SourcePhysical Medicine and Rehabilitation Clinics of North America, 25, 2, (2014), pp. 471-89 e1-50
Article / Letter to editor
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Physical Medicine and Rehabilitation Clinics of North America
p. 89 e1-50
SubjectRadboudumc 18: Healthcare improvement science RIHS: Radboud Institute for Health Sciences
Most clinical guidelines do not recommend routine use of epidural steroid injections for the management of chronic low back pain. However, many clinicians do not adhere to these guidelines. This comprehensive evidence overview concluded that off-label epidural steroid injections provide small short-term but not long- term leg-pain relief and improvement in function; injection of steroids is no more effective than injection of local anesthetics alone; post-procedural complications are uncommon, but the risk of contamination and serious infections is very high. The evidence does not support routine use of off-label epidural steroid injections in adults with benign radicular lumbosacral pain.
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