Lumbar Epidural Steroid Injections: Indications, Contraindications, Risks, and Benefits

被引:27
作者
Friedrich, Jason M. [1 ]
Harrast, Mark A. [1 ]
机构
[1] Univ Washington, Dept Rehabil Med, Seattle, WA 98104 USA
关键词
LOW-BACK-PAIN; RANDOMIZED CONTROLLED-TRIAL; DOUBLE-BLIND; NERVE-ROOT; LUMBOSACRAL RADICULOPATHY; RADICULAR PAIN; PERIRADICULAR INFILTRATION; NATURAL-HISTORY; SPINAL STENOSIS; FOLLOW-UP;
D O I
10.1249/JSR.0b013e3181caa7fc
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
FRIEDRICH, J.M. and M.A. HARRAST. Lumbar epidural steroid injections: indications, contraindications, risks, and benefits. Curr. Sports Med. Rep., Vol. 9, No. 1, pp. 43-49, 2010. The clinical use of lumbar epidural steroid injections has increased dramatically. Although there are certainly beneficial effects to using epidural steroid injections in a treatment regimen for lumbar radicular pain, there is a lack of well designed, placebo-controlled studies to define conclusively specific indications and techniques for different spinal diagnoses. This article reviews the pathophysiology of lumbar radiculopathy and the use of epidural steroid injections as one treatment option, as well as describes their risks and benefits. Based on current literature, we offer an evidence-based perspective regarding rational use of lumbar epidural steroid injections for certain indications and treatment goals.
引用
收藏
页码:43 / 49
页数:7
相关论文
共 50 条
[1]   Treatment of lumbosacral radiculopathy with epidural steroids [J].
Abram, SE .
ANESTHESIOLOGY, 1999, 91 (06) :1937-1941
[2]   The efficacy of lumbar epidural steroid injections in patients with lumbar disc herniations [J].
Ackerman, William E., III ;
Ahmad, Mahmood .
ANESTHESIA AND ANALGESIA, 2007, 104 (05) :1217-1222
[3]   A multicentre randomized controlled trial of epidural corticosteroid injections for sciatica: the WEST study [J].
Arden, NK ;
Price, C ;
Reading, I ;
Stubbing, J ;
Hazelgrove, J ;
Dunne, C ;
Michel, M ;
Rogers, P ;
Cooper, C .
RHEUMATOLOGY, 2005, 44 (11) :1399-1406
[4]   Assessment: Use of epidural steroid injections to treat radicular lumbosacral pain - Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology [J].
Armon, Carmel ;
Argoff, Charles E. ;
Samuels, Jeffrey ;
Backonja, Misha-Miroslav .
NEUROLOGY, 2007, 68 (10) :723-729
[5]  
BARR KP, 2007, PHYS MED REHABILITAT, P888
[6]  
Bogduk N, 2004, INT SPINE INTERVENTI, P187
[7]  
Botwin Kenneth P, 2004, Pain Physician, V7, P77
[8]   Fluoroscopically guided lumbar transforaminal epidural steroid injections in degenerative lumbar stenosis - An outcome study [J].
Botwin, KP ;
Gruber, RD ;
Bouchlas, CG ;
Torres-Ramos, FM ;
Sanelli, JT ;
Freeman, ED ;
Slaten, WK ;
Rao, S .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2002, 81 (12) :898-905
[9]   THE NATURAL-HISTORY OF SCIATICA ASSOCIATED WITH DISK PATHOLOGY - A PROSPECTIVE-STUDY WITH CLINICAL AND INDEPENDENT RADIOLOGIC FOLLOW-UP [J].
BUSH, K ;
COWAN, N ;
KATZ, DE ;
GISHEN, P .
SPINE, 1992, 17 (10) :1205-1212
[10]  
BUSH K, 1991, SPINE, V5, P319