Epidural steroid injections

Indy M. Wilkinson, Steven P. Cohen

Research output: Contribution to journalReview article

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.

Original languageEnglish (US)
Pages (from-to)50-59
Number of pages10
JournalCurrent pain and headache reports
Volume16
Issue number1
DOIs
StatePublished - Feb 1 2012

Keywords

  • Anesthesia
  • Cost-effectiveness
  • Disability
  • Epidural steroid injection
  • Interlaminar epidural steroid injection
  • Low back pain
  • Neuropathic spinal pain
  • Pain management
  • Radiculopathy
  • Sciatica
  • Transforaminal epidural steroid injection

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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