. In: Image-Guided Spine Intervention.
Randomized double-blind controlled trial comparing the effectiveness of lumbar transforaminal epidural injections
of particulate and nonparticulate corticosteroids for lumbosacral radicular pain.
Future studies are needed to determine how the pharmacokinetics of thoracic interlaminar- and caudalad-ministered triamcinolone compares to lumbar- and cervical-administered triamcinolone and how the pharmacokinetics of other spinal corticosteroid injections such as zygapophyseal joint injections compares to epidural injection
. In addition, the pharmacokinetics of other epiduralad-ministered steroids should be determined and incorporated in clinical trials to investigate the potential associations between serum levels, clinical outcomes, and potential adverse endocrine effects.
Botwin et al23 have performed fluoro-scopically guided caudal epidural injections
on 34 patients with bilateral radicular pain from lumbar spinal stenosis and have shown that sixty-five percent of patients at 6 weeks, 62% at 6 months, and 54% at 12 months had a successful outcome.
Nazari, "Cardiopulmonary arrest following cervical epidural injection
," Pain Physician, vol.
Bed rest for 8-10 days, 1 intradural, 2 epidural injections
, NSA and wearing a corset are required after the conservative treatment .
For these patients a single lumbosacral epidural injection
was selected to provide intraoperative analgesia, and pressure wave recording was used to verify the correct epidural needle position.
Meningitis and parameningeal infections are extremely rare complications of epidural injection
, with few cases reported (1-3).
Potential fungal meningitis induced by tainted epidural injection
claims are being investigated by The Grossman Law Firm, LLC in both New Jersey and nationwide.
They randomly assigned 400 participants with painful central lumbar spinal stenosis who were to receive an epidural injection
of either lidocaine alone or lidocaine plus a glucocorticoid.
The most commonly extended explanation for EVE is thecal compression due to the volume effect on consequent epidural injection
of fluid (4).