Green agreed that the latter criteria limits the applicability of the results. "The results in routine practice will almost certainly be somewhat less," he said. "They carefully chose people with the type of back pain most likely to respond, people with clear-cut, pure disc disease, symptoms and anatomical findings matching, not chronic, and no secondary gain issues. The reality of back pain in primary care is much messier. In real-world practice, this treatment will get used for patients who are, and who really aren't good candidates. So the results will be rather mixed."
If an epidural is recommended then the patient will likely undergo an MRI (magnetic resonance imaging) scan prior to treatment so as to ascertain the exact location of the troubled nerves. Epidurals are mostly conducted at outpatient clinics, or at the patient’s local surgery. Only qualified health professionals can administer the injections, such as anesthesiologists, radiologists, neurologists, and surgeons. Medical centers often have specific pain management clinicians who conduct epidurals and can advise on other methods to relieve neck pain from trauma such as whiplash , spinal stenosis, and arthritis.