Article: article from journal or magazin.
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Pratique de infiltrations péridurales lombo-sacrées en rhumatologie: considérations basées sur une revue de la littérature. [General practice of lumbosacral peridural infiltrations in rheumatology: considerations based on a review of the literature]
Schweizerische Rundschau fur Medizin Praxis
English Abstract Journal Article Review --- Old month value: Apr 1
Recommendations about the practice of epidural steroid injections for low back pain and sciatica are formulated based on an extensive review of the published literature. These infiltrations should be reserved to trained physicians observing strictly aseptic conditions. Their indications are limited to the few special situations where classical treatments have failed, and only after exclusion of an infectious or tumoral process. To the present time no conclusive data have been published to prove that these procedures reduced the need for surgery in the case of herniated nucleus pulposus or spinal stenosis. Their efficacy on the intensity of pain is also controversial. Some improvement on pain and functional scores may be observed for a few weeks but this positive effect disappears 2 or 3 months post-injection.
Adrenal Cortex Hormones/*administration & dosage Humans Injections, Epidural Low Back Pain/*drug therapy *Lumbar Vertebrae/drug effects *Sacrum/drug effects Sciatica/*drug therapy Spondylitis, Ankylosing/*drug therapy
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