Percutaneous Epidural Adhesiolysis with Epidural Steroid Injection: A Non-inferiority Test of Non-particulate Steroids Versus Particulate Steroids
نویسندگان
چکیده
منابع مشابه
Adding Particulate or Non-Particulate Steroids to the Local Anesthetics When Performing Parasagittal Interlaminar Epidural Injections.
We read with great interest a recent study by Ghai et al (1) wherein they followed 56 out of 69 randomized patients for 12 months following parasagittal interlaminar (PIL) injection with local anesthetics (LA) alone or LA with steroid (LS). We agree with author’s choice of technique to achieve adequate and consistent ventral epidural spread of injectate. Parasagittal interlaminar epidural stero...
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BACKGROUND The efficacy of particulate and non-particulate steroids in patients receiving epidural steroid injections remains unclear. OBJECTIVE The purpose of this meta-analysis was to compare the efficacy of particulate and non-particulate steroids in patients receiving epidural injections for radicular pain over 3 months. STUDY DESIGN Systematic review and meta-analysis. METHODS We rev...
متن کاملThe noninferiority of the nonparticulate steroid dexamethasone vs the particulate steroids betamethasone and triamcinolone in lumbar transforaminal epidural steroid injections.
OBJECTIVE To assess whether a nonparticulate steroid (dexamethasone, 10 mg) is less clinically effective than the particulate steroids (triamcinolone, 80 mg; betamethasone, 12 mg) in lumbar transforaminal epidural steroid injections (TFESIs) in subjects with radicular pain with or without radiculopathy. DESIGN Retrospective observational study with noninferiority analysis of dexamethasone rel...
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Fact: All particulate corticosteroid preparations have been implicated in rare cases of paraplegia, whereas no definitive evidence exists of paraplegia resulting from injection of non-particulate steroids. Studies directly comparing the effectiveness of particulate and non-particulate steroids largely show no differences between the two, with respect to relief of pain, restoration of function, ...
متن کاملDetermination of the particulate size and aggregation of clonidine and corticosteroids for epidural steroid injection.
BACKGROUND Epidural injection of corticosteroids is a commonly used treatment for radicular pain. However, the benefits are often short lived, and repeated injections are often limited secondary to concerns of side effects from cumulative steroid doses. In addition, rare, catastrophic complications, including brain and spinal cord embolic infarcts have been attributed to particulate steroid inj...
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ژورنال
عنوان ژورنال: Pain Medicine
سال: 2016
ISSN: 1526-2375,1526-4637
DOI: 10.1093/pm/pnw021