Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis
Authors: Denis F. Darko
Journal: Annals of Internal Medicine (2016)

Letters3 May 2016Epidural Corticosteroid Injections for Radiculopathy and Spinal StenosisDenis F. Darko, MDDenis F. Darko, MDFrom NeuroSci R&D Consultancy, Plymouth, Minnesota.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-0567 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Chou and colleagues have tried to address an important area of patient care (1) with all the literature available, which unfortunately is not much. This small body of data illustrates more of what we do not know than what we do know. The paucity of quality studies in this high-profile area of medicine is embarrassing. As the authors describe, much more remains to be done.Near the end of the Discussion section the authors briefly mention that “Research is needed to determine whether injections are more effective when given in the context of a more comprehensive pain ...References1. Chou R, Hashimoto R, Friedly J, Fu R, Bougatsos C, Dana T, et al. Epidural Corticosteroid injections for radiculopathy and spinal stenosis: a systematic review and meta-analysis. Ann Intern Med. 2015;163:373-81. [PMID: 26302454]. doi:10.7326/M15-0934 LinkGoogle Scholar2. Chou R, Qaseem A, Snow V, Casey D, Cross JT, Shekelle P, et al; Clinical Efficacy Assessment Subcommittee of the American College of Physicians. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147:478-91. [PMID: 17909209] LinkGoogle Scholar3. North American Spine Society. Clinical Guidelines for Multidisciplinary Spine Care, Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy. Washington, DC: North American Spine Society; 2012. Google Scholar4. North American Spine Society. Clinical Guidelines for Multidisciplinary Spine Care, Diagnosis and Treatment of Degenerative Lumbar Spinal Stenosis. Washington, DC: North American Spine Society; 2011. Google Scholar Author, Article, and Disclosure InformationAffiliations: From NeuroSci R&D Consultancy, Plymouth, Minnesota.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L15-0567. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEpidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis Roger Chou , Robin Hashimoto , Janna Friedly , Rongwei Fu , Christina Bougatsos , Tracy Dana , Sean D. Sullivan , and Jeffrey Jarvik Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis Timothy P. Maus , Belinda S. Duszynski , and Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis Irbaz Bin Riaz and Robert G. Badgett Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis Laxmaiah Manchikanti , Alan David Kaye , and Joshua A. Hirsch Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis Roger Chou , Robin Hashimoto , and Janna Friedly Metrics 3 May 2016Volume 164, Issue 9Page: 635KeywordsCorticosteroid therapyDisclosurePain managementPatientsStenosis ePublished: 3 May 2016 Issue Published: 3 May 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...