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Epidural Steroid Injection
Donald V. La Barge, III, MD, MBA
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          • Outcomes

            TERMINOLOGY

            • Abbreviations

              • Epidural steroid injection (ESI)
            • Definitions

              • Corticosteroid/anesthetic injection into lumbar epidural space via interlaminar, transforaminal, or caudal approach

            PREPROCEDURE

            • Indications

              • Contraindications

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Equipment Preparation

                      • Procedure Steps

                        • Findings and Reporting

                          • Alternative Procedures/Therapies

                            POST PROCEDURE

                            • Expected Outcome

                              • Things to Do

                                • Things to Avoid

                                  OUTCOMES

                                  • Problems

                                    • Complications

                                      Selected References

                                      1. Amoretti N et al: Serious neurological complication resulting from inadvertent intradiscal injection during fluoroscopically guided interlaminar epidural steroid injection. Cardiovasc Intervent Radiol. 42(5):775-8, 2019
                                      2. Bush K et al: The safety and efficiency of performing cervical transforaminal epidural steroid injections under fluoroscopic control on an ambulatory/outpatient basis. Eur Spine J. ePub, 2019
                                      3. Engle AM et al: Lumbosacral radiculopathy: inciting events and their association with epidural steroid injection outcomes. Pain Med. ePub, 2019
                                      4. Perez FA et al: Lumbar spinal stenosis severity by CT or MRI does not predict response to epidural corticosteroid versus lidocaine injections. AJNR Am J Neuroradiol. 40(5):908-15, 2019
                                      5. Gharibo CG et al: Conus medullaris infarction after a right L4 transforaminal epidural steroid injection using dexamethasone. Pain Physician. 19(8):E1211-4, 2016
                                      6. Cohen SP et al: Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study. BMJ. 350:h1748, 2015
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Preprocedure

                                          • Procedure

                                            • Post Procedure

                                              • Outcomes

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Epidural steroid injection (ESI)
                                                • Definitions

                                                  • Corticosteroid/anesthetic injection into lumbar epidural space via interlaminar, transforaminal, or caudal approach

                                                PREPROCEDURE

                                                • Indications

                                                  • Contraindications

                                                    • Getting Started

                                                      PROCEDURE

                                                      • Patient Position/Location

                                                        • Equipment Preparation

                                                          • Procedure Steps

                                                            • Findings and Reporting

                                                              • Alternative Procedures/Therapies

                                                                POST PROCEDURE

                                                                • Expected Outcome

                                                                  • Things to Do

                                                                    • Things to Avoid

                                                                      OUTCOMES

                                                                      • Problems

                                                                        • Complications

                                                                          Selected References

                                                                          1. Amoretti N et al: Serious neurological complication resulting from inadvertent intradiscal injection during fluoroscopically guided interlaminar epidural steroid injection. Cardiovasc Intervent Radiol. 42(5):775-8, 2019
                                                                          2. Bush K et al: The safety and efficiency of performing cervical transforaminal epidural steroid injections under fluoroscopic control on an ambulatory/outpatient basis. Eur Spine J. ePub, 2019
                                                                          3. Engle AM et al: Lumbosacral radiculopathy: inciting events and their association with epidural steroid injection outcomes. Pain Med. ePub, 2019
                                                                          4. Perez FA et al: Lumbar spinal stenosis severity by CT or MRI does not predict response to epidural corticosteroid versus lidocaine injections. AJNR Am J Neuroradiol. 40(5):908-15, 2019
                                                                          5. Gharibo CG et al: Conus medullaris infarction after a right L4 transforaminal epidural steroid injection using dexamethasone. Pain Physician. 19(8):E1211-4, 2016
                                                                          6. Cohen SP et al: Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study. BMJ. 350:h1748, 2015