What is the role of cervical epidural steroids in the treatment of acute cervical radiculopathy?

Updated: Oct 08, 2018
  • Author: Gerard A Malanga, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Answer

Cervical epidural steroids have been used in patients whose conditions have not had satisfactory responses to medications, traction, and a well-designed physical therapy program. [28, 29] When properly performed by experienced physicians under fluoroscopic guidance, a significant number of patients' cervical radiculopathies respond to cervical epidural steroids when other treatments have not helped. The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders found support in the literature for short-term symptomatic improvement of radicular symptoms with epidural corticosteroids, [14] while the American Society of Interventional Pain Physicians found moderate evidence that cervical interlaminar epidural steroid injections can provide short-term and long-term improvement in cervical radiculopathy. [30]


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