Epidural Steroid Injections Performed No Better than Lidocaine Injections- by The Evidence Based Chiropractor

This large, multi center study published by the New England Journal of Medicine found that, for patients with lumbar stenosis, injections of lidocaine performed just as well as injections containing lidocaine and corticosteroids.  The study was double-blinded and randomized.  

“Compared to injections with local anesthetic alone, injections with glucocorticoids provided these patients with minimal or no additional benefit.” said the author of the study, Janna L. Friedly, MD.

This study may have important implications.  Earlier this year we touched on a study which showed that ESI's have greatly increased the risk of lumbar vertebral fracture.  Additionally, ESI's have a fairly high complication rate and their effectiveness is questionable at best when compared to other conservative care options.  

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New Warning Labels for Epidural Steroid Injections- by The Evidence Based Chiropractor

The FDA recently announced that injectable corticosteroids must carry an updated label which outlines the risks of severe side effects.  These severe risks, while rare, are death, stroke, permanent blindness and paralysis.  

After reviewing medical literature and their own adverse event database, the FDA decided the risks were great enough to cause an update to labeling. 

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-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.