Extradural Corticosteroid Injection in Management of Lumbar Nerve Root Compression

Dilke, T. F. W.; Burry, H. C.; Grahame, Rodney

doi:10.1097/00132586-197404000-00063

Cited by 63 publications

(107 citation statements)

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“…However, authors of a long-term follow-up study of patients having a course of injections failed to reveal a lasting benefit (beyond 3 years) in patients with degenerative disc disease, herniated discs, lumbar radicular pain, or spinal stenosis [8,9,20,49,60]. However, a two studies of patients with spinal stenosis [12,48] demonstrated a significant (P \ 0.05) improvement in short-term benefits (decreasing of pain, improvement of functional measures and lower operative rate) after ESI. In a study restricted to patients with symptomatic lumbar stenosis, Hoogmartens and Morelle [27] found that 48% of patients treated with ESI demonstrated functional improvement from their preinjection status approximately 2 years after treatment.…”

Section: Treatment Optionsmentioning

confidence: 99%

Diagnosis and conservative management of degenerative lumbar spondylolisthesis

2007

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Degenerative spondylolisthesis (DS) is a disorder that causes the slip of one vertebral body over the one below due to degenerative changes in the spine. Lumbar DS is a major cause of spinal canal stenosis and is often related to low back and leg pain. We reviewed the symptoms, prognosis and conservative treatments for symptoms associated with DS. PubMed and MEDLINE databases (1950-2007) were searched for

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Section: Treatment Optionsmentioning

confidence: 99%

Diagnosis and conservative management of degenerative lumbar spondylolisthesis

2007

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“…It has since been used widely in many countries and all continents with varying success as reported in the United Kingdom 3,18 , America 10,15,20 , India 36 , Australia 13,39,48 , New Zealand 24 and Europe 32 . It has also been included as an often-used orthodox therapy in an orthopaedic text of the gold standard class 9 .…”

Section: Introductionmentioning

confidence: 99%

“…As such, a local epidural steroid injection will reduce the soft tissue swelling, oedema, pressure, inflammation and soft adhesions 16,18,48 on the nerve trunk 3, 20 48 as local steroid injections would do in other entrapment syndromes like carpal tunnel syndrome or ulnar tunnel syndrome . It is also subjected to the same limitations as in these sites.…”

Section: Introductionmentioning

confidence: 99%

Epidural Steroid Injection for Sciatica: An Analysis of 526 Consecutive Cases with Measurements and the Whistle Test

Loy

2000

J Orthop Surg (Hong Kong)

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The effects of epidural injections of triamcinolone acetonide and bupivacaine in the treatment of sciatica were analyzed in a retrospective series of 526 consecutive cases with measurements. A new test (the whistle test) is described. There is a paucity of measureable parameters in reports on the subject in the literature, and many are not specific or symptomoriented to sciatica. The procedure was performed by the same operator and reviewed one week postoperatively with measurements. 491 patients (93.35%) achieved excellent to good pain relief, backed by appropriate increases of straight-leg-raise measurements. But 17 patients (3.46%) of this group required surgery later. It is concluded that epidural steroid injection is a simple, cost-effective and minimally invasive treatment for sciatica, especially in the acute. It also serves as a method for crisis intervention and as a prognosticator.

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“…Injected saline stretches the nerve roots and probably displaces the nerve roots away from the site of compression. Corticosteroids accelerate healing of the irritative/inflammatory state of affected nerve roots by reducing oedema [2][3][4]. Acute low backache cases showed prompt gratifying results in 27 out of 28 cases which showed some recurrence at 24 weeks (Table 4).…”

Section: Discussionmentioning

confidence: 99%