The Medical Letter on Drugs and Therapeutics
Epidural Corticosteroid Injections for Lumbar and Cervical Radiculopathy
Subscribers: Log in to read full article.  Not a subscriber?  Subscribe or purchase article.

For patients with radicular pain unresponsive to conservative treatment after 1-2 months and no progressive neurologic deficit, epidural corticosteroid injections are often tried before surgical intervention.

CLINICAL STUDIES — Published studies of corticosteroid injections for radiculopathy have usually been small and short-term, used various corticosteroids in different doses and fluid volumes, included and excluded patients with various etiologies, and used a variety of endpoints to measure outcomes. Some studies used placebo controls; most did not. A few studies were randomized; none were double-blind.

Lumbar Radiculopathy – One review found strong evidence that use of lumbar epidural steroid injections produced short-term relief of unilateral radicular pain caused by herniated nucleus pulposus or spinal stenosis.1 A review of studies using only ... more      

The Medical Letter is a subscriber-funded nonprofit organization that publishes critical appraisals of new prescription drugs and comparative reviews of drugs for common diseases.

Would you like to read the rest of this article?  Gain access below.

Subscriptions to The Medical Letter on Drugs and Therapeutics include:
  • Print version published and mailed biweekly (26 issues/year)
  • Unlimited online access to current and past issues (1988 - present)
  • Mobile App for iOS, Android, and Kindle Fire
  • FREE online per issue CME/CE
Purchase this article:
Title: Epidural Corticosteroid Injections for Lumbar and Cervical Radiculopathy
Article code: 1382b
 Electronic, downloadable article - $45
Gain access through your organization
Ask your librarian to consider an Institutional Subscription to The Medical Letter.
Recommend to your librarian