Neurology

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Continuous Lumbar Epidural Infusion of Steroid
Practical Pain Management, 09/29/09

Shapiro M – Lumbar epidural corticosteroid injections have been the treatment of choice in treating a variety of low back conditions, including radiculopathy, for over 50 years. Recent improvements in technique utilizing fluoroscopy with use of a contrast medium, in conjunction with understanding of potential additional risk factors with the procedure, have served to both improve efficacy and reduce complications. Unfortunately, despite these ad–vances, there remain several pitfalls with the procedure. One potential pitfall of therapeutic epidural steroid injections (ESIs) may involve the rapid re–uptake of medication within the epidural space.

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