Recommended Dexamethasone Dose for Epidural Administration: Response to the Comments of Koetsier

Boxem, Koen Van; Rijsdijk, Mienke; Hans, Guy; Jong, Jasper de; Kallewaard, Jan Willem; Vissers, Kris; Kleef, Maarten van; Rathmell, James P.; Zundert, Jan Van

doi:10.1111/papr.12758

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Studies have also looked into different doses of dexamethasone (7.5 to 15 mg) and reported that it has as many side effects as epidural corticosteroids. A recent clinical trial found that even 8 mg dexamethasone injection resulted in a reduction in cortisol levels (23).…”

Section: █ Discussionmentioning

confidence: 99%

Outcome measurements for post-epidural steroid injection pain relief in elderly patients with spinal stenosis: is the conservative approach an option?

Tasdogan¹,

Kılıç²

2020

Turkish Neurosurgery

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AIM: To evaluate the short-term outcomes of epidural steroid injections (ESIs) among elderly patients with lumbar spinal stenosis. MATERIAL and METHODS: This was a retrospective study. The sample consisted of 44 patients aged 65 or older who underwent epidural steroid injections secondary to lumbar spinal stenosis between 2014 and 2016 at a single center. Data were collected using the Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), and Istanbul Low Back Pain Disability Index (ILBPDI) before and at 3-month follow-up visit. RESULTS: Participants had lower mean scale scores at all times after ESI administration than before. Four patients (9.1%) needed additional injections while two (4.5%) needed operation. No minor or major ESI-related complications were observed. CONCLUSION: Epidural steroid injections are an effective nonsurgical option for pain relief and improvement of physical function in elderly patients. The NRS, ODI, and ILBPDI are reliable and valid scales that can be used to evaluate the outcomes of ESIs in a selected group of elderly patients.

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Section: █ Discussionmentioning

confidence: 99%

Outcome measurements for post-epidural steroid injection pain relief in elderly patients with spinal stenosis: is the conservative approach an option?

Tasdogan¹,

Kılıç²

2020

Turkish Neurosurgery

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Section: Interventional Approaches To Chronic Painmentioning

confidence: 99%

“…87 There is also a lack of controlled trials on dosing but noninferiority studies and provider surveys typically recommend 10 mg of dexamethasone, though lower doses may be effective as well. [89][90][91] The evidence base for this procedure is wide, variable, and inconclusive and further study would be beneficial. 92,93 Interventional Approaches to Cancer Pain Cancer pain is both difficult to treat and prevalent, with rates of moderate to severe pain estimated to be 38% by a recent systematic review.…”

Section: Epidural Steroid Injectionsmentioning

confidence: 99%

Agents Used for Nerve Blocks and Neurolysis

Majdalany

Lilly

et al. 2022

Semin intervent Radiol

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The recognition of pain and the treatments used for it are vital for all practitioners. Many types of pain can be treated in a locoregional fashion, which has significant implications not just for any individual patient but for society as a whole. These treatments are most effective when performed in a minimally invasive, image-guided fashion. Interventional radiologists should play a central role in providing these lifestyle-limiting treatments. This article describes the medications most typically used for spinal and extra-axial treatments in the management of patients in pain.

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Recommended Dexamethasone Dose for Epidural Administration: Response to the Comments of Koetsier

Cited by 2 publications

References 13 publications

Outcome measurements for post-epidural steroid injection pain relief in elderly patients with spinal stenosis: is the conservative approach an option?

Outcome measurements for post-epidural steroid injection pain relief in elderly patients with spinal stenosis: is the conservative approach an option?

Agents Used for Nerve Blocks and Neurolysis

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