What is the primary short- to mid-term benefit of cervical epidural steroid injections in cervical radiculopathy?

• A. Long-term cure of the underlying condition
• B. Worsening of symptoms over time
• C. Short- to mid-term relief by reducing inflammation around nerve roots
• D. No appreciable effect on symptoms

Answer: (C)

Cervical epidural steroid injections provide relief primarily by dampening inflammation around the irritated nerve roots. In cervical radiculopathy, pain and sensory or motor symptoms arise not only from mechanical compression but also from inflammatory mediators that sensitize nerves and promote edema. Placing corticosteroid in the epidural space near the affected nerve roots reduces these mediators, decreases edema, and lowers abnormal nerve firing, which translates into shorter- to mid-term reduction in radicular pain and improved function. This effect is typically temporary—weeks to a few months—because the underlying structural issue (such as a herniated disc or stenosis) may persist. The injection is therefore a valuable part of a broader treatment plan to manage symptoms, potentially delay surgery, and facilitate rehabilitation, rather than a permanent cure.