Complications of Transforaminal Epidural Injections

Helm, Standiford; Jf, Jasper; Gb, Racz

doi:10.36076/ppj.2003/6/389

Cited by 17 publications

(19 citation statements)

References 3 publications

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“…1,2 However, because of the immunosuppressive effects of corticosteroids, various concerns have arisen regarding the risk of COVID-19 in corticosteroid injections. 26 Many guidelines have been published advocating avoiding corticosteroid injections throughout the pandemic. However, the organizations that published these guidelines have declared that this cautious approach in the guidelines is based on the known general immunosuppressive effects of corticosteroids and studies showing that local corticosteroid injections increase some viral infectious diseases, such as influenza.…”

Section: Discussionmentioning

confidence: 99%

“…In these patients, when there is no response to conservative treatment, local corticosteroid injections can be performed to control the symptoms 1,2 . However, because of the immunosuppressive effects of corticosteroids, various concerns have arisen regarding the risk of COVID-19 in corticosteroid injections 26 . Many guidelines have been published advocating avoiding corticosteroid injections throughout the pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Concerns have therefore arisen that corticosteroids may increase the risk of COVID-19 infection 26 . Several guidelines have been published on COVID-19 and local injections of corticosteroids in the period before to the initiation of COVID-19 vaccination.…”

mentioning

confidence: 99%

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Incidence and disease course of COVID-19 infection amongst unvaccinated patients who received local corticosteroid injections

Okçu

Azizov

Gündüz³

et al. 2022

Am J Phys Med Rehabil

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ObjectiveThere are concerns that local corticosteroid injections may increase the risk of COVID-19 infection because of the immunosuppressive effect of corticosteroids. This study aimed to examine the relationship between local corticosteroid injections and the risk of COVID-19 infection.DesignThe date and type of procedure as well as the dose and type of corticosteroids used in patients who underwent local corticosteroid injections within 1 yr after the first COVID-19 case in the country were examined retrospectively and recorded. Patients who did not receive corticosteroids were included in the control group. Coronavirus disease 2019 infection histories of all patients were recorded.ResultsThere was no significant difference between the patients who received local corticosteroids and the control group in terms of the incidence of COVID-19 infections, and the number of patients who needed hospitalization or intensive care treatment. In addition, it was found that the administration of two injections, the type of procedure performed, and the dose and type of steroids were not associated with the incidence or severity of COVID-19 infections.ConclusionsIt has been shown that local corticosteroid injections are not associated with the incidence of COVID-19 infections and the number of patients who need hospitalization or intensive care treatment due to COVID-19.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Incidence and disease course of COVID-19 infection amongst unvaccinated patients who received local corticosteroid injections

Okçu

Azizov

Gündüz³

et al. 2022

Am J Phys Med Rehabil

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“…The indications for TFESI include lumbosacral radiculopathy and spinal stenosis 7 . Contraindications include anticoagulants and coagulation defects because of the risk of epidural hematoma, along with spinal cord compression 8,9 .…”

Section: Interventional Pain Proceduresmentioning

confidence: 99%

Nonsurgical Interventional Spine Pain Procedures

et al. 2023

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Nonsurgical interventional spine pain procedures provide an additional treatment option for lower back pain at the traditional bifurcation of conversative vs. operative management.Transforaminal epidural steroid injections, radiofrequency ablations, intrathecal drug delivery, and spinal cord stimulation were found to be effective and safe techniques when applied to their specific indication.Thermal annuloplasty and minimally invasive lumbar decompression showed mixed support.Discography, sacroiliac joint injections, and spinous process spacers lacked sufficient evidence to support efficacy.Medial branch blocks and facet joint injections were found to be useful diagnostic tools.

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“…Transforaminal epidural steroid injection (TFESI) reduces lower back or leg pain and enables daily activities by reducing the nerve root inflammation induced by mechanical compression of the narrowed foramen. [3,4] Thus, TFESI has been increasingly used in patients with lumbar foraminal spinal stenosis. [1,2] Previous studies have reported positive results regarding the role of TFESI in pain reduction in patients with lumbar foraminal spinal stenosis.…”

Section: Introductionmentioning

confidence: 99%

Changes in pain scores and walking distance after transforaminal epidural steroid injection in patients with lumbar foraminal spinal stenosis

et al. 2023

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Transforaminal epidural steroid injections (TFESI) are widely used in patients with lumbar foraminal spinal stenosis. Previous studies have evaluated the effects of TFESI on lumbar foraminal spinal stenosis using only pain scores. However, no study has evaluated the effect of TFESI on pain scores and walking distance in patients with lumbar foraminal spinal stenosis. This study aimed to assess the effect of TFESI on pain scores and walking distance in patients with lumbar foraminal spinal stenosis stratified according to disease severity. This retrospective study reviewed the medical records of patients who received TFESI for lumbar foraminal spinal stenosis. A total of 128 patients were divided into the moderate and severe groups based on the extent of fat obliteration and the presence of nerve root compression. A significant decrease in the numeric rating scale (NRS) scores was observed in the moderate and severe groups compared with the corresponding baseline values 4 weeks after TFESI; however, the NRS pain scores were lower in the moderate group than those in the severe group. In addition, the proportion of patients who experienced pain reduction (≥50%) was higher in the moderate group than that in the severe group. The moderate and severe groups showed a significant increase in walking distance compared with the baseline values 4 weeks after the treatment. However, the walking distance values did not differ significantly between the moderate and severe groups. Furthermore, the degree of satisfaction was higher in the moderate group than that in the severe group. Lumbar TFESI may reduce pain scores and increase walking distance in patients with moderate or severe lumbar foraminal spinal stenosis. Patients with moderate foraminal stenosis had better pain relief outcomes than those with severe foraminal stenosis.

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Complications of Transforaminal Epidural Injections

Cited by 17 publications

References 3 publications

Incidence and disease course of COVID-19 infection amongst unvaccinated patients who received local corticosteroid injections

Incidence and disease course of COVID-19 infection amongst unvaccinated patients who received local corticosteroid injections

Nonsurgical Interventional Spine Pain Procedures

Changes in pain scores and walking distance after transforaminal epidural steroid injection in patients with lumbar foraminal spinal stenosis

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