• Corpus ID: 41553553

Concordant provocation as a prognostic indicator during interlaminar lumbosacral epidural steroid injections.

  title={Concordant provocation as a prognostic indicator during interlaminar lumbosacral epidural steroid injections.},
  author={Alexander H Sinofsky and Steve M. Aydin and Eric Kim and Christopher G. Gharibo},
  journal={Pain physician},
  volume={17 3},
BACKGROUND Interlaminar epidural steroid injection is a well-established intervention for the treatment of radicular pain. Pain is commonly reported during the injection into the epidural space; this provocation is typically either concordant or discordant with the patient's baseline pain. It is not well known how this provocation pain relates to treatment outcomes. OBJECTIVE To determine the relationship between concordant versus discordant provocation during interlaminar epidural steroid… 

Tables from this paper

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Clinical Effectiveness and Prognostic Indicators of Parasagittal Interlaminar Epidural Injection.
Parasagittal interlaminar ESI significantly improved the NRS and ODI scores after 2 weeks compared to those measured pretreatment and prognostic indicators, and was a prognostic indicator for the ODI (%) score.
Comparison of clinical efficacy in epidural steroid injections through transforaminal or parasagittal approaches
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No difference in pain reduction after epidural steroid injections in diabetic versus nondiabetic patients: A retrospective cohort study
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Lumbar Epidural Steroid Injections.
  • Carlos E. Rivera
  • Medicine
    Physical medicine and rehabilitation clinics of North America
  • 2018


Concordant pressure paresthesia during interlaminar lumbar epidural steroid injections correlates with pain relief in patients with unilateral radicular pain.
This study showed that the lateral parasagittal interlaminar approach was more effective in targeting low back pain with unilateral radicular pain secondary to degenerative lumbar disc disease and showed that pressure paresthesia occurring ipsilaterally during an LESI correlates with pain relief and may be used as a prognostic factor.
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The PIL approach is superior to the TF approach for placing contrast into the anterior epidural space with reduction in fluoroscopy times and an improved spread grade.
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A multicentre randomized controlled trial of epidural corticosteroid injections for sciatica: the WEST study.
In this pragmatic study, ESIs offered transient benefit in symptoms at 3 weeks in patients with sciatica, but no sustained benefits in terms of pain, function or need for surgery.
Incidence and characteristics of complications from epidural steroid injections.
F Fluoroscopically guided epidural steroid injections are a safe and well-tolerated intervention for cervical or lumbar pain and radiculopathy and transforaminal injections may result in fewer minor complications than interlaminar injections.