Epidural steroid injections for low back pain and lumbosacral radiculopathy
- 1 March 1986
- journal article
- clinical trial
- Published by Ovid Technologies (Wolters Kluwer Health) in Pain
- Vol. 24 (3), 277-295
- https://doi.org/10.1016/0304-3959(86)90115-6
Abstract
Non-surgical treatments of back pain may have prolonged and lasting benefit. Epidural steroid injections is one of the non-operative managements of back pain. These injections are recommended in patients with signs and symptoms of nerve root irritation. Relief of pain is attributed to the anti-inflammatory effect of the steroid. Patients with acute radiculopathy have better response compared to patients with chronic symptoms. Improvement may not be noted until 6 days after the injection. The depression of the hypothalamic-pituitary-adrenal (HPA) axis lasts 3 weeks. While complications have been reported, these are rare. Intrathecal steroid injection is not advisable since polyethylene glycol, the vehicle used in depot steroid preparations, may cause arachnoiditis.Keywords
This publication has 64 references indexed in Scilit:
- The Role of Epidural Cortisone Injection in the Treatment of Diskogenic Low Back PainClinical Orthopaedics and Related Research, 1980
- Complications following intraspinal injections of steroidsJournal of Neurosurgery, 1978
- Psychological Aspects of Chronic PainClinical Orthopaedics and Related Research, 1977
- Behavior Modification of Chronic PainClinical Orthopaedics and Related Research, 1977
- Management of Diskogenic Pain Using Epidural and Intrathecal SteroidsClinical Orthopaedics and Related Research, 1977
- Nerve Roots and Spinal Nerves in Degenerative Disk DiseaseClinical Orthopaedics and Related Research, 1977
- Pain Clinic IIAnesthesia & Analgesia, 1972
- A Comparison Between Epidural Anaesthesia and Bed Rest in SciaticaBMJ, 1961
- PAINFUL RADICULOPATHY treated with EPIDURAL INJECTIONS OF PROCAINE AND HYDROCORTISONE ACETATEAnesthesia & Analgesia, 1961
- LUMBAR SPINAL ARACHNOIDITISAnnals of Surgery, 1951