The role of intradiscal steroids in the treatment of discogenic low back pain

被引：0
作者：
Stefan Muzin
Zacharia Isaac
Joseph Walker
机构：
[1] Harvard Medical School,Department of Physical Medicine and Rehabilitation
[2] Harvard Medical School,Brigham and Women’s Ambulatory Spine Service
来源：
Current Reviews in Musculoskeletal Medicine | 2008年 / 1卷 / 2期
关键词：
Intradiscal steroids; Hydrocortisone; Methylprednisone; Discogenic; Back pain; Disc disruption; Modic;
D O I：
10.1007/s12178-007-9015-y
中图分类号：
学科分类号：
摘要：
LBP is one of the most common reasons for visiting a doctor and is the most common cause of disability under age 45.Amongst a variety of etiologies, internal disc disruption (IDD) has been postulated as an important cause of low back pain. Treating discogenic low back pain continues to be a challenge to physicians. Inflammation, either from direct chemical irritation or secondary to an autoimmune response to the nucleus pulposus has been implicated as the primary pain source. Both steroids and non-steroidal anti-inflammatory drugs have partial effectiveness in treating pain associated with inflammation. Therefore, the rationale for using intradiscal steroids is to suppress the inflammation within the disc, thereby alleviating the patient’s symptoms. The goal of this article is to review the literature regarding the efficacy of intradiscal steroids to treat low back pain of discogenic origin.
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页码：103 / 107
页数：4
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