New study sheds light on day-to-day practice versus guidelines, with variations in practice related to indications, the duration of conservative treatment before initiating injections, and the time between injections. By Girish P Joshi, MBBS, MD There are several evidence-based (EB) guidelines that address the use of epidural injections for the treatment of low back pain. […]
Published: Oct 23, 2013 | Updated: Oct 23, 2013 By Michael Smith, North American Correspondent, MedPage Today Full Story: http://www.medpagetoday.com/Neurology/GeneralNeurology/42449 Patients made sick by contaminated steroid injections had a “broad spectrum of disease,” ranging from stroke to abscess, researchers reported. The pattern of disease varied over time, with meningitis dominating early in the outbreak and […]
Published: Sep 16, 2013 | Updated: Sep 16, 2013 By Nancy Walsh, Staff Writer, MedPage Today Full Story: http://www.medpagetoday.com/PainManagement/Fibromyalgia/41626 Action Points Individuals seeking care for back pain whose symptom pattern was typical of fibromyalgia derived little benefit from minimally invasive spine therapies such as epidural steroid injections. Note that on univariate analysis, patients who met […]
by Chris Kaiser Cardiology Editor, MedPage Today Action Points Note that this small case-series documented ischemic stroke in three patients who had recently received a contaminated steroid injection. Of particular concern, two out of the three cases did not present with classic meningeal signs or fever. There should be a “high index of suspicion […]
J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub 2013 May 22. Peterson CK1, Leemann S, Lechmann M, Pfirrmann CW, Hodler J, Humphreys BK. Abstract OBJECTIVES: The purpose of this study was to compare self-reported pain and “improvement” of patients with symptomatic, magnetic resonance imaging-confirmed, lumbar disk herniations treated with either high-velocity, low-amplitude spinal manipulative […]
Ann Intern Med. 2012 Dec 18;157(12):865-77. Pinto RZ1, Maher CG, Ferreira ML, Hancock M, Oliveira VC, McLachlan AJ, Koes B, Ferreira PH. Abstract BACKGROUND: Existing guidelines and systematic reviews provide inconsistent recommendations on epidural corticosteroid injections for sciatica. Key limitations of existing reviews are the inclusion of trials with active controls of unknown efficacy and […]
Al-Shoha A, et al. Spine (Phila Pa 1976). 2012. Show full citation Abstract STUDY DESIGN: A prospective, observational study. OBJECTIVE: To evaluate the effect of epidural steroid injection (ESI) on bone mineral density (BMD) in postmenopausal women. SUMMARY OF BACKGROUND DATA: ESIs are used to treat the pain associated with radiculopathy. Although it is known that exogenous steroid […]
Cardiopulmonary Arrest Following Cervical Epidural Injection Case Report Bradley Stauber, BS, Lin Ma, MD, and Reza Nazari, MD Pain Physician March/April 2012 – Vol 15 Issue 2 Epidural steroid injection is a common treatment for the management of pain in a wide variety of patients. It is generally well tolerated and perceived to have few […]