Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2770035 | Revista de la Sociedad Española del Dolor | 2009 | 18 Pages |
Abstract
There are differences in the effectiveness, level of evidence and grade of recommendation for steroid use, associated or not with local anesthetics, according to the technique performed. Medial branch injection is more effective than facet joint injection. Epidural steroid injection is effective in back pain due to the different routes of access (interlaminar, transforaminal and caudal) when appropriately indicated and administered in well-selected patients. The most effective technique among those reviewed was intradiscal steroid injection. We recommend steroid administration as close as possible to the site of the lesion and the use of radiological vision to perform the distinct techniques, including epidural procedures.
Keywords
Related Topics
Health Sciences
Medicine and Dentistry
Anesthesiology and Pain Medicine
Authors
F. Neira, J.L. Ortega,