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Epidural Steroid Injection or Physical Therapy for Lumbosacral Radiculopathy Due to Disc Herniation?

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Abstract

A 58-year-old male presents to his physician with complaints of low back pain for the past 4 months. The pain is sharp and burning and radiates down the back of his left leg to the bottom of the foot. There is a tingling and occasional numbness on the sole of his foot. He has tried taking nonsteroidal anti-inflammatory agents (NSAIDs) with minimal benefit, and finally decided it was time to get the pain checked as golf season was around the corner, and he did not want it to impact his game. A magnetic resonance imaging (MRI) scan is performed and reveals a small central left paracentral disc herniation at L5-S1, which partially effaces the ventral thecal sac.

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References

  1. Chou R, Atlas S, Rosenquist E. Subacute and chronic low back pain: nonsurgical interventional treatment. UpToDate. 2015;1–10.

    Google Scholar 

  2. Choi J, Lee S, Hwangbo G. Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg of patients with intervertebral disc herniation. J Phys Ther Sci. 2015;27:481–3.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hsu PS, Armon C, Levin K, Shefner JM, Dashe JF. Lumbosacral radiculopathy: pathophysiology, clinical features, and diagnosis. UpToDate. 2015;1–16.

    Google Scholar 

  4. Cohen SP, Bicket MC, Jamison D, Wilkinson I, Rathmell JP. Epidural steroids: a comprehensive, evidence-based review. Reg Anesth Pain Med. 2013;38(3):175–200.

    Article  CAS  PubMed  Google Scholar 

  5. Atlas S, Aronson M, Park L. Exercise-based therapy for low back pain. UpToDate. 2015;1–11.

    Google Scholar 

  6. Manchikanti L, Candido KD, Singh V, Gharibo CG, Boswell MV, Benyamin RM, et al. Epidural steroid warning controversy still dogging FDA. Pain Physician. 2014;17(4):E451–74.

    PubMed  Google Scholar 

  7. Manchikanti L, Benyamin RM, Falco FJ, Kaye AD, Hirsch JA. Do epidural injections provide short- and long-term relief for lumbar disc herniation? A systemic review. Clin Orthop Relat Res. 2015;473(6):1940–56.

    Article  PubMed  Google Scholar 

  8. Koc Z, Ozcakir S, Sivrioglu K, Gurbet A, Kucukoglu S. Effectiveness of physical therapy and epidural steroid injections in lumbar spinal stenosis. Spine. 2009;34(10):985–9.

    Article  PubMed  Google Scholar 

  9. Valat JP, Giraudeau B, Rozenberg S, Goupille P, Bourgeois P, Micheau-Beaugendre V, et al. Epidural corticosteroid injections for sciatica: a randomized, double blind controlled clinical trial. Ann Rheum Dis. 2003;7:639–43.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesiology, New York University Langone Medical Center, 550 First Avenue, New York, New York, 10016, USA

    Ryan T. Gualtier

Authors
  1. Ryan T. Gualtier
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Correspondence to Ryan T. Gualtier .

Editor information

Editors and Affiliations

  1. Clinical Professor of Anesthesiology, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, USA

    Corey S. Scher

  2. Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois, USA

    Anna Clebone

  3. Clinical Professor of Anesthesiology (Emeritus), Former Assistant Director of Anesthesiology, Bellevue Hospital Center Retired from Department of Anesthesiology, Bellevue Hospital Center, New York University School of Medicine, New York, New York, USA

    Sanford M. Miller

  4. Clinical Associate Professor of Anesthesiology and Surgery, Bellevue Hospital Center, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, Surgical Intensive Care Unit, New York, New York, USA

    J. David Roccaforte

  5. Department of Anesthesiology, Perioperative Care and Pain Medicine, Vice Chair Faculty Promotion Associate Director Anesthesia Service Bellevue Hospital Center, New York, New York, USA

    Levon M. Capan

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Gualtier, R.T. (2017). Epidural Steroid Injection or Physical Therapy for Lumbosacral Radiculopathy Due to Disc Herniation?. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_100

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_100

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

  • eBook Packages: MedicineMedicine (R0)

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