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hi Iamp;#39;d like to welcome everybody back to the YouTube channel itamp;#39;s Dr Edward Rubin and today weamp;#39;re going to be talking about cervical epidural steroid injections so this is a very common procedure thatamp;#39;s done on an outpatient basis in a facility a hundred percent of these are done under x-ray guidance and essentially weamp;#39;re targeting the discs and the nerves in the neck with a combination of local anesthetic and anti-inflammatory to basically try and get to the source of neck pain now your spine is divided up into a number of areas you have 33 vertebrae today weamp;#39;re focusing on the cervical part of the spine which is really neck and the nerves that go down your arm so the typical presenting symptoms of somebody with a cervical impingement would be neck pain radiating down one or both arms now a single disc in the neck could radiate pain to either direction or both directions um and those discs are really meant to be a cushion a support for t