Double Blind Evaluation of Extradural Methyl Prednisolone for Herniated Lumbar Discs

Snoek, Wolfgang; Weber, Henrik; Jørgensen, Bjørn

doi:10.3109/17453677708994810

Cited by 174 publications

(77 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…152,153,158,171,173 However, there was no statistically significant difference between intervention groups for the global effect. 148,152,153,165,173,176 Furthermore, there was no statistically significant difference between epidural injection and inactive control for global effect, 152 Epidural vs activity restriction 1 (1) 40 ( (62) 2/29 (7) 1/29 (3) 1/29 (3) 13/29 (45) 2/29 (7) This ). There were no statistically significant difference between epidural injection and usual care at medium-term follow-up for global effect, 151,174 pain intensity 151,174 or CSOMs.…”

Section: Summary Of Overall Findings For Epidural/intradiscal Injectimentioning

confidence: 93%

“…The duration of follow-up ranged from 24 hours 148 to 6 weeks. 173 Six RCTs 148,152,153,165,173,176 compared epidural injections with inactive control; the overall findings were found to be in favour of epidural, but were not statistically significant. Three RCTs 152,153,173 were good quality.…”

Section: Summary Of Study Participants For Epidural/intradiscal Injecmentioning

confidence: 96%

See 1 more Smart Citation

The clinical effectiveness and cost-effectiveness of management strategies for sciatica: systematic review and economic model

Lewis

Williams²,

Matar³

et al. 2011

Health Technol Assess

View full text Add to dashboard Cite

How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTAThe clinical effectiveness and costeffectiveness of management strategies for sciatica: systematic review and economic model NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA pro...

show abstract

Section: Summary Of Overall Findings For Epidural/intradiscal Injectimentioning

confidence: 93%

Section: Summary Of Study Participants For Epidural/intradiscal Injecmentioning

confidence: 96%

The clinical effectiveness and cost-effectiveness of management strategies for sciatica: systematic review and economic model

Lewis

Williams²,

Matar³

et al. 2011

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…Numerous authors have reported on their value in treating patients with radicular pain with the possibility of delaying or even obviating the need for lumbar discectomy in well-selected patients. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] There are two well-performed clinical studies in the peer reviewed literature that examined the crossover rates to surgery for patients who received either ESI or SNRB. In a prospective study, Buttermann et al found a crossover rate to surgery for patients with symptomatic disc herniations treated with ESI of 54% (27/50).…”

Section: Introductionmentioning

confidence: 99%

The Incidence of Lumbar Discectomy after Epidural Steroid Injections or Selective Nerve Root Blocks

2015

View full text Add to dashboard Cite

BackgroundThe purpose of this study was to determine the use of Central Epidural Steroid Injections (ESI) and Selective Nerve Root Blocks (SNRB) along with the crossover rate to lumbar discectomy in patients with a lumbar disc herniation using retrospective records database search. Butterman et al found a crossover rate for patients with symptomatic disc herniations treated with ESI of 54% (27/50), while Riew similarly found a 53% (29/55) crossover patients receiving SNRB.

show abstract

“…The effectiveness of epidural steroids in the treatment of symptoms of lumbar nerve root compression remains controversial [1,2,6,7,9,[12][13][14][15][16]. One reason for different results and ineffectiveness may be the fact that the steroids to not reach the appropriate nerve root in a sufficient concentration by conventional caudal or posterior injection techniques.…”

Section: Introductionmentioning

confidence: 99%

Lumbar epidural perineural injection: a new technique

et al. 1997

View full text Add to dashboard Cite

Two controlled studies for a new epidural, perineural, singleshot, selective nerve root injection with a double-needle approach to the anterior epidural space of the lumbar spinal canal are presented. The results were analysed to determine the effectiveness of the new epidural perineural injection technique. The trial comprised two controlled studies on 182 patients. One study compared prospectively randomized resuits of patients with lumbar radicular syndromes who received epidural perineural injections (n = 47), conventional posterior epidural injections (n = 40) and, as a control group, paravertebral local anaesthetic (n = 46). A second, prospective, double-blind study compared the effect of epidural perineural injections with triamcinolone (n = 24) and pure saline (n = 25). Epidural perineural injections were more effective than conventional posterior epidural injections. Both epidural groups had better results than the paravertebral local injection group. Epidural perineural injections with steroids (10 mg triamcinolone) were more effective than saline alone. A systemic steroid effect was excluded by additional intramuscular steroid injections in the saline group. There were no severe complications or side effects in any of the three groups. The studies concluded that single-shot epidural perineural injection is effective in the treatment of lumbar radicular pain. It is a "one drop only" therapy to the source of pain.

show abstract

Double Blind Evaluation of Extradural Methyl Prednisolone for Herniated Lumbar Discs

Cited by 174 publications

References 11 publications

The clinical effectiveness and cost-effectiveness of management strategies for sciatica: systematic review and economic model

The clinical effectiveness and cost-effectiveness of management strategies for sciatica: systematic review and economic model

The Incidence of Lumbar Discectomy after Epidural Steroid Injections or Selective Nerve Root Blocks

Lumbar epidural perineural injection: a new technique

Contact Info

Product

Resources

About