Epidural Steroid Injections for Neck Pain

Treatment Ratings

R

RISK: 1/5

1_Heart_Rating

The FDA has recently issued a warning notice regarding ESI’s, noting:

  • Rare but serious problems have occurred after injection of corticosteroids into the epidural space of the spine to treat neck and back pain, and radiating pain in the arms and legs.
  • These serious problems include loss of vision, stroke, paralysis, and death.
  • The effectiveness and safety of injection of corticosteroids into the epidural space of the spine have not been established, and FDA has not approved corticosteroids for this use.
  • Discuss the benefits and risks of epidural corticosteroid injections with your health care professional, along with the benefits and risks associated with other possible treatments.
  • https://www.fda.gov/Drugs/DrugSafety/ucm394280.htm

The FDA's Anesthetic and Analgesic Drug Products Advisory Committee concluded that ESIs should not be recommended in the cervical region.

https://www.fda.gov/Drugs/DrugSafety/SafeUseInitiative/ucm434387.htm#esi

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