This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated disks, spinal stenosis, or radiculopathy can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves. The procedure is performed with the patient lying down. Intravenous sedation may be administered, and a region of skin and tissue of the neck is numbed with a local anesthetic delivered through a small needle. Using x-ray guidance (also called fluoroscopy), the physician guide a larger needle to the painful area of the neck. The needle is inserted into the epidural space, which is the region through which spinal nerves travel. Contrast dye is injected into the space to make sure the needle is properly positioned near the irritated nerve or nerves. A combination of an anesthetic and cortisone steroid solution is injected into the epidural space. The steroid is an anti-inflammatory medication that is absorbed by the inflamed nerves to decrease swelling and relief pressure. The needle is removed and a small bandage is applied. The patient goes to a recovery room and discharge with post treatment instructions. Some patient may need only one injection, but it may take two or 3 injections (administered two weeks support) to provide significant pain relief.