Epidural Steroid Injections
Current Pain and Headache Reports, 11/21/2011
Wilkinson IM et al. – Epidural steroid injection (ESI) is the most commonly performed intervention in pain clinics across the United States. This article provides an evidence–based review of ESI, including data on efficacy, patient selection, comparison of types, and complications. The data strongly suggest that ESI can provide short–term relief for radicular symptoms but are less compelling for long–term effects or relief of back pain. Although it has been asserted that transforaminal ESIs are more efficacious than interlaminar injections, the evidence supporting this is limited.