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Epidural Steroid Injections for Low Back Pain: A Narrative Review

Author

Listed:
  • Massimiliano Carassiti

    (Unit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Giuseppe Pascarella

    (Unit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Alessandro Strumia

    (Unit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Fabrizio Russo

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Giuseppe Francesco Papalia

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Rita Cataldo

    (Unit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Francesca Gargano

    (Unit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Fabio Costa

    (Unit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Michelangelo Pierri

    (Integrated Sleep Surgery Team UCBM, Unit of Otolaryngology, Integrated Therapies in Otolaryngology, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Francesca De Tommasi

    (Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Carlo Massaroni

    (Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Emiliano Schena

    (Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Felice Eugenio Agrò

    (Unit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

Abstract

Low back pain represents a significant socioeconomic burden. Several nonsurgical medical treatments have been proposed for the treatment of this disabling condition. Epidural steroid injections (ESIs) are commonly used to treat lumbosacral radicular pain and to avoid surgery. Even though it is still not clear which type of conservative intervention is superior, several studies have proved that ESIs are able to increase patients’ quality of life, relieve lumbosacral radicular pain and finally, reduce or delay more invasive interventions, such as spinal surgery. The aim of this narrative review is to analyze the mechanism of action of ESIs in patients affected by low back pain and investigate their current application in treating this widespread pathology.

Suggested Citation

  • Massimiliano Carassiti & Giuseppe Pascarella & Alessandro Strumia & Fabrizio Russo & Giuseppe Francesco Papalia & Rita Cataldo & Francesca Gargano & Fabio Costa & Michelangelo Pierri & Francesca De To, 2021. "Epidural Steroid Injections for Low Back Pain: A Narrative Review," IJERPH, MDPI, vol. 19(1), pages 1-17, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:231-:d:711376
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    Citations

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    Cited by:

    1. Dino Budrovac & Ivan Radoš & Dijana Hnatešen & Ivana Haršanji-Drenjančević & Ozana Katarina Tot & Franjo Katić & Iva Lukić & Sonja Škiljić & Nenad Nešković & Iva Dimitrijević, 2023. "Effectiveness of Epidural Steroid Injection Depending on Discoradicular Contact: A Prospective Randomized Trial," IJERPH, MDPI, vol. 20(4), pages 1-13, February.

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