Diagnostic and therapeutic spinal interventions: Epidural injections

J. D. Bartleson, Timothy P. Maus

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Epidural injections of local anesthetic or a corticoste-roid are frequently given to diagnose and treat patients with radicular pain originating from any spinal level. The best-quality evidence supports a transforaminal approach in the lumbar spine. Many patients experience substantial benefit from a single therapeutic injection. Depending upon the benefit obtained, additional injections may be administered. Selective nerve blocks with local anesthetic alone can identify the spinal nerve mediating the patient's pain. Serious short-term risks are rare but occur; long-term risks are infrequent and can be due to systemic effects of multiple corticosteroid injections. Patients who have failed conservative therapy or are not candidates for surgical intervention can be considered for epidural steroid injections to relieve their radicular pain temporarily.

Original languageEnglish (US)
Pages (from-to)347-352
Number of pages6
JournalNeurology: Clinical Practice
Volume4
Issue number4
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Clinical Neurology

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