An update on epidural steroid injections: is there still a role for particulate corticosteroids?

Response to the Letter to the Editor: Comparison of efficacy between transforaminal epidural steroid injection technique without contrast versus with contrast in lumbar radiculopathy: a prospective longitudinal cohort study

“…While we acknowledge the potential risks associated with particulate steroids, we ensured that all patients were thoroughly evaluated for contraindications. Delaney and MacMahon [ 4 ] in 2023 highlighted that while particulate steroids carry risks, they can be used safely in selected cases with appropriate precautions. The specific particulate steroid used in our study, triamcinolone acetonide, has a well-documented safety profile when administered correctly.…”

Letter to the Editor: Comparison of efficacy between transforaminal epidural steroid injection technique without contrast versus with contrast in lumbar radiculopathy: a prospective longitudinal cohort study

“…Serious complications due to particulate steroids have been reported in spinal procedures. Additionally, particulate steroids are recommended to be used only in selected situations [ 4 ]. Although you did not use contrast in the study and you used particulate steroids.…”