Epidural Corticosteroid Injections for Spinal Pain; Too Much Risk, Too Little Benefit

Injection of epidural corticosteroids into the spine has been a well established treatment for various upper and lower extremity radicular pain syndromes in lieu of spinal surgery for the last 50 years. While historically considered to be safe, more recent evidence from closed legal claims analysis, case series in the literature, and warnings from the U.S. Food and Drug administration suggest that the risk of serious patient injury including permanent neurologic injury and death may occur from their use…

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