Cervical Epidural Neuroplasty
What is Cervical Epidural Neuroplasty?
Cervical Epidural Neuroplasty is a minimally invasive, image-guided procedure used to relieve chronic neck pain and nerve-related symptoms caused by inflammation, scar tissue, or nerve root irritation in the cervical spine. The procedure helps reduce pain, improve mobility, and restore daily function by delivering medication directly to the affected nerves.
It is often recommended for patients who have not achieved adequate relief with medications, physiotherapy, or other conservative treatments.
Indications
Cervical Epidural Neuroplasty may be recommended for:
- Chronic neck pain
- Cervical facet arthropathy (facet joint arthritis)
- Cervical radiculopathy
- Cervical disc bulge or disc herniation
- Nerve root irritation or inflammation
- Post-surgical cervical spine pain
- Neck pain radiating to the shoulders or arms
Cervical Facet Block
A Cervical Facet Block is both a diagnostic and therapeutic procedure used to identify and relieve pain originating from the cervical facet joints.
Procedure
- The patient is positioned comfortably on the procedure table.
- The skin is cleaned and numbed using a local anesthetic.
- Under fluoroscopic (X-ray) guidance, a needle is precisely placed near the targeted cervical facet nerve.
- A combination of local anesthetic and corticosteroid medication is injected.
- If significant pain relief occurs, it confirms that the treated nerve is the source of pain.
In some patients, a facet block provides long-lasting relief. For others, it helps determine whether they are suitable candidates for Radiofrequency Ablation (RFA).
Cervical Radiofrequency Ablation (RFA)
Radiofrequency Ablation is an advanced pain management procedure that provides longer-lasting relief by interrupting pain signals from the affected cervical facet nerves.
Procedure
- An intravenous (IV) line may be started for comfort and relaxation.
- The treatment area is sterilized and numbed with local anesthesia.
- Using fluoroscopic guidance, specialized insulated needles are positioned near the target nerves.
- A small electrode is inserted through the needle.
- Radiofrequency energy generates controlled heat that treats the pain-transmitting nerve.
- The treatment is applied for approximately 60–90 seconds at each target site.
- The procedure is performed under sterile conditions and typically completed on an outpatient basis.
After treatment, patients are monitored in the recovery area and discharged once stable.
Benefits
- Effective relief from chronic neck pain
- Reduced dependence on pain medications
- Improved neck movement and function
- Minimally invasive outpatient procedure
- Faster recovery compared to surgery
- Long-lasting pain relief that may continue for 6–12 months or longer
Patients are observed briefly after the procedure and discharged on the same day.
Special Instructions
Before the Procedure
- Fasting for at least 6 hours may be required.
- Continue regular medications unless instructed otherwise.
- Inform your doctor about all medications, especially blood thinners.
- Patients taking Warfarin, Clopidogrel, Aspirin, or similar medications may need special instructions before the procedure.
- Arrange for someone to drive you home.
After the Procedure
- Rest for approximately 24 hours.
- Avoid driving on the day of the procedure.
- Mild soreness, swelling, or bruising at the injection site may occur.
- Ice packs may help reduce discomfort.
- Temporary increase in pain can occur before improvement begins.
The full benefits of Radiofrequency Ablation may take several weeks to develop, with many patients experiencing significant relief for months or even years.
Possible Side Effects and Complications
Cervical Epidural Neuroplasty and Radiofrequency Ablation are generally safe procedures when performed by experienced pain specialists. However, potential side effects may include:
- Temporary soreness at the injection site
- Mild swelling or bruising
- Numbness or tingling
- Allergic reaction to medications or contrast dye
- Infection (rare)
- Temporary increase in pain following the procedure
Serious complications are uncommon, and every precaution is taken to ensure patient safety.
Why Choose Dr. Anurag Aggarwal?
Dr. Anurag Aggarwal is an experienced Interventional Pain Specialist specializing in advanced image-guided spine and nerve pain procedures. His patient-centered approach focuses on accurate diagnosis, minimally invasive treatments, and long-term pain relief to help patients regain an active and comfortable lifestyle.
Book an Appointment
If chronic neck pain is affecting your quality of life, consult Dr. Anurag Aggarwal to determine whether Cervical Epidural Neuroplasty, Facet Block, or Radiofrequency Ablation may be the right treatment option for you.