Epidural Steroid Injections
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- Wilkinson, I.M. & Cohen, S.P. Curr Pain Headache Rep (2012) 16: 50. doi:10.1007/s11916-011-0236-9
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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.