Posted on 22 December 2010. Tags: depo-medrol, epidural steroid injection, lumbar epidural steroid injection, Methylprednisolone, weight gain
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Adverse Effects
1 - Epidural steroid injections do not induce weight gain
- Curr Drug Saf. 2007 May;2(2):113-6.
- Prospective evaluation of 100 patients who received a series of three lumbar ESIs (once a month for three months)
- 40 mg methylprednisolone acetate (Depo-Medrol) for each injection
- No significant change in weight gain
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Posted in Epidurals, General ESI Studies, Procedures, Research
Posted on 15 December 2010. Tags: chronic low back pain, denervation, facet rhizotomy, lumbar facet, pain, Radiofrequency Ablation, radiofrequency neurotomy, Zygapophysial joint
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6 - Effectiveness of repeated radiofrequency neurotomy for lumbar facet pain
- Spine. 2004 Nov 1;29(21):2471-3.
- Each RF neurotomy had a mean duration of relief = 10.5 months
- The repeat ablations were successful more than 85% of the time (and some of the patients had up to 4 repeated procedures)
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Posted in Lumbar, Lumbar RF Studies, Procedures
Posted on 14 December 2010. Tags: cervical facet, cervical facet arthropathy, chronic neck pain, denervation, facet rhizotomy, litigation, pain, Radiofrequency Ablation, radiofrequency neurotomy, Zygapophysial joint
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2 – Radiofrequency medial branch neurotomy in litigant and nonlitigant patients with cervical whiplash: a prospective study
- Spine. 2001 Jun 15;26(12):E268-73
- 46 patients who failed 20 weeks of conservative care
- Both groups had significant improvement in pain scores and reported symptoms. No significant difference between the groups was seen.
- “…the potential for secondary gain in patients who have cervical facet arthropathy as a result of a whiplash injury does NOT influence response to treatment.”
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Posted in Cervical, Cervical RF Studies, Procedures, Radiofreq. Neurotomy
Posted on 13 December 2010. Tags: cervical, cervical radiculopathy, corticosteroid, transforaminal epidural steroid injection
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3 - Transforaminal steroid injections in the treatment of cervical radiculopathy. A prospective outcome study
- Acta Neurochir (Wien). 2005 Oct;147(10):1065-70
- Reduced need for operative treatment (because of radicular and neck pain relief).
- “Routine transforaminal injection treatment prior to surgery seems rewarding, but the complication risk must be taken into consideration.”
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Posted in Cervical, Cervical TF-ESI Studies, Epidurals, Procedures, Research, Transforaminal
Posted on 12 December 2010. Tags: corticosteroid, interlaminar, lumbar, lumbar radiculopathy, transforaminal epidural steroid injection
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12 - Comparison of the effectiveness of interlaminar and bilateral transforaminal epidural steroid injections in treatment of patients with lumbosacral disc herniation and spinal stenosis
- Clin J Pain. 2009 Mar-Apr;25(3):206-10
- Looked at patients with axial low back pain only (no radiculopathy)
- In patients with spinal stenosis (SS), the bilateral transforaminal ESI produced better results than the interlaminar approach.
- Authors believe this was because there is more scaring with SS, and this limits the amount of injectate to the ventral epidural space.
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Posted in Epidurals, Lumbar, Lumbar TF-ESI Studies, Procedures, Research, Transforaminal