

I just had mine today 3c4c epidural. I didnt need sedation only numbing of entrace area..March 11, 2024.. wasnt painful compared to the 6 weeks of horrible pain..waiting on insurance approval.

[@lrachel2007]

excellent video on educating patient, I had cervical injection was nice to understand before having it done. defenitely already improved my neck pain by 50%, my head felt lighter with weight on my neck. and most important i can turn my head all the way to left now. 🎉

[@JanelleC717]

Hearing those risks now makes me wonder if I should do it! :(

[@tinagoodrich6765]

I just had one almost a month ago, and a huge difference.

[@annie-marie.catfan]

I have appointment in 3 days but after watching this video I will cancel it. There is NO way I will let this get

[@theinspectionco6189]

Same...I'm scheduled for December 4th 😮

[@JanelleC717]

@@theinspectionco6189 - Mine went fine. It doesn't last long enough though. At least mine didn't anyway.

[@hbgldylox92648]

Had my 2nd injection today, first one was March (about 6 mos pain free). No sedation for me, drove myself home both times. Not gonna lie, the procedure is gnarly, but the almost immediate relief from pain is so worth it. I am baffled how I was actually functioning in that much pain! Tomorrow is going to be a glorious day!

[@keysrat46]

Thank you so much! Just had my first this week. I wasn't told to take it easy, so I felt to good, I got out and mowed our 5 acre farm yard. Needless to say, I am paying for it the day after!!! Hope I haven't messed up anything.

[@5PenniesShaw]

I hope it ended up being alright! I can’t believe they didn’t tell you to take it easy ugh

[@krupapatel8265]

How are you feeling down the track?

[@5PenniesShaw]

@@krupapatel8265 I’m supposed to have mine in one week. I’m pretty nervous. I keep seeing an add for a supplement which apparently will clear off the plaque buildup on nerve. Mylar sheath I’m trying to recall how it was named. Immediate response people were stating. Just a day or two later. 70$ a month …

[@MeNonya]

I have mine at C6-c7 today. I am so nervous.

[@darrellarrington19]

Had my first injection today Superior Spine and Joint in Dallas, TX they were awesome and very helpful

[@suzannemellan2173]

Thank you Dr Su. Can you show a video about sciatica with low back pain, hip, leg and foot pain? I've had this pain for several months now and it seems to he getting worse and goes bilateral at times but mainly in right leg. Thank you for these wonderful videos.

[@DrBrianSuTheSpineGuy]

Please watch the episodes on lumbar spinal stenosis

[@ericlawson9031]

Hello Suzanne

[@NinaofFour]

Dr do you have a video on laser ablastion?

[@pineconemarty]

I swear I have the same thing. Got epidural on Thurs but back in pain Sat. Ugh!

[@cissyflorida1869]

Thank you! You are so good at explaining procedures. All the experience along with his knowledge if phenomenal! He explains procedures and or spinal information in layman's terms while also explaining the technical vocabulary. He is fantastic!! I would really like to be near where he practices to become one of his patients. I have syringomyelia in my thoracic area,with kyphosis. Spinal disk herniated in cervical, thoracic,lumbar areas some into the thecal. Both neurosurgeons I have went to said the same thing. Even if they could repair my spine, I would have hardware from top to bottom. The syrinx in my thoracic area would probably rupture. I would love to know what happens when that syrinx decides to rupture????? Please. They say the odds are about 70% failure with or without surgery. Thank you

[@cissyflorida1869]

I also have scoliosis

[@jlappin6277]

Thanks for such a detailed video Dr.

[@doreenglenn5251]

I just had injections yesterday on my Lumbar-hoping it works the pain is unbelievable

[@coderman1]

did it?

[@alfred576]

Hi Dr Su you have done it again with such a great video explaining this procedure in a very simple way 👍👏 This Monday I had CT Guided C6 (left side) Nerve Root Injection at the Alfred Hospital here in Melbourne Australia. I believe that it was a transforaminal steroid injection as you explained because I was lying down on my back with my head turned to the right around 45 degrees I believe. They inserted the needle at the left side, base of my neck where they first injected some local anesthetic, then they performed the procedure. I was awake throughout the procedure. The problem is that after I left the hospital and the local anesthetic wore off, my C6 pain had increased dramatically, more than before the procedure. The pain has been excruciating when lying down, sitting down, when trying to sleep which was impossible. I was under the impression that I would be getting relief after this cortisone injection, but after 4 days I still feel very sharp pain starting from C6, going down the neck (it feels like a very intense sharp stabbing relentless pain), part of the thoracic spine, into left shoulder, arm, index finger, the groin and left foot when sitting or lying down. What could be causing this new added pain? Is this normal? Will the extra pain disappear and reduce eventually? I am a bit worried because the pain is stressing me out. Will the cortisone eventually work? Thanks.

[@DrBrianSuTheSpineGuy]

It can take up to 2 weeks to work.

[@alfred576]

@@DrBrianSuTheSpineGuy Hi Dr. Su thanks for your reassurance. I forgot to mention in my post that, before the CT injection, I have been suffering and still suffer from intermittent left sided head/facial numbness/slight dizziness and intense short (2-5 minutes) sharp headaches on the top right of my left eye and forehead. Could this be caused by the cervical nerves? Thanks again

[@noemiflores7497]

@@DrBrianSuTheSpineGuy so more pain is to be expected after the procedure???

[@santran1240]

Thank you Dr. Su for the video. I’m going to get my Bilateral TFESI L5 SI next Wednesday.

[@dnas6207]

​@@DrBrianSuTheSpineGuy Please doctor can I ask if this injection could work for me and in which C number do think I have to get injected. I really appreciate your answer as I am in sever neck pain..here is my MRI RESULT MRI CERVICAL SPINE History: OA. Left radicular pain. Results: The previous MB of 2021 has been reviewed. There is disc narrowing with loss of T2 signal at C4/5 and C5/6. There is slight loss of height of cervical and thoracic vertebrae, unchanged since 2021. The spinal canal above C4 and below C6 is capacious. The upper cervical cord and medulla appear intact. The facet joints are normally aligned. No compressive disc protrusion is seen from C2 to C4. The neural foramina are patent. At C4-5, the disc is mildly protruding. C5 nerve root impingement is not suspected. At C5-6, the disc is protrading. There is no cord compression. Acquired foraminal stenosis is present bilaterally particularly on the right with decophyte formation, with evidence of C6 nerve root impingement. The C6-7 and C7-T1 discs are kormal. The C7 and C8 nerve roots are clear. Comment: There is acquired foraminal stenosis at C5-6 bilaterally particularly on the right, but no additional high grade stenosis is seen. There is no cord compression.

[@jadebell8790]

Best spine channel on KZbin!!! Imo That was very interesting and informative doctor.. i just shared it with others I know.. I also just had this done on lumbar last week to help keep me walking with less pain.. I have a question please.. What’s your thoughts on the Superion implants for sever spine stenosis? Have you seen good results from this procedure? This is an outpatient procedure performed by the pain management specialist.. Will it work if a lumbar laminectomy is needed in the same area? Thank you for your time and expertise it’s greatly appreciated Dr. Su ..

[@DrBrianSuTheSpineGuy]

That implant is not indicated for severe stenosis

[@jadebell8790]

@@DrBrianSuTheSpineGuy ok thank you .. I was under the impression it’s specifically for stenosis or helping to stop the stenosis.... I greatly appreciate your time Dr. Su .. I wish I could have you for a doctor..

[@deniseallison-gunn9849]

Excellent in explaining the procedure. I am having this done tomorrow morning, and it helped me to understand what will be taking place. I am still a little anxious, but a little less frightened. Thank you, Dr Su, for explaining this procedure in lamens terms.

[@deniseallison-gunn9849]

What I would like to know, Dr. Su, is physical therapy recommended after the procedure? If so, how long should I wait before restarting it. Thank you!

[@dakotayounger6988]

Thanks for this video! So helpful. Just got mine yesterday first time and it really settled my nerves the day after. I opted for no sedation at surgical center. About 15 seconds of pretty bad pain when he injected the corticosteriod (they will call it pressure lol), but neck feels better even the day after. I felt my arms getting real warm too They said it was normal. I think that was the iodine contrast. I always flush bad.

[@paulsdrc]

Good video. I’ve had these four time the first was great lasted for about three months. By the time my second appointment rolled around I was right back where I started, the second lasted a couple of weeks. The last two had no effect. After that to disc replacements problem solved. but I still have three more damaged disks, they’re not as bad as the first two yet…

[@deverene8]

I had this done about 10 years ago and it was so painful I was screaming but after it was over, it actually lasted 7 years! But it was so painful, I don’t think I could go thru that again unless they knock me out completely!

[@oppothumbs1]

So maybe you could have taken oxycodone before (as NSAIDs are bad)? But did you scream during the procedure? I ask because I am getting an epidural for my neck in a few days and I don't want to be in such pain or move around during the procedure

[@ericaridgley9650]

Same! I had this done today and it was incredibly painful. I hated it. If I ever need it again I'm going somewhere I can get twilight anesthesia.

[@deverene8]

@@oppothumbs1 yes,during the procedure I was screaming! I watched this procedure done on someone (on KZbin),and they put the person in a heavy sedation & the doctor would periodically ask the patient if they were ok, but not once did they ever cry out. Plus it was done guided by ultrasound which I think my doctor went in blindly with the needle! I asked the medical assistant with a wink if she would ever have this done & her eyes got big & she shook her head No!

[@oppothumbs1]

@@deverene8 Very sorry to hear. I had mine done, but I took "the pain pill" and so had little pain.

[@darmaggi]

Another great, detailed and thorough video, that can help me advocate for myself and ask the right questions, if and when I go for another epidural injection. It's been a while since my lumbar epidural injection so I don't recall what level of sedation I was under, but I was conscious and could feel when they were injecting the medication. I'm curious if my sensation of my spinal cord being on fire, in a localized sense and for a very short period of time is common?

[@DrBrianSuTheSpineGuy]

Yes that's certainly can happen

[@AriannaCowan-e7g]

Great video. Just had my first C7/T1 injection, thoracic interlaminar under twilight sedation today. Great experience and looking forward to know more neck pain!!!!

[@mariejane1567]

I have mine next week for the same C7/T1 area.....

[@janmachac6394]

Hi how you doing with your injection 11 months later?I am going to have my done soon.Thank you

[@redshoes9548]

Having this proceedure done Sept 16 2024. Due to 7 herniated discs in my neck caused by an accident at work. I had the same thing done 20 yrs ago due to 6 hernated disks in my lower back. I had those done every 3-4 months for 15 months via pain management. I never regretted it and between P/T and the injections it was my saving grace to be pain free until my body was able to heal itself. To this day i still do the P/T exercises for my lower back as it helps me stay in good shape and not have surgery. I will do the same for my neck.

[@paulespinoza40]

Excellent video and description! Thanks

[@lg-ii6pm]

I was having terrible pain and even lost my reflexes in my left arm and had to go through 2 months of painful ineffective physical therapy and wait for insurance approval for the injection but after the injection i was better within days. No recurrence in 5 years thankfully. I still have a teeny bit of numbness in the tips of a couple of fingers in my left hand but nothing that really affects my daily life.

[@joycesavage2629]

I had this done years ago on my neck and it worked beautifully. I have another coming up for my lower lumbar spine but now I have many reservations. One was tried but doctor couldn't put the needle in, much pain, no numbing, total failure. Now I can only walk half a block.

[@Dan_Alien]

You were so detailed very helpful.

[@joyceulrich5417]

Thank you for your videos, I am a grandmother adopted three of my grandchildren. I have a very busy life with three grandchildren 13 years old and 4 and 5 year old. Had a fusion of 5,6,and 7. Now having symptoms of same in 2008 before my surgery. I have vertigo when I look to the right side and tilt my head upward. I have seen many specialist and pain management professionals , neurologists, orthopedic specialists, spine specialist. I live with pain and I have a pacemaker and defibrillator. My left lower muscle in my heart is weak. My question is because I have had epidural and occipital nerve blocks because when I disturb my neck issues I get to throwing up almost instantly with a migraine that curls me in a ball for hours. I often have gone to hospitals to get an IVs to hydrate me and something to stop the vomiting . I now have a refill prescription of anti nausea medication to help. The headache are not to bad but if I sleep on it wrong it leads to just that. Is there any help for my symptoms? I have degenerative bone issues also which hinder my way of life . Is there help for me or hope? Your videos are very informative and helpful to help me understand my back and kick problems. Thank you so very much. Joyce

[@doreenglenn5251]

Thanks for these videos

[@noitsalan]

Best video on the theme by far.

[@peggymcdonnell1379]

I’m going to be having this done soon and Dr. Oz had some doctor and they are saying this is the worst thing they could ever do to somebody because it’s so dangerous I don’t understand how it could be I hope not

[@courtnee3]

I get my injection on 3/29 I’m so nervous but I’m just ready to not be in pain anymore!

[@deannamuffley]

How did it go?

[@firechick92stang]

Very detailed video thank you. Just had this injection today

[@Koreaboy1110]

Did you get better?

[@wendellmaybuena6245]

@Dr. Su, Is this a permanent fix or a temporary(How long will it last)? I really appreciate if you can give me an advice before I decide to go through the procedure. I'm having a cracking sound whenever I'm moving my neck and the doctor told me to go through the steroid injectionand no further informations given.

[@DrBrianSuTheSpineGuy]

It takes the inflammation off of the nerve and sometimes that is all that is needed. However sometimes surgery is necessary. You can always call California orthopedics and spine for a virtual appointment with me

[@wendellmaybuena6245]

@@DrBrianSuTheSpineGuy Thank you so much Dr. Su.. Does it mean that the bone cracking sound will not be present anymore?

[@oppothumbs1]

@@DrBrianSuTheSpineGuySurgery for neck is only when you have radial pain? Dr. .. can I take 5 or 10 mg of oxycodone before the surgery?

[@mariamacias8809]

I hope there’s a medicine study for me. I have no hope in any of my hernias I just take tramadol for pain

[@Candace0730]

I got this procedure and the second injection, I experienced a shock down my left arm after inserting the needle. It caused excruciating pain in my nerves in my hand and arm. Today is day 3 of level 7 -8 pain. This is a risk my dr said can happen. It should go away on its own but the pain is terrible. More ppl should know about this risk.

[@DrBrianSuTheSpineGuy]

It does get better. As a disclaimer please consult your surgeon.

[@Candace0730]

@@MacchiatoSwirlGirl my hand is getting better but it’s such slow progress. I hope you don’t get this “risk” or “side effect”. I’m not in excruciating pain. More like a dull ache towards the end of day and early in the morning.

[@BITTERSWTIZ28]

​@Candace0730 hello.. any updates on your status?

[@Candace0730]

@@BITTERSWTIZ28 Hi! I plateaued at about 5%. I can always feel a slight sensation in my left wrist. Still a very small shock under hot or cold water. I need to take the B Complex vitamin daily and see if that helps. I’m used to it now. 🫤. Makes me leery of any future medical procedures now.

[@michellereynolds8394]

Very helpful. Thank you for sharing!

[@cheryllynne8526]

I had no sedation and right after the procedure I was told I was done and could leave. I did get a headache from hello. But I never got any relief from the injection. And it felt like they were using a nail

[@Just_MHO_thomasina]

Oh my gosh.... sounds like you should have gone somewhere like in this video. Sorry you had such a bad experience. Now I know what things to be looking for when I get mine. I hope for it to be as painless as this looks and that it works! Best to try everything before jumping to surgery I guess 🤷🏻‍♀️ Feel better!

[@albymartin8991]

Thank you very much for the way you presented this cervical problem, it is very helpful to many of us and I would like to know if there is a way I could have a consultation with you. I live in Los angels CA.

[@DrBrianSuTheSpineGuy]

Please call 415-925-8200 for a video visit with me

[@ShawneeWilliams-ip2th]

Hoping I'll be able to start injections, if my Rheumatologist gives clearance due to taking Prednisone for my lupus. Been dealing with pain since before April 2021.

[@preciouschristian]

Beautiful explanation

[@mancello]

If there is any benefit it is usually short lived. Even though risks are small I don't feel the benefit if any outweighs the risk of these epidural procedures.

[@CF-pl7qj]

Hello Dr. How exactly does it “take the inflammation off the nerve” ?

[@DrBrianSuTheSpineGuy]

The steroid is a very strong anti-inflammatory medication

[@BuddyBearCreator]

My doc ordered this procedure for bulging C3 C4 - but I don't see how it would help or address the muscle loss and weakness / deterioration in my right shoulder area and infraspinatus, tricep and bicep

[@DrBrianSuTheSpineGuy]

It is unlikely to address muscle loss but you should ask your doctor

[@warrentrout]

I have had this without sedation and it was no big deal.

[@sweetkristyle]

Same. It really helped with my pain.

[@jojogranny3222]

OMG!!. It hurts so bad. It was as if my doctor pulled out my sciatic nerve and wadded it up and stepped on it a few times. Did it help? No, not at all.

[@Mehmetooooo1]

You guys need to go to fatih kirar in turkey. Turkey officially has the newest technology for herniated disc

[@paulagrett1347]

thank you

[@lidyasinya3243]

Hello Dr Su! I'm Lidya from Indonesia. I'd like to ask you about this Cervical ESI. I have syringohydromyelia along C2 - T1. And I have Cervical HNP that caused sting to my left hand everytime I cough/sneeze. Can I go forward with Cervical ESI? Thank you for your time

[@DrBrianSuTheSpineGuy]

I would have to look at the MRI. Please call 415-925-8200 for a second opinion

[@lidyasinya3243]

@@DrBrianSuTheSpineGuy thank you for the response, doc. Can I have your email address? I have a patient portal, and I will send you the link + password.

[@MikeyBAAZ]

Nervous getting Monday the first ever cervical epidural but had 30 Lumbar my right shoulder is killing me worried about the dye Fluorosopy in the office

[@noemiflores7497]

Why did my doctor do mine sitting down?

[@mazam2014]

Different position for one procedure is possible

[@dnas6207]

Thanks Dr.Brian su for the informative video. Please, do you think if the patient get his pain improved 5 out of 10, he should repeat the injection within 6 weeks to get more improvement? Or he won't get more improvement than the first one? Thanks, appreciate your @DrBrianSuTheSpineGuy

[@DrBrianSuTheSpineGuy]

If the first one did help then a second one is likely to help as well I wouldn't do more than two.

[@dnas6207]

@@DrBrianSuTheSpineGuy thanks Dr..appreciate

[@Mahaffeytattoo-ux2ro]

I had steroid trigger point injections that didn’t help much. I wonder why Kaiser did not recommend this type of injection considering how long I’ve been in pain..

[@nancaraway8413]

What happened to doctors because at the beginning of my nightmare with my spine we were told you couldn’t do anymore than 2 a year six months apart then I found out that the FDA did not approve of these injections, because so many people were injected into the spinal cord. These things do not help out with the damage of these nerves at all, and especially if you have stenosis, or any other kind of diseases within your spine.

[@maxxiao5651]

Cool video!

[@juliapeterson4736]

Why wasn't the injection needle placed directly into the C5-C6 epidural space? Is there increased risks with using the guide-wire type to advance to the correct level? Is there another video on "epigenetic changes"? Thank you for the great videos!

[@DrBrianSuTheSpineGuy]

Sometimes it is easier to feed a catheter up

[@Thaojennyduong]

Hi Doctor, I have schedule to have pain management shot next week. I am so nervous about different video from different doctors. Does it safe?

[@lerenaud2492]

My doc refused to give me IV sedation for this. They gave me a Xanax which really didn’t help. I’ve always had IV sedation for every injection.

[@MuhammadAbdullah-uq1vb]

Wasnt the injection in the thoracic region instead of cervical?

[@Jennifer-rk4id]

I had this today and it was sooooo painful 😢

[@franklingrx]

i’ve had about 12 of these over the years. I have never had any anesthesia of any kind. The doctor says that about 10% of his patients don’t want and I don’t either. It’s not a big deal.

[@Art-tn6ts]

Good explanation.

[@susansawarin5776]

Thank you.

[@amstuder]

Do you think these cervical ESI procedures are safe for patients with neck hyper mobility, hEDS, and MCAS?

[@DrBrianSuTheSpineGuy]

They're not contradicated

[@amstuder]

@@DrBrianSuTheSpineGuy thank you, but if those patients also have a contrast allergy, would that compromise the safety of the procedure (to ensure medication does not accidentally get into a blood vessel)?

[@datsuntoyy]

if they cant give you a general anesthetic, can they give you a bit of Valium or similar to calm the patient down? I also have several discs with pinched nerves, will this have to be done at each one? 2-3, 5-6, 6-7

[@DrBrianSuTheSpineGuy]

Yes sedation can be used you should speak to your physician

[@stevenmitchell6652]

I'm Having one done Friday Morning at the Hospital and there going to put me to sleep question is do they put a heart monitor on you ?

[@DrBrianSuTheSpineGuy]

Every hospital is different sometimes they do

[@stevenmitchell6652]

They called and told me what there doing @@DrBrianSuTheSpineGuy

[@ekm1166]

Mine never worked

[@zKaizen8]

Which is better, Nerve block or epidural? I got mild foraminal c6-c7

[@DrBrianSuTheSpineGuy]

Watch the playlist cervical radiculopathy

[@anneturner8439]

These Injections are not FDA APPROVED, what do you say to this ????

[@DrBrianSuTheSpineGuy]

There are many things we do in science that are off label by the FDA but still are effective

[@AliImranSayeed-kn4nv]

I have mild to moderate cervical spondylosis and gives me really bad headaches on one side. I was recommended to get the cervical injection and stop doing weight training ( specifically shoulder presses) Would I be able to do weight training after the injection.

[@DrBrianSuTheSpineGuy]

Yes

[@AliImranSayeed-kn4nv]

Thanks doc.

[@joedyer1785]

Thanks

[@davidkays-cx3rj]

If a C4-C6 ACDF surgery has taken place can ESIs be done in the future for other levels

[@DrBrianSuTheSpineGuy]

Yes it can

[@zeek4749]

My mom gets that for spinal stenosis but it’s not helping anymore 😢I should bring my mom to see you we live in Fremont ca

[@DrBrianSuTheSpineGuy]

Yes we are happy to help. You can call 415-925 8200 for a second opinion

[@pamrichards4716]

Just had my 4th procedure. The 3rd last over 2yrs til another accident mess me back up.

[@Pkerthebest2]

Jeez man, I’ve had 3 as well and a facet another accident is detrimental.

[@tammylindsay3106]

I'm getting a cervical interlaminar injection C7-T1 for a herniated disk and pinched nerve. I also get headaches when I sleep, for 5 years now, could this be from the pinched nerve?

[@DrBrianSuTheSpineGuy]

It's very common to get cervical headaches from a pinched nerve

[@liftpeopleup]

Opting for surgery at this point

[@PaulineFarmer-k5h]

I’ve got injection on 1st July but worried about lying face down on table because I’m claustrophobic,is there anyway around that can I have it done sitting up

[@DrBrianSuTheSpineGuy]

It would be too hard to image

[@PaulineFarmer-k5h]

Is there another way of having it done because even the thought of lying face down with things over my head makes me shive thinking about it

[@CrankyPantss]

Why are there no videos about the thoracic spine? I’ve already had laminectomies on T7 through T12, but can rarely find any information about that part of the spine.

[@HC-xs6ek]

I'm here because I received my first shot today and didn't get all this information from my MD 😮

[@LisaPaulk-f5r]

I disagree with the doctor on the epidural headache ive had one and caffeine nor medicine stops it. They sid a blood patch and it stopped it. Im supposed to have a cervical epidural this video makes me nervous to have it done.

[@nomudnolotusnodragonnogold]

Thank you.🙏😘

[@docnoc66]

Cervical epidural injections are not for the faint of heart. Inter laminator treatments can be done safely at T1/2, C7/T1, and C6/7. Of course, you aim it to the side where the symptoms are. As far as animals, I use a 25 gauge 2 1/2 inch short bevel needle rather than a winky tip needle which is cutting. The area is very vascular as the doctor mentions and you do not want to get any particular steroid or air bubbles into a vessel. so you have to be meticulous with your technique and limit the steroid to dexamethasone. I do not use local anesthetic as if it gets under the dura and cause a high spinal side effect. If you have digital subtraction imaging on your fluoroscope, it is helpful as it would show that you may be in an artery or vein. Always use conservative measures with postural puncture headaches but sometimes you need to perform a blood patch.

[@JanelleC717]

How does this help a pinched nerve? I'm set to get one soon if my insurance pays for it.

[@DrBrianSuTheSpineGuy]

It takes the inflammation off of the nerve

[@JanelleC717]

@@DrBrianSuTheSpineGuy - Thanks!

[@priscillahammond5828]

I am scheduled to have my first epidural injection in my cervical spine in a couple of weeks. I have Cervical stenosis and radiculopathy from C4-C7. I also have muscle weakness and have done PT but the radiculopathy came back with a vengeance a couple of weeks ago. My Spine Surgeon is recommending this to get the pain and inflamation under control as medication hasn’t worked for me. Does the epidural improve muscle weakness or just pain and inflammation? He is recommending a Three level fusion sooner rather than later. I have seen many of your videos and they’re excellent and so informative. Thank you so much!

[@tejasmhteju2085]

Dr. I took epidural steroid injection last week for back pain . After 2 dys I'm getting continuous urination . Is it normal

[@DrBrianSuTheSpineGuy]

You should consult a person you had the epidural from

[@stevenmitchell6652]

do u put them asleep before doing it ?

[@DrBrianSuTheSpineGuy]

They get sedation

[@oppothumbs1]

Without local anesthesia, would it be ok to take 5 to 10 mg of oxycodone for the pain of the procedure and afterwords?

[@DrBrianSuTheSpineGuy]

Yes but you need to consult your spine surgeon

[@oppothumbs1]

@@DrBrianSuTheSpineGuyThanks a lot.

[@khosbayaryagaan7185]

I need to get it done asap. But the problem is I am unable to lie down not even 5 minutes. When I lie down my left hand wrist feels like someone is crushing my bone. If I wait a while will I be able to lie down still?

[@DrBrianSuTheSpineGuy]

Yes