Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5677542 | Archives of Physical Medicine and Rehabilitation | 2017 | 31 Pages |
Abstract
For lumbar spinal stenosis symptoms, epidural injections of corticosteroid plus lidocaine offered no benefits from 6 weeks to 12Â months beyond that of injections of lidocaine alone in terms of self-reported pain and function or reduction in use of opioids and spine surgery. In patients with improved pain and function 6 weeks after initial injection, these outcomes were maintained at 12 months. However, the trajectories of pain and function outcomes after 3 weeks did not differ by injectate type. Repeated injections of either type offered no additional long-term benefit if injections in the first 6 weeks did not improve pain.
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Authors
Janna L. MD, Bryan A. MS, Judith A. PhD, Patrick J. PhD, Richard A. MD, MPH, Zoya MD, PhD, Andrew L. MD, MPH, Srdjan S. MD, David R. PhD, Xu (Rita) PhD, Thiru MD, Christopher J. MD, Matthew MD, David J. MD, Venu MD, David MD, Ajay D. MD, Felix MD,