INTRODUCTION: This review article addresses the best evidence currently available for therapeutic injection therapy for conditions targeting the spine and sacroiliac joints. The article is presented by spinal region. Controversies and areas of interest for further studies are identified. DISCUSSION: There is conclusive evidence supporting the effectiveness of the caudal approach for the administration of epidural steroid injections for patients with low back pain from a variety of causes. In general, there is moderate-to-strong evidence supporting the use of transforaminal therapeutic epidural injections for lumbar nerve-root compression and facet injections for joint pain arising from these joints in the cervical, thoracic and lumbar spine, but further subgroup analysis is needed to help predict which specific patients may receive the most benefit from these procedures. CONCLUSION: No randomized controlled trials, meta-analyses or systematic reviews addressing the effectiveness of therapeutic sacroiliac joint injections have been found. For some injections, corticosteroids may not provide better outcomes compared to local anesthetic injections alone
Keywords : Arthrography,Back Pain,diagnostic imaging,drug therapy,Evidence-Based Medicine,Humans,Injections,Spinal,Low Back Pain,Pain,Radiology,Sacroiliac Joint,Spine,therapy,trends,, Radiology,(Part,1),There, facet joint pain
Date of Publication : 2010 Jan
Authors : Peterson C;Hodler J;
Organisation : Radiology, Orthopaedic University Hospital of Balgrist, Forchstrasse 340, 8008 Zurich, Switzerland. cynthia.peterson@balgrist.ch
Journal of Publication : Skeletal Radiol
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/19730856
The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery
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