☆ 4.2 Review

Epidural Steroid Injections

CURRENT PAIN AND HEADACHE REPORTS (2012)

Journal

CURRENT PAIN AND HEADACHE REPORTS

Volume 16, Issue 1, Pages 50-59

Publisher

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

Clinical Neurology

Funding

Centers for Rehabilitation Sciences Research (Washington, D.C.)
Defense & Veterans Pain Management Initiative (Bethesda, MD)

Ask authors/readers for more resources

Protocol

Community support

Reagent

Community support

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.

Authors

I am an author on this paper

Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2

Not enough ratings

Secondary Ratings

Novelty

-

Significance

-

Scientific rigor

-

Rate this paper

Recommended

Article Anesthesiology

An alternative approach for lumbar transforaminal epidural steroid injection-Far lateral approach

Jui-Hsuan Liu, Cheng-Wei Soo, Ying-Chun Lin, Chia-Shiang Lin

Summary: The FLLR TFESI is a modified fluoroscopic technique that may offer better ventral epidural and lateral recess enhancement compared to traditional approaches, with no nerve root injury or dural puncture noted so far. Further trials are needed to confirm its efficacy in pain reduction and complication rate.

PAIN PRACTICE (2021)

Add to Collection

Article Neurosciences

Transforaminal Epidural Steroid Injection Improves Neuropathic Pain in Lumbar Radiculopathy: A Prospective, Clinical Study

Savas Sencan, Alp Eren Celenlioglu, Gonca Yazici, Osman Hakan Gunduz

Summary: TFESI is an effective and safe method to decrease not only nociceptive but also NP component in patients with chronic radiculopathy due to LDH, leading to significant improvement in patients' pain levels and quality of life.

NEUROLOGY INDIA (2021)

Add to Collection

Article Anesthesiology

Comparative Effectiveness of Parasagittal Interlaminar and Transforaminal Cervical Epidural Steroid Injection in Patients with Cervical Radicular Pain: A Randomized Clinical Trial

Ji Hoon Sim, Han Park, Yujin Kim, Jin-Woo Shin, Jeong-Gil Leem, Hyun-Seok Cho, Seong-Soo Choi

Summary: This study compared the effectiveness of TF and parasagittal IL approaches for cervical ESI, finding that parasagittal IL ESI may be recommended over TF ESI in reducing cervical radicular pain.

PAIN PHYSICIAN (2021)

Add to Collection

Article Medicine, General & Internal

Does the presence of neuropathic pain affect the outcomes of the interlaminar epidural steroid injection for cervical disc herniation? A prospective clinical study

Canan Sanal-Toprak, Ekim Can Ozturk, Feyza Nur Yucel, Savas Sencan, Osman Hakan Gunduz

Summary: The study revealed that one-third of patients with cervical disc herniation suffer from neuropathic pain, and cervical epidural steroid injections are an effective treatment approach for both neuropathic and nociceptive pain components.

MEDICINE (2021)

Add to Collection

Article Clinical Neurology

Comparison Between a Single Subpedicular Transforaminal Epidural Steroid Injection Chronic Neuropathic Leg Pain: A Retrospective Study

Anuj Jain, Amit Agarwal, Suruchi Jain, Vaishali Waindeskar

Summary: This retrospective study compared the effects of two different techniques of transforaminal epidural steroid injection in relieving chronic lumbar radicular pain. The results showed that at 24 weeks, the lateral recess epidural steroid injection (LRSI) group had significantly lower NRS and ODI scores compared to the subpedicular (SP-TFESI) group, indicating that LRSI may be a superior technique in relieving unilateral lumbar radicular pain caused by a paracentral disc.

WORLD NEUROSURGERY (2021)

Add to Collection

Article Anesthesiology

One-year results from a randomized comparative trial of targeted steroid injection via epidural catheter versus standard transforaminal epidural injection for the treatment of unilateral cervical radicular pain

Aaron Conger, Richard W. Kendall, Beau P. Sperry, Russell Petersen, Fabio Salazar, Shellie Cunningham, A. Michael Henrie, Erica F. Bisson, Masaru Teramoto, Zachary L. McCormick

Summary: The study evaluated the long-term effectiveness of cervical catheter-directed interlaminar epidural injection and cervical transforaminal steroid injection in reducing pain and disability in patients with refractory unilateral cervical radiculopathy for up to 1 year. Both interventions were effective in the majority of participants, with similar improvements in pain and disability outcomes.

REGIONAL ANESTHESIA AND PAIN MEDICINE (2021)

Add to Collection

Article Clinical Neurology

Comparison Between a Single Subpedicular Transforaminal Epidural Steroid Injection and Lateral Recess Steroid Injection in Reducing Paracentral Disc Herniation-Related Chronic Neuropathic Leg Pain: A Retrospective Study

Anuj Jain, Amit Agarwal, Suruchi Jain, Vaishali Waindeskar

Summary: This retrospective study compared subpedicular TFESI and lateral recess epidural steroid injection techniques in relieving chronic lumbar radicular pain. The results showed that LRSI was more effective than SP-TFESI in treating unilateral lumbar radicular pain due to paracentral disc, with a greater number of patients achieving minimal clinically important difference at the end of 24 weeks.

WORLD NEUROSURGERY (2021)

Add to Collection

Article Anesthesiology

Predictive factors for favorable short-term response to interlaminar epidural block for cervical radiculopathy

Daeseok Oh, Soon Ho Cheong, Young Gyun Choi, Sung Ho Moon, Myoung Jin Ko

Summary: The study aimed to identify clinical predictors of favorable short-term outcomes associated with cervical interlaminar epidural injection (CIEI). Factors such as spinal stenosis, duration of symptoms, and combined positive results for DN4 and painDETECT were found to decrease the odds ratio of a good response 2-3 weeks after CIEI in patients with cervical radiculopathy.

JOURNAL OF ANESTHESIA (2023)

Add to Collection

Article Clinical Neurology

Does a Positive Response to Transforaminal Epidural Steroid Injection Identify Patients Who Can Avoid Surgery for Two Years?

Aki Fujiwara, Keisuke Watanabe, Hideki Shigematsu, Katsuhiro Kimoto, Mitsuru Ida, Yasuhito Tanaka, Masahiko Kawaguchi

Summary: A positive response to TFESI may not identify patients who can avoid surgery for two years.

PAIN RESEARCH & MANAGEMENT (2023)

Add to Collection

Article Clinical Neurology

YouTube as a Source of Information on Epidural Steroid Injection

Min Cheol Chang, Donghwi Park

Summary: The study assessed the reliability, quality, and usefulness of the most-viewed YouTube videos of epidural steroid injection (ESI), finding that the majority of videos had low quality, even those produced by hospitals or physicians. Efforts to improve the reliability and quality of medical content on YouTube are necessary.

JOURNAL OF PAIN RESEARCH (2021)

Add to Collection

Review Orthopedics

Cervical transforaminal epidural steroid injections for radicular pain A SYSTEMATIC REVIEW

Z. M. Borton, B. J. Oakley, J. A. Clamp, N. C. Birch, A. H. Bateman

Summary: This systematic review evaluated the clinical efficacy and complication rates of transforaminal epidural steroid injections (CTFESI) for the treatment of cervical radiculopathy. The study found increasing evidence supporting the efficacy of CTFESI with no major complications reported. However, the limited availability of high-quality studies and the heterogeneity of the available research suggest the need for further investigation.

BONE & JOINT JOURNAL (2022)

Add to Collection

Article Rehabilitation

The Fluoroscopic-Guided Cervical Transarticular Epidural Steroid Injection

Paul M. Kitei, David E. Surrey, Jeremy I. Simon, David S. Stolzenberg

Summary: The epidural space can be accessed for corticosteroid injections to treat radicular pain either through an interlaminar or transforaminal approach. If conventional access is not desired or contraindicated, a transarticular approach can be considered. This approach has been described using computed tomography guidance in the cervical spine, but not fluoroscopic guidance. This article describes a fluoroscopy-guided cervical transarticular approach to the epidural space and reviews the literature on computed tomography-guided techniques. The risks of transarticular epidural injections are low when performed carefully to avoid direct contact with critical structures.

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION (2023)

Add to Collection

Article Anesthesiology

Comparison of Caudal Versus Transforaminal Epidural Steroid Injection in Post Lumbar Surgery Syndrome After Single-level Discectomy: A Prospective, Randomized Trial

Alp Eren Celenlioglu, Savas Sencan, Serhad Bilim, Mert Sancar, Osman Hakan Gunduz

Summary: This study compared the efficacy and safety of caudal epidural steroid injection (CESI) and transforaminal epidural steroid injection (TFESI) in the treatment of post lumbar surgery syndrome (PLSS). The results showed that both methods were effective in reducing pain and disability, but TFESI seemed to be more effective at the 3-week follow-up.

PAIN PHYSICIAN (2022)

Add to Collection

Article Orthopedics

Safety outcomes and improvement in pain scores after radiologist-performed fluoroscopy-guided interlaminar cervical epidural steroid injection

Jonathan Guntin, Luis Regalado, Ali Serhal, Imran M. Omar, Wellington K. Hsu, Ankur Garg

Summary: This study evaluated the clinical outcomes and improvement in pain scores after radiologist-performed fluoroscopy-guided interlaminar cervical epidural steroid injection. The results showed that this method is a safe and effective tool in managing patients with cervical pathology.

SKELETAL RADIOLOGY (2023)

Add to Collection

Article Rehabilitation

Relationship Between Socioeconomic Status and the Outcome of Lumbar Epidural Steroid Injections for Lumbar Radiculopathy

Prakash Jayabalan, Rachel Bergman, Kevin Huang, Matthew Maas, Leah Welty

Summary: This study examined the relationship between socioeconomic status and pain reduction in patients with lumbar radiculopathy who underwent epidural steroid injections. The results showed that lower socioeconomic status was associated with greater pain reduction after the injection. Additionally, smoking and engaging in structured physical activity were also related to pain levels.

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION (2023)

Add to Collection

No Data Available

No Data Available

© Peeref 2019-2024. All rights reserved.