Domino M.D., M.P.H., in Complications in Regional Anesthesia & Pain Medicine, 2007 SUMMARYĮpidural injections of steroid, local anesthetic, and/or opioid were the most common procedures associated with neuraxial chronic pain claims. 99 The epidural space is entered between C7 and T1, and 10 mL of either a steroid solution or a mixture of local anaesthetic and steroid is injected. The injection is always given in theatre conditions access to the epidural space is obtained under sterile conditions with loss of resistance techniques under fluoroscopic visualization. The injection is only called for in radicular pain that lasts longer than a year, has no tendency to spontaneous recovery and is not responding to manipulation (see p. 96–98 In our opinion, cervical epidurals are used far too often for conditions that are easily treated by simpler measures, such as manipulation and nerve root infiltrations. 94,95 However, the evidence for cervical interlaminar epidural injections has been a subject of debate and at best has had only moderate success in managing cervical radiculopathy, while there is no evidence available for the management of axial neck pain, post-surgery syndrome or discogenic pain. There are a number of studies supporting the benefit of cervical epidurals. Epidural injections in the cervical spine are performed via either an interlaminar or a transforaminal approach. Ludwig Ombregt MD, in A System of Orthopaedic Medicine (Third Edition), 2013 Epidural injectionĮpidural injections have been used to treat radicular pain from herniated discs, spinal stenosis, chemical discs, chronic pain secondary to post-cervical surgery syndrome, and chronic neck pain of discogenic origin.