Cervical Epidural Injection in the Management of Refractory Pain and Stiffness in Spondyloarthropathy: A Case Report Series

Güngör, Semih; Aiyer, Rohit; Erkan, Doruk

doi:10.1111/papr.12616

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Nevertheless, a subset of patients requires decompression surgery although this is not always an option because of the high cost and surgical contraindications. Besides surgery, cervical epidural injections are a valid treatment approach [ 10 , 65 , 66 ] that were shown to be effective in many studies [ 12 , 19 , 41 , 43 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical Efficacy of Epidural Injections of Local Anesthetic Alone or Combined with Steroid for Neck Pain: A Systematic Review and Meta-Analysis

Tang

et al. 2022

BioMed Research International

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Aims. To compare the effectiveness of cervical epidural injections of local anesthetic with vs. without a steroid. Methods. Three databases (PubMed, Embase, and Cochrane library) were used to search and assess all clinical randomized controlled trials regarding the clinical efficacy of epidural injections from January 01, 2009, to October 31, 2020. Cochrane review criteria and the Interventional Pain Management Techniques-Quality Appraisal of Reliability and Risk of Bias Assessment instrument were used to evaluate the methodologic quality of the included studies. Qualitative and quantitative analyses were performed according to best evidence synthesis principles and by single-arm meta-analysis, respectively. Results. Based on the search criteria, 4 RCTs were qualitatively and quantitatively analyzed in the single-arm meta-analysis. Treatment with lidocaine alone or with the steroid resulted in decreases of 4.46 and 4.29 points, respectively, in pain scores and of 15.8 and 14.46 points, respectively, in functional scores at 6 months. Similar trends were observed at the 1-year follow-up: pain scores decreased by 4.27 and 4.14 points, while functional scores decreased by 15.94 and 14.44 points in patients with neck pain who received lidocaine without or with the steroid, respectively. In the 3 studies that reported 2-year follow-up data, patients with neck pain treated with lidocaine or lidocaine + steroid showed 4.2- and 4.14-point decreases, in pain score and 15.92- and 14.89-point decreases, respectively, in functional scores. Conclusions. The studies showed level I (strong) evidence for short- and long-term improvements in pain relief and functionality with cervical epidural injections of local anesthetic alone or with a steroid in the management of neck pain.

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Section: Discussionmentioning

confidence: 99%

Clinical Efficacy of Epidural Injections of Local Anesthetic Alone or Combined with Steroid for Neck Pain: A Systematic Review and Meta-Analysis

Tang

et al. 2022

BioMed Research International

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show abstract

“…Improvement was between 50% and 90%. This improvement persisted for at least 5 months [31]. In an additional study done by Manchikanti et al [32], 140 participants were allocated into 2 groups: group 1 received only lidocaine 0.5%, while group 2 received lidocaine 0.5% and dexamethasone.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided epidural block in axial spondyloarthritis patients with limited spine mobility: a randomized controlled trial

2021

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Cervical Epidural Injection in the Management of Refractory Pain and Stiffness in Spondyloarthropathy: A Case Report Series

Cited by 2 publications

References 18 publications

Clinical Efficacy of Epidural Injections of Local Anesthetic Alone or Combined with Steroid for Neck Pain: A Systematic Review and Meta-Analysis

Clinical Efficacy of Epidural Injections of Local Anesthetic Alone or Combined with Steroid for Neck Pain: A Systematic Review and Meta-Analysis

Ultrasound-guided epidural block in axial spondyloarthritis patients with limited spine mobility: a randomized controlled trial

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