Current Pain and Headache Reports

, Volume 16, Issue 1, pp 50–59

Epidural Steroid Injections

Anesthetic Techniques in Pain Management (GJ Brenner, Section Editor)

DOI: 10.1007/s11916-011-0236-9

Cite this article as:
Wilkinson, I.M. & Cohen, S.P. Curr Pain Headache Rep (2012) 16: 50. doi:10.1007/s11916-011-0236-9


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.


Epidural steroid injectionTransforaminal epidural steroid injectionInterlaminar epidural steroid injectionNeuropathic spinal painRadiculopathySciaticaLow back painDisabilityCost-effectivenessAnesthesiaPain management

Copyright information

© Springer Science+Business Media, LLC (outside the USA)  2011

Authors and Affiliations

  1. 1.Department of SurgeryWalter Reed Army Medical CenterWashingtonUSA
  2. 2.Pain Management Division, Department of AnesthesiologyJohns Hopkins School of MedicineBaltimoreUSA