Poster 459 Factors Associated with Pain Reduction after a First-time Transforaminal Epidural Steroid Injection for Lumbosacral Radicular Pain

PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S346-S347 ◽  
Author(s):  
Zachary McCormick ◽  
Dan Cushman ◽  
Ellen Casey ◽  
Christopher Plastaras
Keyword(s):  
Steroid Injection ◽  
Pain Reduction ◽  
Radicular Pain ◽  
Epidural Steroid Injection ◽  
Factors Associated ◽  
Transforaminal Epidural Steroid Injection ◽  
Epidural Steroid ◽  
First Time

Factors Associated With Pain Reduction After Transforaminal Epidural Steroid Injection for Lumbosacral Radicular Pain

2014 ◽  
Vol 95 (12) ◽  
pp. 2350-2356 ◽  
Author(s):  
Zachary McCormick ◽  
Daniel Cushman ◽  
Ellen Casey ◽  
Cynthia Garvan ◽  
David J. Kennedy ◽  
...  
Keyword(s):  
Steroid Injection ◽  
Pain Reduction ◽  
Radicular Pain ◽  
Epidural Steroid Injection ◽  
Factors Associated ◽  
Transforaminal Epidural Steroid Injection ◽  
Epidural Steroid

scholarly journals Does Pain Reduction with Oral Steroids Predict Pain Reduction after a First-Time Cervical Epidural Steroid Injection in Patients with Cervical Radicular Pain? A Pilot Study

Pain Medicine ◽  
2017 ◽  
Vol 18 (10) ◽  
pp. 1873-1881
Author(s):  
Dana G. Crovo ◽  
Wendy Y. Craig ◽  
Craig S. Curry ◽  
Janelle M. Richard ◽  
James V. Pisini
Keyword(s):  
Pilot Study ◽  
Steroid Injection ◽  
Pain Reduction ◽  
Radicular Pain ◽  
Epidural Steroid Injection ◽  
Oral Steroids ◽  
Epidural Steroid ◽  
First Time

Contralateral Lumbar Radicular Pain Shortly After a Transforaminal Epidural Steroid Injection

2014 ◽  
Vol 93 (9) ◽  
pp. 834-835 ◽  
Author(s):  
Osman Hakan Gündüz ◽  
Uzma Akhlaque ◽  
Savas Sencan ◽  
Alp Eren Celenlioglu ◽  
Askin Seker
Keyword(s):  
Steroid Injection ◽  
Radicular Pain ◽  
Epidural Steroid Injection ◽  
Transforaminal Epidural Steroid Injection ◽  
Lumbar Radicular Pain ◽  
Epidural Steroid

scholarly journals The Effectiveness of Fluoroscopically Guided Cervical Transforaminal Epidural Steroid Injection for the Treatment of Radicular Pain; a Systematic Review and Meta-analysis

Pain Medicine ◽  
2019 ◽  
Vol 21 (1) ◽  
pp. 41-54 ◽  
Author(s):  
Aaron Conger ◽  
Daniel M Cushman ◽  
Rebecca A Speckman ◽  
Taylor Burnham ◽  
Masaru Teramoto ◽  
...  
Keyword(s):  
Systematic Review ◽  
Comparison Group ◽  
Steroid Injection ◽  
Meta Analysis ◽  
Standard Of Care ◽  
Response Rates ◽  
Radicular Pain ◽  
Epidural Steroid Injection ◽  
Transforaminal Epidural Steroid Injection ◽  
Epidural Steroid

Abstract Objective Determine the effectiveness of fluoroscopically guided cervical transforaminal epidural steroid injection (CTFESI) for the treatment of radicular pain. Design Systematic review and meta-analysis. Subjects Persons aged ≥18 years with cervical radicular pain due to disc herniation or degenerative spondylosis. Comparison Sham, placebo procedure, or active standard of care treatment, excluding alternative versions of epidural steroid injection. Outcomes The primary outcome measure was patient-reported improvement in pain of at least 50% from baseline, assessed four or more weeks after the treatment intervention. Secondary outcomes included validated functional assessment tools and avoidance of spinal surgery. Methods Randomized or nonrandomized comparative studies and nonrandomized studies without internal control were included. Three reviewers independently assessed publications in the Medline, PubMed, and Cochrane databases up to July 2018. The Grades of Recommendation, Assessment, Development and Evaluation (GRADE) system was used to evaluate risk of bias and overall quality of evidence. A meta-analysis was conducted for comparative measures of effect and for within-group response rates if applicable. Results There were no studies with an internal comparison group (control group) meeting the review’s definition of comparison group. Therefore, comparative measures of effect were not calculated. In cohort studies, pooled response rates were 48% (95% confidence interval [CI] = 34–61%) at one month and 55% (95% CI = 45–64%) at three months. Conclusions Approximately 50% of patients experience ≥50% pain reduction at short- and intermediate-term follow-up after CTFESI. However, the literature is very low quality according the GRADE criteria, primarily due to a lack of studies with placebo/sham or active standard of care control comparison groups.

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