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Arthritis / Rheumatology
Are there risks involved with spinal steroid injections for neck pain? My cervical surgery failed.
Are there risks involved with spinal steroid injections for neck pain? My cervical surgery failed.
htmASKTHEDOCspinalsteroidinjectionsrisks
Spine injections with steroids can be helpful for a number of conditions, such as severe arthritis or spinal stenosis, which is the narrowing of the space where the spinal cord resides.
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InteliHealth
2010-06-16
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Robert H. Shmerling, M.D.
2012-06-16
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Ask The Expert
Harvard Medical School
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General Medical Questions
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Q: Are there risks involved with spinal steroid injections for neck pain? My cervical surgery failed.
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The Trusted Source
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Robert H. Shmerling, M.D.

Robert H. Shmerling, M.D., is associate physician at Beth Israel Deaconess Medical Center and associate professor at Harvard Medical School. He has been a practicing rheumatologist for over 20 years at Beth Israel Deaconess Medical Center. He is an active teacher in the Internal Medicine Residency Program, serving as the Robinson Firm Chief. He is also a teacher in the Rheumatology Fellowship Program.

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June 16, 2010
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A:

Spine injections with steroids can be helpful for a number of conditions, such as severe arthritis or spinal stenosis, which is the narrowing of the space where the spinal cord resides.

This treatment is often offered when other, less invasive treatments do not work. Less invasive treatments can include using pain relievers and anti-inflammatory drugs.

Although it's difficult to predict who will benefit from steroid injections in the spine, they can be quite helpful.

As with any treatment, spinal injections of steroids do come with some risks. These include:

  • Discomfort or numbness during the injection
  • Headache or nausea
  • Infection
  • Bleeding along the path of the needle
  • Nerve damage

Doctors who perform these injections usually use an x-ray (such as fluoroscopy) to confirm the proper location of the needle before the injection. And keeping the injection site free of bacteria is routine to help avoid infections. Fortunately, serious complications or side effects, such as infection or nerve damage, are quite rare.

Spinal steroid injections may be a good option for you. But it depends on the severity of your symptoms, your concerns about the risks of the injections, and the availability of other treatment options.

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