Medical Policy Epidural Steroid Injection
نویسنده
چکیده
• Recommended as a possible option for short-term treatment of radicular pain (defined as pain in dermatomal distribution with corroborative findings of radiculopathy). The purpose of an ESI is to reduce pain and inflammation, thereby facilitating progress in more active treatment programs, reduction of medication use and avoiding surgery, but this treatment alone offers no significant long-term functional benefit.
منابع مشابه
Comparison 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 کاملThoughts on evidence-based medicine and interlaminar epidural injections.
To the Editor: Recently, I was asked to co-author a review of the scientific evidence for, or against, the use of epidural steroid injections to treat pain. Although there have been many studies published over the years showing efficacy for interlaminar epidural injections, none met the criteria for our report because most were not randomized and none evaluated injections using fluoroscopy. On ...
متن کاملTransforaminal epidural steroid injection for discectomy candidates: an outcome study with a minimum of two-year follow-up.
BACKGROUND The efficacy of epidural steroid injection for sciatica due to herniated disc is controversial. This study evaluates the therapeutic effect of an alternative technique that uses a modified approach of epidural steroid injection for the above mentioned disease. The aim was to determine whether this procedure can reduce the need of surgery among discectomy candidates. METHODS Twenty-...
متن کاملAn unusual complication following caudal epidural steroid injection: a case report.
The authors present a case in which paraplegia developed following administration of caudal epidural steroid injection (ESI) and discuss the different pathophysiological mechanisms involved. The authors strongly recommend that 0.5% bupivacaine should be used with caution for caudal epidural injection.
متن کاملEpidural Steroid Injection for Lumbosacral Radiculopathy
ow back pain combined with radicular pain remains as one of the most challenging musculoskeletal problems for its therapeutic management (1). This malady results from nerve root impingement and/or inflammation that causes neurologic symptoms in the distribution of the affected nerve root(s). Conservative treatment, percutaneous spine interventions and surgery have all been used as treatments; a...
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تاریخ انتشار 2013