Pain medicine : the official journal of the American Academy of Pain Medicine
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To determine the effectiveness and risks of fluoroscopically guided lumbar interlaminar epidural steroid injections. ⋯ The body of evidence regarding effectiveness of fluoroscopically guided interlaminar epidural steroid injection is of low quality according to GRADE. Studies suggest a lack of effectiveness of fluoroscopically guided lumbar interlaminar epidural steroid injections in treating primarily axial pain regardless of etiology. Most studies on radicular pain due to lumbar disc herniation and stenosis do, however, report statistically significant short-term improvement in pain.