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cervical selective nerve root block or snrb is an injection used to identify the source of nerve pain in the neck and sometimes to also provide longer term pain relief nerve pain in the neck that radiates down into the shoulders arms and hands can develop when a cervical nerve root is compressed or inflamed due to a degenerated or herniated dis spinal stenosis or other degenerative spinal changes as the procedure Begins the patient lies face down and may receive a sedative the doctor injects a local anesthetic into the skin over the area that is suspected of being the source of nerve pain under x-ray Guidance the doctor injects a contrast die to Aid in correct placement of the needle at or near the suspected compressed or irritated nerves once the needle is safely positioned there is a second injection into the nerve rout where it exits the fan a side opening where two vertebrae meet this injection contains lidocane a type of anesthetic and may include a steroid such as cortisone