Safeguards to prevent neurologic complications after epidural steroid injections: analysis of evidence and lack of applicability of controversial policies.
نویسندگان
چکیده
Dr. Manchikanti is Medical Director of the Pain Management Center of Paducah, Paducah, KY, and Clinical Professor, Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY. Dr. Falco is Medical Director of Mid Atlantic Spine & Pain Physicians, Newark, DE; Director, Pain Medicine Fellowship Program, Temple University Hospital, Philadelphia, PA; and Adjunct Associate Professor, Department of PM&R, Temple University Medical School, Philadelphia, PA.
منابع مشابه
Safeguards to prevent neurologic complications after epidural steroid injections: consensus opinions from a multidisciplinary working group and national organizations.
BACKGROUND Epidural corticosteroid injections are a common treatment for radicular pain caused by intervertebral disc herniations, spinal stenosis, and other disorders. Although rare, catastrophic neurologic injuries, including stroke and spinal cord injury, have occurred with these injections. METHODS A collaboration was undertaken between the U.S. Food and Drug Administration Safe Use Initi...
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BACKGROUND Cervical interlaminar epidural injections are performed frequently in managing chronic neck and upper extremity pain, although less commonly than lumbar interlaminar epidural injections. Recently, the US Food and Drug Administration warnings and safeguards to prevent neurologic complications. These were developed by the Multi-Society Pain Workgroup have taken center stage for all typ...
متن کاملInsufficient Clarity of Statement 6 in the Consensus Opinions to Prevent Neurologic Complications after Epidural Steroid Injections.
To the Editor: I read with interest the consensus opinions to prevent neurologic complications after epidural steroid injections in the May 2015 issue.1 The working group deserves the thanks of practitioners of interventional pain medicine. The statements serve to direct cervicothoracic spine.3 Furthermore, the lateral view did not provide consistent location of the needle tip in the epidural s...
متن کاملComparison the effect of epidural steroid injection by Caudal and Lumbar methods for controlling the radicular pain of lower extremity
Aims and background: Chronic low back pain is one of the common causes of patients referring to specialized and general medical clinics. The positive effect of Epidural Steroid injection has been proven in relieving pain in these patients. In this study, the epidural effects of methylprednisolone acetate in these two methods of Caudal and Lumbar were compared. Materials and Methods: In thi...
متن کاملParaplegia following a thoracolumbar transforaminal epidural steroid injection.
BACKGROUND In recent years, transforaminal epidural injections have emerged as an alternative to interlaminar and caudal epidural steroid injections. The rationale for utilizing transforaminal epidural injections has been described for diagnostic as well as therapeutic purposes. The evidence for lumbar transforaminal epidural steroid injections in managing lumbar nerve root pain is strong, wher...
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ورودعنوان ژورنال:
- Pain physician
دوره 18 2 شماره
صفحات -
تاریخ انتشار 2015