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a cervical epidural steroid injection may be performed to relieve pain associated with inflammation around the nerves and the neck the epidural space surrounds the dura the dura is the sack around the nerve roots that contains cerebral spinal fluid and spinal cord and nerves the nerves in the neck travel through the cervical epidural space before extending down through the shoulders and into the arms and hands an injection into this space delivers medication directly to coat the nerves in the area a number of cervical spine conditions can affect the nerves as they exit the spine through small holes on each side of the vertebrae a cervical epidural injection may be used to treat the symptoms from a variety of conditions that may irritate the cervical nerve