Procedure

Epidural Corticosteroid Injection

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Epidural Corticosteroid Injection

  • Indications
  1. Lumbar Disc Disease with acute radicular pain
  • Efficacy
  1. Only 6 of 12 controlled trials since 1950 found benefit
  2. Study (n=158 Herniated disc with Sciatica)
    1. Methylprednisolone 80 mg in 8 ml of Normal Saline
    2. Steroid group had only short-term improvement
      1. Leg Pain improved compared with Placebo
      2. Benefit lasted only 3 months
  3. References
    1. Carette (1997) N Engl J Med, 336:1634-40 [PubMed]