introduction: chronic radicular low back pain is a common disease that limits patient’s daily activity. epidural steroid injection (esi) is becoming the mainstay of therapies for radicular low back pain due to contained bulged disc. aim: to determine the effect of adding hypertonic saline to epidural steroid injections to provide pain relief for chronic radiculopathy back pain secondary to fora...

Advantages and possible risks associated with steroid injection compared with nonsteroidal anti-inflammatory drugs (NSAIDs) for shoulder pain are not fully understood. To compare the efficiency and safety of steroid injection versus NSAIDs for patients with shoulder pain. PubMed, Embase, and the Cochrane Library were searched through July 2015. Study eligibility criteria, participants, and inte...

conclusions the pil epidural injection is as effective as tf epidural injection in improving pain and functional status, in patients with chronic lumbosacral low back pain, due to disc degeneration. results effective pain relief [numeric rating scale (nrs) < 3] was observed in 77.3% (95% ci: 67‒90.5%) of patients in pil group and 74.2% (95% ci: 62.4 - 89.4%) of patients in the tf group (p = 0.3...

BACKGROUND Epidural injection of corticosteroids is one of the most commonly used interventions in managing chronic spinal pain. However, there has been a lack of well-designed randomized, controlled studies to determine the effectiveness of epidural injections. Consequently, debate continues as to the value of epidural steroid injections in managing spinal pain. OBJECTIVE To evaluate the eff...

Background: In the treatment of moderate osteoarthritis with intraarticular injection there are many available options as steroid, hyaluronic acid and platelet rich plasma. But there are lack specific clear-cut indications. Our study is intended to compare result of different injections and correlate it to find some specific indication Method: Total 209 knees of 124 patients studied in three gr...

OBJECTIVE To study the efficacy, safety and patient satisfaction of psoas compartment and caudal epidural steroid injection in patients with spinal stenosis and lumbosaccral radiculopathy. METHODS Patients with a diagnosis of spinal stenosis and lumbosaccral radiculopathy having visual analogue score (VAS) less than five were included in the study. Bilateral psoas compartment and caudal epidu...

BACKGROUND Low back pain and sciatica is a common clinical condition. It is a most common orthopaedic complaint in the Kaski region of Nepal. The reason for its increased incidence may be hilly terrain, difficult working and living environment of the region. The initial treatment of Low back pain is conservative. Epidural steroid injection is being slowly established as are liable mode of conse...

Injections are valuable procedures for managing musculoskeletal conditions commonly encountered by family physicians. Corticosteroid injections into articular, periarticular, or soft tissue structures relieve pain, reduce inflammation, and improve mobility. Injections can provide diagnostic information and are commonly used for postoperative pain control. Local anesthetics may be injected with ...

We write to make some comments and pertinent observations regarding a recent presentation at the American Academy of Pain Medicine 28th Annual Conference by Cheng [1]. In an article titled “Sacroiliac Steroid Injections Do Not Predict Ablation Relief,” he found in a retrospective analysis of 80 cases of sacroiliac joint (SIJ) pain that steroid injection into the joint did not predict the subseq...