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hello im dr poody mohadra and im the director of spine intervention here at sylaxis todays topic is cervical epidural steroid injection success rates and risks this is a treatment option for patients with arm pain and neck pain patients typically present with cervical radiculopathy cervical reticulopathy is basically a pinched nerve this can be due to several causes one of the causes is a bulging disc you can think of a bulging disc like a jelly doughnut you squeeze it part of it comes out the part that comes out actually irritates the nerve and patients complain of the symptoms down the arm another cause of the symptoms could be narrowing of the spinal canal where the spinal cord is located due to a bulging disc this is called spinal stenosis narrowing of the neural foramen which actually is where the nerve comes from can also cause such symptoms and finally arthritis of the facet joints mechanism of action is by reducing inflammation cervical orbital steroid injections are typica