Repeated Transforaminal Anesthetic Injections With or Without Glucocorticoid in Patients With Cervical Radiculopathy

Inclusion Criteria: Inclusion Criteria: * People \>18 years and \<65, referred to the department of Neurosurgery in Lund, Sweden for evaluation and treatment of cervical radiculopathy. * Patients with radiculopathy who after a diagnostic transforaminal injection with 0,5 ml Bupivacain local anesthetics reported a 50% or more reduction of radicular pain according to the visual analogue scale (VAS) (responders). * Clinical findings and symptoms (i.e. radiculopathy, muscle weakness, sensibility disorder, reflexes) in the upper extremities, correlating to MRI verified nerve root compression on one single level between C4-C7 caused by spondylosis or disc herniation. * Patients with positive, \>50% pain reduction, diagnostic transforaminal injection who choose conservative treatment as first option before surgery. * Symptoms from dermatome/myotome radiculopathy \> 3 months, corresponding to MR-verified foraminal narrowing caused by disc herniation or foraminal stenosis from spondylosis/facet joint hypertrophy. * Understanding the oral and written consent form in Swedish, and consenting to the study. * Capable of adhering to the protocol. Exclusion Criteria: * Fibromyalgia or other general myalgia not suggestive of radicular pain. * Cervical myelopathy caused by central spinal stenosis. * Pain caused by stenosis 3 levels or more and/or disk herniation at 3 levels or more or cervical abnormalities (Klippel-Feil, Lytic/Sclerotic lesions, Recent fractures). * Previously cervical surgery at the same level or trauma caused by neck distortion i.e. whiplash-associated disorder (WAD). * Peripheral neuropathy caused by systemic disorders (i.e. diabetes, hereditary, idiopathic or ethanol overconsumption). * Peripheral nerve compression/entrapment distal to the neuro foramina (i.e. Thoracic outlet syndrome, compression between mm. scalenus, carpal tunnel syndrome) * Systematic inflammatory diseases involving cervical spine segments and/or spinal cord. * Neurological motor disorders e.g. ALS and MS. * Prior medical conditions causing difficulties to participate according to the protocol i.e. stroke, dementia and mental illness. * Treatment with glucocorticoids injections in the cervical spine within the last 12 months. * Allergy to glucocorticoid (Dexamethasone) or local anesthetic (Bupivacain).