Orthopedics Book

Fracture Management

Knee Disorders

Ankle Disorders

Prevention

Wrist Disorders

Bursa

Elbow Disorders

Foot Disorders

Hand Disorders

Hip Disorders

Lumbar Spine Disorders

  • Epidural Corticosteroid Injection

Neurology

Shoulder Disorders

Cervical Spine Disorders

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Epidural Corticosteroid Injection

Aka: Epidural Corticosteroid Injection
  1. Indications
    1. Lumbar Disc Disease with acute radicular pain
  2. Efficacy
    1. Only 6 of 12 controlled trials since 1950 found benefit
    2. Study (n=158 Herniated disc with Sciatica)
      1. Methylprednisolone 80 mg in 8 ml of Normal Saline
      2. Steroid group had only short-term improvement
        1. Leg Pain improved compared with Placebo
        2. Benefit lasted only 3 months
    3. References
      1. Carette (1997) N Engl J Med, 336:1634-40 [PubMed]

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