Safe Use of Epidural Corticosteroid Injections: Recommendations of the WIP Benelux Work Group

Pain Practice : the Official Journal of World Institute of Pain
Koen Van BoxemJan Van Zundert

Abstract

Epidural corticosteroid injections are used frequently worldwide in the treatment of radicular pain. Concerns have arisen involving rare major neurologic injuries after this treatment. Recommendations to prevent these complications have been published, but local implementation is not always feasible due to local circumstances, necessitating local recommendations based on literature review. A work group of 4 stakeholder pain societies in Belgium, The Netherlands, and Luxembourg (Benelux) has reviewed the literature involving neurological complications after epidural corticosteroid injections and possible safety measures to prevent these major neurologic injuries. Twenty-six considerations and recommendations were selected by the work group. These involve the use of imaging, injection equipment particulate and nonparticulate corticosteroids, epidural approach, and maximal volume to be injected. Raising awareness about possible neurological complications and adoption of safety measures recommended by the work group aim at reducing the risks for these devastating events.

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Citations

Aug 3, 2019·Anaesthesia·C W Cheung
Aug 26, 2020·Pain and Therapy·Salah N El-TallawyChristopher Gharibo
Apr 8, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Steven P CohenChristopher R Phillips
Feb 6, 2021·Irish Journal of Medical Science·Cormac Francis MullinsTherese O'Connor
Feb 4, 2021·Anesthesia and Pain Medicine·Min Soo Lee, Ho Sik Moon
Dec 10, 2020·Pain Practice : the Official Journal of World Institute of Pain·Micheal T Murphy, Usman Latif
Feb 14, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·L McLean HouseZachary L McCormick
Mar 14, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Guntz EmmanuelVannieuwenhove Olivier
Jun 12, 2021·Lancet·Nebojsa Nick KnezevicSteven P Cohen
Sep 24, 2020·AJR. American Journal of Roentgenology·Austin FletcherAmbarish P Bhat
Jul 16, 2021·The Clinical Journal of Pain·Steven P CohenDmitri Lissin
Nov 18, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Robert W HurleySteven P Cohen

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BETA
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