Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis
Written by Editor   
Tuesday, September 15, 2015 12:48 PM

The use of epidural corticosteroid injections is increasing. To review evidence on the benefits and harms of epidural corticosteroid injections in adults with radicular low back pain or spinal stenosis of any duration.

The review concluded that epidural corticosteroid injections for radiculopathy were associated with immediate reductions in pain and function. However, benefits were small and not sustained, and there was no effect on long-term surgery risk. Limited evidence suggested no effectiveness for spinal stenosis.

This review noted 30 placebo-controlled trials that evaluated epidural corticosteroid injections for radiculopathy, and 8 trials were done for spinal stenosis. For radiculopathy, epidural corticosteroids were associated with greater immediate-term reduction in pain, function, and short-term surgery risk. Effects were below predefined minimum clinically important difference thresholds, and there were no longer-term benefits. There were no clear effects of epidural corticosteroid injections for spinal stenosis.


Source: http://annals.org/article.aspx?articleid=2430207&resultClick=3