Journal
CURRENT PAIN AND HEADACHE REPORTS
Volume 16, Issue 1, Pages 50-59Publisher
SPRINGER
DOI: 10.1007/s11916-011-0236-9
Keywords
Epidural steroid injection; Transforaminal epidural steroid injection; Interlaminar epidural steroid injection; Neuropathic spinal pain; Radiculopathy; Sciatica; Low back pain; Disability; Cost-effectiveness; Anesthesia; Pain management
Categories
Funding
- Centers for Rehabilitation Sciences Research (Washington, D.C.)
- Defense & Veterans Pain Management Initiative (Bethesda, MD)
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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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