Epidural steroid injections

Indy M. Wilkinson; Steven P. Cohen

doi:10.1007/s11916-011-0236-9

Epidural steroid injections

Indy M. Wilkinson, Steven P. Cohen

School of Medicine

Research output: Contribution to journal › Review article › peer-review

33 Scopus citations

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 language	English (US)
Pages (from-to)	50-59
Number of pages	10
Journal	Current pain and headache reports
Volume	16
Issue number	1
DOIs	https://doi.org/10.1007/s11916-011-0236-9
State	Published - Feb 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

Access to Document

10.1007/s11916-011-0236-9

Cite this

@article{d72aa65b0666475d83092081025f70f0,

title = "Epidural steroid injections",

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.",

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",

author = "Wilkinson, {Indy M.} and Cohen, {Steven P.}",

note = "Funding Information: 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) Disclosures 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.",

year = "2012",

month = feb,

doi = "10.1007/s11916-011-0236-9",

language = "English (US)",

volume = "16",

pages = "50--59",

journal = "Current review of pain",

issn = "1531-3433",

publisher = "Current Science, Inc.",

number = "1",

}

TY - JOUR

T1 - Epidural steroid injections

AU - Wilkinson, Indy M.

AU - Cohen, Steven P.

N1 - Funding Information: 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) Disclosures 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.

PY - 2012/2

Y1 - 2012/2

N2 - 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.

AB - 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.

KW - Anesthesia

KW - Cost-effectiveness

KW - Disability

KW - Epidural steroid injection

KW - Interlaminar epidural steroid injection

KW - Low back pain

KW - Neuropathic spinal pain

KW - Pain management

KW - Radiculopathy

KW - Sciatica

KW - Transforaminal epidural steroid injection

UR - http://www.scopus.com/inward/record.url?scp=84857626980&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84857626980&partnerID=8YFLogxK

U2 - 10.1007/s11916-011-0236-9

DO - 10.1007/s11916-011-0236-9

M3 - Review article

C2 - 22090263

AN - SCOPUS:84857626980

SN - 1531-3433

VL - 16

SP - 50

EP - 59

JO - Current review of pain

JF - Current review of pain

IS - 1

ER -

Epidural steroid injections

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this