Broad syntheses related to this topic

loading
2 References (2 articles) loading Revert Studify

Broad synthesis / Living FRISBEE

Unclassified

Is epidural steroid injection effective for degenerative lumbar spinal stenosis?

blocked
Authors Flores S , Molina M
Journal Medwave
Year 2015
Links Pubmed DOI

This article includes 9 Systematic reviews Systematic reviews (9 references) 8 Primary studies Primary studies (8 references)

Loading references information
There are several nonsurgical alternatives to treat radicular pain in degenerative lumbar spinal stenosis. Epidural steroid injections have been used for several decades, but the different studies have shown variable effects. Searching in Epistemonikos database, which is maintained by screening 30 databases, we identified nine systematic reviews including seven pertinent randomized controlled trials. We concluded epidural steroid injection probably leads to little or no effect on reducing radicular pain of spinal stenosis.

Broad synthesis

Unclassified

Epidural steroid injections for radicular lumbosacral pain: a systematic review.

Journal Physical medicine and rehabilitation clinics of North America
Year 2014
Links Pubmed DOI

This article includes 15 Systematic reviews Systematic reviews (15 references) 15 Primary studies Primary studies (15 references)

Loading references information
Most clinical guidelines do not recommend routine use of epidural steroid injections for the management of chronic low back pain. However, many clinicians do not adhere to these guidelines. This comprehensive evidence overview concluded that off-label epidural steroid injections provide small short-term but not long- term leg-pain relief and improvement in function; injection of steroids is no more effective than injection of local anesthetics alone; post-procedural complications are uncommon, but the risk of contamination and serious infections is very high. The evidence does not support routine use of off-label epidural steroid injections in adults with benign radicular lumbosacral pain.