study-highlights-lack-of-standardized-approach-to-back-pain-epidural-steroid-injectionsNo standardized practices are in force for administration of an epidural steroid injection for back pain, as per researchers from University of California at San Diego during 25th Annual Meeting at the American Academy of Pain Medicine.

Epidural steroid injections (ESI) are minimally invasive procedures that are used for treating pain in the arms, back, neck, and legs caused by inflamed nerves.

From News-Medical.Net:

“Epidural steroid injections are an important and common option for the treatment of back pain. However, we found that a great variety of techniques are being used. There is no gold standard,” said Dr. Patel, lead author of the study and resident at the University of California at San Diego. “Guidelines may need to be explored with regard to this procedure to increase the effectiveness and decrease risk when using this approach to treat pain.”

Dr. Patel’s study found there were differences from institution to institution regarding which steroid was preferred for these injections. The most common steroids identified for this procedure and respective dose ranges were: depomedrol (dose range 40-120 mg), celestone (dose range 6-15 mg), decadron (dose range 4-12 mg), and kenalog (dose range 10-80 mg).

Yogesh Patel, MD, and his colleagues at UCSD, said that technique variations can have an effect as to why some patients fare better from ESI than others.


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