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Epidural Corticosteroid Injection

Indications
1. Lumbar Disc Disease with acute radicular pain
Efficacy
1. Only 6 of 12 controlled trials since 1950 found benefit
2. Study (n=158 herniated disc with sciatica)
  1. Methylprednisolone 80 mg in 8 ml of normal saline
  2. Steroid group had only short-term improvement
    1. Leg Pain improved compared with Placebo
    2. Benefit lasted only 3 months
3. References
  1. Carette (1997) N Engl J Med 336:1634

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.