Efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review

Chronic low back and lower extremity pain is mainly caused by lumbar disc herniation (LDH) and radiculitis. Various surgery and nonsurgical modalities, including epidural injections, have been used to treat LDH or radiculitis. Caudal epidural injection of local anesthetics with or without steroids i...

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Autor principal:	Musaed hekmat AL-Dahhan
Formato:	article
Lenguaje:	EN
Publicado:	Al Muthanna University 2021
Materias:	herniated disc steroids epidural injection Medicine R
Acceso en línea:	https://doaj.org/article/f0fb444742b34fe6b14a0fc6a1ec1d30
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spelling	oai:doaj.org-article:f0fb444742b34fe6b14a0fc6a1ec1d302021-11-25T20:13:48ZEfficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review10.52113/1/2410-4590/2021-10-192226-146X2410-4590https://doaj.org/article/f0fb444742b34fe6b14a0fc6a1ec1d302021-05-01T00:00:00Zhttps://muthmj.mu.edu.iq/wp-content/uploads/2021/05/efficacy-of-epidural-injection-of-steroid-in-treatment-of-lumber-disc-prolapse-article-review.pdfhttps://doaj.org/toc/2226-146Xhttps://doaj.org/toc/2410-4590Chronic low back and lower extremity pain is mainly caused by lumbar disc herniation (LDH) and radiculitis. Various surgery and nonsurgical modalities, including epidural injections, have been used to treat LDH or radiculitis. Caudal epidural injection of local anesthetics with or without steroids is one of the most commonly used interventions in managing chronic low back and lower extremity pain. To describe the indications, rationale, techniques, alternatives, contraindications, complications, and efficacy of lumbar and caudal epidural corticosteroid injections. Interventions: Three reviewers with formal training and certification in evidence-based medicine searched the literature on non–image guided lumbar interlaminar epidural steroid injections. A larger team of seven reviewers independently assessed the methodology of studies found and appraised the quality of the evidence presented. A systematic literature search was performed, in the Medline Case reports and retrospective and prospective studies were extensively reviewed to provide detailed descriptions of the clinical features of lumbar and caudal epidural corticosteroid injections. Data sources included relevant literature of the English language identified through searches of PubMed and EMBASE , and manual searches of bibliographies of known primary and review articles. Epidural corticosteroid injections are commonly requested treatments for patients with various low-back or lower-extremity pain syndromes (or both). Most of the reports on the use of this type of treatment are retrospective and noncontrolled. These studies indicate benefit; however, the prospective controlled studies provide varied results about the efficacy of lumbar and caudal epidural corticosteroid injections. In conclusions: In patients with lumbar radicular pain secondary to disc herniation or neurogenic claudication due to spinal stenosis, interlaminar epidural steroid injections appear to have clinical effectiveness limited to short-term pain relief. Therefore, in a contemporary medical practice, these procedures should be restricted to the rare settings where fluoroscopy is not available.Musaed hekmat AL-DahhanAl Muthanna Universityarticleherniated discsteroidsepidural injectionMedicineRENMuthanna Medical Journal, Vol 8, Iss 1, Pp 10-19 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	herniated disc steroids epidural injection Medicine R
spellingShingle	herniated disc steroids epidural injection Medicine R Musaed hekmat AL-Dahhan Efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review
description	Chronic low back and lower extremity pain is mainly caused by lumbar disc herniation (LDH) and radiculitis. Various surgery and nonsurgical modalities, including epidural injections, have been used to treat LDH or radiculitis. Caudal epidural injection of local anesthetics with or without steroids is one of the most commonly used interventions in managing chronic low back and lower extremity pain. To describe the indications, rationale, techniques, alternatives, contraindications, complications, and efficacy of lumbar and caudal epidural corticosteroid injections. Interventions: Three reviewers with formal training and certification in evidence-based medicine searched the literature on non–image guided lumbar interlaminar epidural steroid injections. A larger team of seven reviewers independently assessed the methodology of studies found and appraised the quality of the evidence presented. A systematic literature search was performed, in the Medline Case reports and retrospective and prospective studies were extensively reviewed to provide detailed descriptions of the clinical features of lumbar and caudal epidural corticosteroid injections. Data sources included relevant literature of the English language identified through searches of PubMed and EMBASE , and manual searches of bibliographies of known primary and review articles. Epidural corticosteroid injections are commonly requested treatments for patients with various low-back or lower-extremity pain syndromes (or both). Most of the reports on the use of this type of treatment are retrospective and noncontrolled. These studies indicate benefit; however, the prospective controlled studies provide varied results about the efficacy of lumbar and caudal epidural corticosteroid injections. In conclusions: In patients with lumbar radicular pain secondary to disc herniation or neurogenic claudication due to spinal stenosis, interlaminar epidural steroid injections appear to have clinical effectiveness limited to short-term pain relief. Therefore, in a contemporary medical practice, these procedures should be restricted to the rare settings where fluoroscopy is not available.
format	article
author	Musaed hekmat AL-Dahhan
author_facet	Musaed hekmat AL-Dahhan
author_sort	Musaed hekmat AL-Dahhan
title	Efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review
title_short	Efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review
title_full	Efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review
title_fullStr	Efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review
title_full_unstemmed	Efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review
title_sort	efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review
publisher	Al Muthanna University
publishDate	2021
url	https://doaj.org/article/f0fb444742b34fe6b14a0fc6a1ec1d30
work_keys_str_mv	AT musaedhekmataldahhan efficacyofepiduralinjectionofsteroidintreatmentoflumberdiscprolapsearticlereview
_version_	1718410066536693760

Efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review

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