Recent research has raised concerns about the efficacy of epidural steroid injections (ESIs) for managing chronic back pain. A comprehensive review of 90 studies over 16 years indicates that while ESIs may offer moderate short-term relief for conditions like radiculopathy and spinal stenosis, their long-term benefits are limited.
Specifically, the evidence suggests that ESIs provide strong short-term relief for lumbar radicular pain but only limited long-term benefits. For cervical radiculopathy, the short-term relief is moderate, with insufficient data supporting sustained improvement.
Given these findings, healthcare providers are encouraged to consider alternative, evidence-based treatments for chronic back pain. Options such as physical therapy, exercise regimens, and non-opioid pain management strategies may offer more sustainable relief. Patients should engage in informed discussions with their healthcare providers to explore the most effective and personalized treatment plans for their condition.
