• NeuroRehabilitation · Jan 2020

    Review

    Are epidural corticosteroid injections effective for lumbosacral radicular pain? A Cochrane Review summary with commentary.

    • Francesco Negrini.
    • IRCCS Istituto Ortopedico Galeazzi, Italy.
    • NeuroRehabilitation. 2020 Jan 1; 47 (4): 509-511.

    BackgroundEpidural corticosteroid injection is one of the most common non-surgical procedures for lumbosacral radicular pain.ObjectiveTo assess efficacy and safety of epidural corticosteroid injections compared with placebo injections in patients with lumbosacral radicular pain.MethodsA summary and commentary of a Cochrane Review by Oliveira et al.RESULTS:25 studies with a total of 2740 participants were included in the review. Moderate quality evidence pointed out a small effect on leg pain at immediate and short-term follow-up and on disability at short-term and intermediate follow-up. Adverse events were not different between corticosteroid and placebo injections.ConclusionsEpidural corticosteroid injection is slightly more effective than placebo for leg pain and disability at short-term follow up. Clinicians and patients however should be informed of the small effect size of the treatment.

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