lumbosacral radicular pain Oliveira et al 2020 This document is licensed under a Creative Commons Attribution NonCommercialNoDerivatives 40 International License httpcreativecommonsorglicensesbyncnd40 ID: 930857
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Slide1
Epidural corticosteroid injections for lumbosacral radicular pain
Oliveira et al (2020)
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Slide2Overview of the study
Epi steroid injections for lumbosacral radicular
pain Oliveira et al (2020)Objectives: To investigate the efficacy and safety of epidural corticosteroid injections compared with placebo injection on pain and disability in patients with lumbosacral
radicular
pain
Methods:
Evidence current up to 25 September 2019Participants: Adults with lumbosacral radicular painMain comparison: Epidural corticosteroid injection compared to placebo injectionOther comparisons: noneOutcomes: Primary: Leg pain, disabilitySecondary: Overall pain intensity, back pain intensity, pain and disability reduction from baseline, adverse events
Slide3Results & conclusions
25 trials (2470 participants) included in the review
Main comparison
Evidence
Quality
of evidence
Epidural corticosteroid injections vs placebo
Probably slightly more effective compared to placebo in reducing leg pain at short-term follow-up
moderate
Probably slightly more effective compared to placebo in reducing disability at short-term follow-up
moderate
Epi steroid injections for lumbosacral radicular pain Oliveira et al (2020)
Epidural corticosteroid injections probably slightly reduce leg pain and disability at short-term follow-up in people with lumbosacral radicular painTreatment effects are small and may not be considered clinically important by patients and clinicians (less than 10 points on a 0 to 100 scale)
Adverse events: Minor adverse events included increased pain during or after the injection, non-specific headache, post-dural puncture headache, irregular periods, accidental dural puncture, thoracic pain, non-local rash, sinusitis, vasovagal response, hypotension, nausea, and tinnitus