The Efficacy of Transforaminal Injection of Steroids for the Treatment of Lumbar Radicular Pain

Ghahreman, Ali; Ferch, Richard; Bogduk, Nikolai

doi:10.1111/j.1526-4637.2010.00908.x

Cited by 272 publications

(303 citation statements)

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“…Where reported, injected nerve root levels were L4-S1 in two studies 43,46 and L2-S1 in one study. 42 The local anaesthetic injected varied between the studies, anaesthetic volume ranged from 1 ml to 6 ml, and anaesthetic concentration, reported in five studies, 25,42,[44][45][46] ranged from 0.25% to 1%. Three studies 25,44,46 used an injectable steroid as well as the anaesthetic.…”

Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

“…Table 6). One study was a diagnostic cohort study, 28 one was a RCT 42 and five studies were case series. 25,[43][44][45][46] Publication dates ranged from 1973 to 2010.…”

Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

“…This study included all patients (n = 1203) who received one or more therapeutic or diagnostic SNRBs in a radiology department with no details provided on their pre-test symptoms. The remaining six studies 28,[42][43][44][45][46] were all conducted among participants with radicular pain in a lower limb but were generally small (15-117 participants analysed). Table 7 gives full details of the SNRB injection methods and the adverse events reported.…”

Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

“…Three studies 25,44,46 used an injectable steroid as well as the anaesthetic. All SNRB procedures were guided and six studies 25,28,42,[44][45][46] reported use of a contrast agent. Five of seven studies reported that there were no complications.…”

Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

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The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

Beynon

Hawkins²,

Laing³

et al. 2013

Health Technol Assess

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Reports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe 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 journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 09/111/01. The contractual start date was in August 2010. The draft report began editorial review in February 2012 and was accepted for publication in October 2012. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health.

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Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

“…Table 6). One study was a diagnostic cohort study, 28 one was a RCT 42 and five studies were case series. 25,[43][44][45][46] Publication dates ranged from 1973 to 2010.…”

Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

Beynon

Hawkins²,

Laing³

et al. 2013

Health Technol Assess

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“…However, they have limitations when used alone. A randomized study reported that only 54% of patients with lumbar HNP responded to TFESI [30]. Another study reported that 43-75% of patients did not have long-term effects after TFESI for acute low back pain [3].…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Lumbar Stabilization Exercise Combined with Transforaminal Epidural Steroid Injection for Lumbar Radiating Pain

Oh¹,

Lee²,

Ryu³

2016

Int J Phys Med Rehabil

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Objective: The purpose of this study was to evaluate the effects of exercises combined with transforaminal epidural steroid injection (TFESI) in patients with lumbar radiating pain. Methods:Among 359 patients who were treated with TFESI for lumbar radiating pain, 118 subjects were eligible and analyzed. The injections were performed for all patients with 20 mg triamcinolone, 1 ml lidocaine (0.5%) and 0.5 ml normal saline. Exercise group (n=45) received TFESI as well as additional stabilization exercise for 30 minute sessions over 3 weeks (three times weekly), while control group (n=73) received TFESI and did not receive any additional stabilization exercise. The effects were evaluated using Numercal Rating Scale (NRS) at pre-injection, 4 weeks, 8 weeks, 12 weeks and 24 weeks after injection.Results: Between Exercise and Control group, there were no significant differences in sex, age and baseline NRS score (P>0.05). Compared with that of the baseline, mean NRS scores decreased significantly in both groups after 4 weeks. The improvement sustained until 24 weeks in exercise group, while mean NRS scores slightly increased in control group. The proportion of treatment success at 24 weeks were 68.9% in exercise group and 41.1% in control group (p<0.05, odds ratio=3.17). The exercise group had moderate effect size (d=0.568) compared to the control group at 24 weeks. Conclusion:Lumbar stabilization exercise combined with TFESI was more effective than TFESI alone for reducing lumbar radiating pain and reduced the rate of recurrence.

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Effect of MRI on Treatment Results or Decision Making in Patients With Lumbosacral Radiculopathy Referred for Epidural Steroid Injections

et al. 2012

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The Efficacy of Transforaminal Injection of Steroids for the Treatment of Lumbar Radicular Pain

Cited by 272 publications

References 50 publications

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

The Efficacy of Lumbar Stabilization Exercise Combined with Transforaminal Epidural Steroid Injection for Lumbar Radiating Pain

Effect of MRI on Treatment Results or Decision Making in Patients With Lumbosacral Radiculopathy Referred for Epidural Steroid Injections

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