Cervical epidural injections, whether by translaminar or transforaminal approach, are common techniques employed by interventional pain specialists. These injections can be used for therapeutic or diagnostic purposes. A physician who performs these injections should be well versed and trained in lumbar epidural injections prior to attempting injections into the cervical epidural space. The epidural space extends from the foramen magnum down to the sacrococcygeal junction. The epidural space is bounded posteriorly by the ligamentum flavum, laterally by the pedicles and intervertebral foramen, and anteriorly by the posterior longitudinal ligament. The epidural space contains fat, veins, arteries, connective and lymphatic tissue. Nerve roots traverse the epidural space as they exit through their respective neural foramina.