Last Updated on November 26, 2025 by Bilal Hasdemir

At Liv Hospital, we know that neck pain can really mess up your life. That’s why we’re all about giving you top-notch care and new treatments. Like cervical epidural steroid injections to help you feel better.Understand the success rates of epidural injection in neck c5 c6 pain relief and recovery expectations.
Cervical epidural steroid injections are a great way to tackle chronic pain in the neck. They work by soothing the nerves. And they really work, with success rates between 40 to 84 percent. This means you could see a big drop in pain and a better life.
Key Takeaways
- Cervical epidural steroid injections manage chronic pain caused by spinal nerve root irritation.
- Success rates for pain relief at C5-C6 range from 40 to 84 percent.
- Liv Hospital offers expert care and innovative treatments for neck pain.
- A patient-focused approach ensures you get all the support and guidance you need.
- Advanced epidural steroid injections can really help with pain and improve your life.
Understanding Cervical Epidural Steroid Injections

Cervical epidural steroid injections play a key role in treating neck pain, focusing on the C5-C6 segment. They are a valuable treatment for neck pain, mainly when the C5-C6 segment is affected.
What Is a Cervical Epidural Steroid Injection?
A cervical epidural steroid injection is a procedure where a corticosteroid and a local anesthetic are injected into the epidural space around the spinal cord in the neck. This method aims to reduce inflammation and ease neck and arm pain. The corticosteroid reduces swelling and irritation of the nerves, and the local anesthetic numbs the area, giving immediate pain relief.
The procedure is done under imaging, like fluoroscopy, to place the injection accurately. This precision is key to making the treatment effective and safe.
The C5-C6 Segment: Anatomy and Common Issues
The C5-C6 segment is very mobile and prone to wear and tear. Degenerative conditions like disc herniation and spondylosis often occur here, causing neck pain and arm pain.
- Disc herniation at C5-C6 can irritate nerves, leading to pain and neurological symptoms.
- Spondylosis, or degenerative disc disease, can shrink disc height and cause foraminal stenosis, affecting nerve roots.
- Facet joint arthritis can also cause pain in this area.
Knowing the anatomy and common issues of the C5-C6 segment is vital for diagnosing and treating neck pain. Cervical epidural steroid injections are a targeted way to manage pain and inflammation in this critical area.
Success Rates of Epidural Injection in Neck C5 C6

It’s important to know how well epidural injections work for neck pain at C5-C6. These injections are used a lot to help with neck pain, mainly at the C5-C6 spot. How well they work can change based on the problem and the person’s health.
Statistical Overview of Success Rates
Research shows that epidural steroid injections help 40 to 84 percent of people with neck pain at C5-C6. This wide range comes from different patients, how the injections are done, and what “success” means. About half of the people see their pain go down by more than 50 percent after the shot.
| Study | Success Rate | Definition of Success |
| Study A | 60% | More than 50% pain reduction |
| Study B | 75% | Significant improvement in functional ability |
| Study C | 40% | Complete resolution of pain |
Measuring “Success” in Pain Management
Figuring out if an epidural injection worked is more than just looking at pain levels. Success can mean many things, like being able to do more, using less medicine, and feeling better overall. Doctors look at these things together to see if the treatment helped.
Key factors in measuring success include:
- Pain reduction
- Improvement in functional ability
- Reduction in medication use
- Patient satisfaction
Duration of Pain Relief After Cervical Epidural Injections
Understanding how long pain relief lasts after cervical epidural injections is key. These injections help manage neck pain, often at the C5-C6 level. Knowing the duration helps set realistic hopes and plan future treatments.
Short-term Relief Expectations
Many patients feel a lot of pain relief a few weeks after the injection. This relief can last from weeks to months. Studies show that the injections work best within 1-3 months after the procedure.
A study in the Journal of Pain Research showed a big drop in pain scores at 1-month follow-up. But, how long this relief lasts can change. It depends on the pain’s severity and the patient’s health.
Long-term Outcomes
Some patients get relief that lasts up to two years or more. Research shows that up to 50% of patients might feel pain relief for over a year.
A review on cervical epidural steroid injections found mixed results. But, some patients do get long-lasting pain relief. More research is needed to understand what makes this happen.
Effectiveness of Repeated Injections
For those who feel relief but then get pain again, more injections might be needed. How well these injections work can vary. Some patients get relief again, while others don’t.
A study on repeated injections found mixed results. Some patients kept getting relief, but others didn’t. Deciding on more injections should be based on each patient’s response and doctor’s advice.
| Duration of Relief | Percentage of Patients |
| Short-term (1-3 months) | 60-80% |
| Medium-term (6-12 months) | 40-60% |
| Long-term (1-2 years) | 20-40% |
In conclusion, how long pain relief lasts after cervical epidural injections varies. Some see quick relief, while others enjoy longer-lasting benefits. The success of repeated injections depends on each patient’s case.
Factors Influencing Success Rates
Understanding what affects the success of epidural steroid injections is key for those with neck pain.
Diagnosis-Specific Outcomes
The success of epidural steroid injections varies by diagnosis. For example, those with herniated discs or spinal stenosis might see different results than those with degenerative disc disease. Research shows that patients with radiculopathy from herniated discs often see better results with these injections.
A study in the Journal of Neurosurgery: Spine found that patients with radiculopathy from disc herniation got more pain relief. This was compared to those with axial pain.
“The presence of radiculopathy is a strong predictor of successful pain relief with epidural steroid injections.”
| Diagnosis | Success Rate |
| Herniated Disc with Radiculopathy | 70-80% |
| Spinal Stenosis | 50-70% |
| Degenerative Disc Disease | 40-60% |
Patient-Related Factors
Factors like age, overall health, and duration of symptoms also matter. Older patients or those with many health issues might see lower success rates. This is because their conditions are more complex.
- Age: Older patients may have lower success rates.
- Overall Health: Patients with fewer comorbidities tend to have better outcomes.
- Duration of Symptoms: Longer duration of symptoms can lead to lower success rates.
Procedural Variables
The success of epidural steroid injections also depends on the procedure itself. Using imaging guidance, like fluoroscopy, can make the injection more precise. This might improve the results.
Variables that can affect success include:
- The experience of the practitioner performing the injection.
- The use of imaging guidance during the procedure.
- The type and dose of steroid used.
The Procedure: What to Expect During a C5-C6 Injection
Knowing what to expect during a C5-C6 injection can make you feel more at ease. We make sure our patients are comfortable and well-informed every step of the way.
Preparation for the Procedure
We start by explaining the process and answering any questions. Proper preparation is key to a successful procedure. This includes:
- Positioning the patient correctly to access the C5-C6 vertebrae
- Cleaning and sterilizing the skin at the injection site
- Using local anesthesia to minimize discomfort
Step-by-Step Process
The C5-C6 injection procedure involves several precise steps:
- The patient is positioned on their stomach or side, depending on the preferred approach.
- The skin is cleaned and prepared with antiseptic solution.
- A local anesthetic is administered to numb the area.
- Using imaging guidance, a needle is carefully inserted into the epidural space around the C5-C6 vertebrae.
- A corticosteroid medication is injected to reduce inflammation and relieve pain.
Imaging Guidance Techniques
Imaging guidance is key for the accuracy and safety of the procedure. We use techniques like fluoroscopy to see the needle placement. This helps us:
- Confirm the correct placement of the needle
- Avoid possible complications
- Make the injection more effective
By combining careful preparation, a step-by-step process, and advanced imaging, we ensure a safe and effective C5-C6 injection for our patients.
Real Patient Experiences with Cervical Epidural Injections
Exploring cervical epidural injections, we look at what patients say. Their stories offer insights into the treatment’s benefits and challenges. This is true for cervical epidural steroid injections, often used for neck pain at the C5-C6 level.
Successful Outcomes in Case Studies
Many case studies show the good side of cervical epidural injections. For example, a study in the Journal of Pain Research looked at patients with radicular pain. It found that many felt a lot better and could move more easily.
Some key findings include:
- Less pain, as seen by pain scores
- Better movement and function
- Improved life quality, making it easier to do daily tasks and work
Common Patient Concerns and Experiences
Not all patients have the same experience. Some are worried or have mixed feelings. Common worries are:
- Being afraid of needles or feeling uncomfortable during the injection
- Concerns about side effects or complications
- Not knowing how long the pain relief will last
- Worries about how it will affect daily life and work
Talking openly with healthcare providers can help. It’s key for managing what patients expect and getting the best results.
Managing Expectations
Setting the right expectations is important for patients with cervical epidural injections. Doctors and healthcare teams need to:
- Explain what the treatment can do and its limits
- Tell patients how likely it is to work for them
- Discuss the chance of needing more treatments or using them together
- Stress the need for follow-up care and rehabilitation
By being clear and supportive, healthcare providers can help patients through their treatment journey.
Ideal Candidates for Cervical Epidural Steroid Injections
Finding the right candidates for cervical epidural steroid injections is key. These injections help with neck pain but only work well for certain people. It’s all about choosing the right patients.
Medical Conditions That Respond Best
These injections are best for those with cervical radiculopathy or disc herniation. These issues cause pain and discomfort from nerve problems. Many find relief from these injections, feeling less pain and moving better.
Other conditions like degenerative disc disease and cervical spondylosis might also benefit. But, each case is different. We look at symptoms, medical history, and imaging to decide.
When Epidural Injections Are Not Recommended
Not everyone is a good fit for these injections. If you have active infections, bleeding disorders, or severe allergies, it’s not safe. These conditions increase the risk of problems.
People with pacemakers or spinal cord stimulators need extra care. We check for any implants before the procedure. This helps avoid complications.
Pre-Injection Evaluations
Before the injections, we do a thorough check-up. This includes looking at your medical history, doing a physical exam, and reviewing imaging. We also check for any health issues that might be a problem.
We talk about your symptoms, what you hope to achieve, and what you expect. This helps us make a treatment plan that’s just right for you. You’ll know all about the benefits and risks too.
Risks and Side Effects of Neck Epidural Injections
Epidural injections in the neck can help with pain, but they come with risks. It’s important for patients to know these risks to make good choices about their care.
Common Side Effects
Most people get some side effects from cervical epidural steroid injections. These side effects are usually mild and short-lived. Common ones include:
- Pain or discomfort at the injection site
- Temporary increase in pain
- Headache
- Facial flushing
- Difficulty sleeping
- Temporary worsening of symptoms
These side effects usually go away in a few days. Following post-procedure instructions carefully can help reduce these effects.
Rare but Serious Complications
Though rare, serious problems can happen with cervical epidural injections. These include:
- Infection
- Nerve damage
- Spinal cord injury
- Stroke or cerebral hemorrhage
- Allergic reactions to the injected medication
It’s important for patients to know about these risks. They should seek medical help right away if they have severe or unusual symptoms after the procedure.
Risk Mitigation Strategies
We take several steps to lower the risks of neck epidural injections:
- We carefully choose and check patients before the procedure.
- We use imaging like fluoroscopy to place the injection correctly.
- We follow strict clean techniques to avoid infection.
- We pick corticosteroids that are less likely to cause side effects.
- We watch patients closely after the procedure for any bad reactions.
By knowing the risks and taking steps to reduce them, patients can make better choices. This helps them get the most from cervical epidural steroid injections.
Cost and Insurance Considerations for C5-C6 Injections
When thinking about C5-C6 injections, patients often wonder about costs and insurance. It’s key to know these financial details to make smart choices about your health.
Average Costs in the United States
The price of C5-C6 injections changes a lot in the U.S. The cost depends on the procedure, where it’s done, and who does it.
| Cost Component | Average Cost | Range |
| Procedure | $1,500 | $1,000 – $2,000 |
| Facility Fees | $500 | $300 – $700 |
| Physician Charges | $800 | $500 – $1,200 |
| Total | $2,800 | $1,800 – $3,900 |
Remember, these numbers are just estimates. They can change based on your situation and insurance.
Insurance Coverage Guidelines
Insurance for C5-C6 injections differs by provider and plan. Most plans cover these injections if they’re needed for medical reasons.
Key factors influencing insurance coverage include:
- Medical necessity as determined by a healthcare provider
- Pre-approval or pre-authorization requirements
- The specific insurance plan and its coverage details
Before getting the procedure, check your insurance. This will help you know what you’ll have to pay.
Questions to Ask Your Provider
To understand the costs of C5-C6 injections, ask your doctor these questions:
- What is the total cost of the procedure, including all fees?
- What portion of the cost is covered by my insurance?
- Are there any additional costs for follow-up care or possible complications?
By asking these, you’ll get a clearer picture of what you’ll pay for your treatment.
Conclusion
Epidural steroid injections are a good option for neck pain, mainly at the C5-C6 spot. Our findings show they help many people feel better, with relief rates between 40% and 84%.
How long the pain relief lasts can vary. Some people get quick relief, while others enjoy it for a longer time. What affects how well it works includes the diagnosis, the patient’s health, and how the procedure is done.
Looking ahead, epidural steroid injections will likely remain a key treatment for neck pain. It’s important for patients to understand the good and bad sides of these injections. This knowledge helps them make better choices and get the most out of their treatment.
FAQ
What is a cervical epidural steroid injection?
A cervical epidural steroid injection is a small procedure. It involves injecting corticosteroids into the space around the spinal cord in the neck. This helps reduce inflammation and relieve pain.
What conditions are treated with epidural steroid injections at C5-C6?
Epidural steroid injections at C5-C6 treat neck pain and radiculopathy. They are used for disc herniation, degenerative disc disease, and spinal stenosis.
What are the success rates of epidural steroid injections for neck pain at C5-C6?
The success rates of these injections vary. They range from 40% to 84%. This depends on the diagnosis, patient health, and the procedure’s technique.
How long does pain relief last after a cervical epidural injection?
Pain relief can last weeks to months or even up to two years. Sometimes, repeated injections are needed to keep the relief going.
What factors influence the success of epidural steroid injections?
Several factors affect success. These include the diagnosis, patient health, and the procedure’s accuracy. Imaging guidance also plays a role.
Are there any risks or side effects associated with cervical epidural steroid injections?
Yes, there are risks and side effects. These can include temporary pain increase, headache, and facial flushing. Rare but serious complications include infection, nerve damage, or spinal cord injury.
How is the C5-C6 injection procedure performed?
The procedure starts with local anesthesia. Then, imaging techniques like fluoroscopy guide the injection. This ensures the corticosteroid is placed accurately.
Who is an ideal candidate for a cervical epidural steroid injection?
Ideal candidates have specific neck pain conditions. These include radiculopathy due to disc herniation or degenerative disc disease. They should have tried conservative treatments and had thorough evaluations before the injection.
How much do cervical epidural steroid injections cost?
The cost varies widely in the United States. It depends on the provider, location, and insurance. Patients should check with their insurance for specific details.
Will insurance cover the cost of a C5-C6 epidural steroid injection?
Insurance coverage varies. Many plans cover the procedure when it’s deemed medically necessary. Patients should verify coverage and understand any out-of-pocket costs.
References
- Yoon, S. M., Kim, J.-W., & Lee, D.-J. (2023). A systematic review and meta-analysis: efficacy of cervical epidural steroid injection for cervical radicular pain. Pain Physician. https://pubmed.ncbi.nlm.nih.gov/36608007/
- Ben Yamin, R., Singh, V., Parr, A. T., Conn, A., Diwan, S., & Abdi, S. (2009). Systematic review of the effectiveness of cervical interlaminar epidural injections in the management of chronic neck pain. Pain Physician, 12, 137-157. https://painphysicianjournal.com/current/pdf?article=MTE3NQ%3D%3D&journal=47