Abstract

CASTROMAN, Pablo et al. INYECCION EPIDURAL DE CORTICOIDES EN EL TRATAMIENTO DEL SINDROME RADICULAR LUMBOSACRO (SRL). Anest Analg Reanim [online]. 2015, vol.28, n.2, pp.3-3. ISSN 0255-8122.

Lumbosacral Radicular Syndrome (LRS) is a frequent neuropathic pain due to disc herniation, disc protrusions or degenerative changes of the lumbosacral spine. Interventional Pain Management techniques for its treatment are indicated when conservative management fails in provide satisfactory pain relief. Epidural Steroid Injections (ESI) are the most frequent procedures performed in our Service for LRS treatment. Since guidelines for its use are lacked in our Country, international recommendations are usually followed. The aim of this article is to perform a literature search to give evidence support to National guidelines related to available Interventional Pain Management techniques for LRS treatment, in order to balance risks and benefits of each technique in the decision making process. Advantages and disadvantages of the different approaches for ESI are discussed and the pharmacologic aspects of the available agents for its use are summarized. Finally, recommendations for infection control practices and ESI management in patients in antiplatelet and anticoagulant medications are proposed.

Keywords : Lumbosacral Radicular Syndrome; Epidural Steroid Injections; Low Back Pain.

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