What are the indications for epidural steroid injections (ESIs)?

Updated: Aug 06, 2018
  • Author: Boqing Chen, MD, PhD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Although the primary indication for epidural steroid injection (ESI) is radicular pain associated with a herniated nucleus pulposus, a variety of other indications have been reported in the literature.

Lumbar, thoracic, and cervical ESIs may be indicated for lumbar radicular pain associated with any of the following conditions:

  • Lumbosacral disk herniation

  • Spinal stenosis with radicular pain (central canal stenosis, foraminal and lateral recess stenosis)

  • Compression fracture of the lumbar spine with radicular pain

  • Facet or nerve root cyst with radicular pain

  • Postherpetic neuralgia

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