Epidural Steroid Injections
Overview
Authors
Affiliations
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.
Kim T, Gil H J Clin Med. 2024; 13(9).
PMID: 38731135 PMC: 11084233. DOI: 10.3390/jcm13092607.
Viswanathan V, Kanna R, Farhadi H J Clin Orthop Trauma. 2020; 11(5):802-809.
PMID: 32904233 PMC: 7452348. DOI: 10.1016/j.jcot.2020.06.004.
Cohen S, Bhaskar A, Bhatia A, Buvanendran A, Deer T, Garg S Reg Anesth Pain Med. 2020; 45(6):424-467.
PMID: 32245841 PMC: 7362874. DOI: 10.1136/rapm-2019-101243.
Johnson S, Hutchins T, Peckham M, Anzai Y, Ryals E, Davidson H BMJ Open Qual. 2020; 8(4):e000772.
PMID: 31909212 PMC: 6937044. DOI: 10.1136/bmjoq-2019-000772.
The use of lumbar epidural injection of platelet lysate for treatment of radicular pain.
Centeno C, Markle J, Dodson E, Stemper I, Hyzy M, Williams C J Exp Orthop. 2017; 4(1):38.
PMID: 29177632 PMC: 5701904. DOI: 10.1186/s40634-017-0113-5.