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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 3, 352-355.
doi: 10.1302/0301-620X.87B3.15338  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Epidural steroid injection for nerve root compression

A RANDOMISED, CONTROLLED TRIAL

J. Wilson-MacDonald, MBChB, FRCS, MCH, Consultant Orthopaedic Surgeon1; G. Burt, MA, BM, BCh, FRCA, MRCGP, Consultant Anaesthetist2; D. Griffin, MPhil (Epi), FRCS (Tr & Orth), Professor of Trauma and Orthopaedic Surgery3; and C. Glynn, MA, MBBS, DCH, FRCA, MSc, Consultant in Pain Relief4

1 Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, UK.
2 Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford OX3 3DU, UK.
3 University of Warwick, Warwick Medical School, Clinical Sciences Building, Clifford Bridge Road, Coventry CV4 7AL, UK.
4 Pain Relief Clinic, Churchill Hospital, Headington, Oxford OX3 7LJ, UK.

Correspondence should be sent to Mr J. Wilson-MacDonald; e-mail: wil.mac{at}virgin.net

We have assessed whether an epidural steroid injection is effective in the treatment of symptoms due to compression of a nerve root in the lumbar spine by carrying out a prospective, randomised, controlled trial in which patients received either an epidural steroid injection or an intramuscular injection of local anaesthetic and steroid. We assessed a total of 93 patients according to the Oxford pain chart and the Oswestry disability index and followed up for a minimum of two years. All the patients had been categorised as potential candidates for surgery.

There was a significant reduction in pain early on in those having an epidural steroid injection but no difference in the long term between the two groups. The rate of subsequent operation in the groups was similar.




eLetters:

Read all eLetters

Epidural steroid injection for nerve root compression
Sunil Garg, et al.
J Bone Joint Surg Br Online, 15 Jun 2005 [Full text]
Letter from Messrs Jain and Garg
Sunil Jain, et al.
J Bone Joint Surg Br Online, 12 Jul 2005 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General