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Epidural Steroid Injections

  • Anesthetic Techniques in Pain Management (GJ Brenner, Section Editor)
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Abstract

Epidural steroid injection (ESI) is the most commonly performed intervention in pain clinics across the United States. This article provides an evidence-based review of ESI, including data on efficacy, patient selection, comparison of types, and complications. The data strongly suggest that ESI can provide short-term relief for radicular symptoms but are less compelling for long-term effects or relief of back pain. Although it has been asserted that transforaminal ESIs are more efficacious than interlaminar injections, the evidence supporting this is limited.

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Acknowledgements

Dr. Steven P. Cohen is funded by the Centers for Rehabilitation Sciences Research (Washington, D.C.) and the Defense & Veterans Pain Management Initiative (Bethesda, MD)

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The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

No potential conflicts of interest relevant to this article were reported.

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Wilkinson, I.M., Cohen, S.P. Epidural Steroid Injections. Curr Pain Headache Rep 16, 50–59 (2012). https://doi.org/10.1007/s11916-011-0236-9

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