Epidural steroid block in herniated disc: A systematic review

Túlio César Azevedo Alves, Ana Claudia Oliveira Costa, Alba Benemérita Alves Vilela

Article ID: 62
Vol 1, Issue 1, 2017

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Back pain secondary to herniated disc is very common throughout the world, leading to frequent absence from work activities, economic and financial losses, in addition to causing major affective-motivational changes. Initial treatment is based on analgesic and anti-inflammatory therapy. However, in most cases, it evolves chronically and requires surgery or minimally invasive procedures like epidural steroid injections. This paper proposes, through a systematic literature review, to establish the effectiveness of epidural steroid for the treatment of lumbar disc herniation. We selected 7 papers, of which 5 showed effectiveness of the technique above 56%. The papers showed an important reduction in pain intensity and indication of surgery, besides safety and tolerability.


Intervertebral disc displacement; anesthesia; epidural; adrenal cortex hormones

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DOI: https://doi.org/10.63018/nc.v1i1.62


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