Research – Cervical Transforaminal Epidural Steroid Injections

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4 – Comparison of Pain Score Reduction Using Triamcinolone vs. Dexamethasone in Cervical Transforaminal Epidural Steroid Injections

  • Am J Phys Med Rehabil. 2013 Jan 30. [Epub ahead of print]
  • Retrospective cohort study
  • 441 total patients reviewed
  • Triamcinolone (Kenalog) 40 mg and dexamethasone (Decadron) 15 mg produced similar benefits as measured by the patients’ self-reported pain scores.

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.”

2 – Transforaminal steroid injections for the treatment of cervical radiculopathy: a prospective and randomised study

  • Eur Spine J. 2007 March; 16(3): 321–328
    The patients were randomised for treatment with steroids/local anaesthetics or saline/local anaesthetic.
    No differences in treatment results in the two patient groups (at 3-week follow-up)

1 – Chronic cervical radiculopathy: lateral-approach periradicular corticosteroid injection

  • Radiology. 2001 Mar;218(3):886-92.
  • Mean duration of pain prior to injection was 9.5 months (failed medical management)
  • At 6-months = 53% good or excellent relief AND return to previous occupation and full lifestyle

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