• Corpus ID: 7699990

Epidural steroids as a pharmacological approach.

@article{Reale2000EpiduralSA,
  title={Epidural steroids as a pharmacological approach.},
  author={Carlo Andrea Reale and Antony M. Turkiewicz and Carlo Andrea Reale and Stephanie Stabile and P Borgonuovo and Fabrizio Apponi},
  journal={Clinical and experimental rheumatology},
  year={2000},
  volume={18 2 Suppl 19},
  pages={
          S65-6
        }
}
Cervicogenic headache is a relatively common pain syndrome related to functional and/or degenerative alterations of the cervical spine tract. Administration of steroid represents an effective therapy for this headache, due to the anti-inflammatory effects combined with its direct analgesic effects on the C fibers. The epidural injection of steroids, while requesting skilled personnel for its execution, gives short term (2-month) pain relief with few risks or side effects. Moreover, epidural… 
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Cervicogenic Headache: Diagnostic Evaluation and Treatment Strategies

This issue of Pain Management Rounds presents an overview of trigeminocervical nucleus, an area of the upper cervical spinal cord where sensory nerve fibers in the descending tract of the trigeminal nerve (trigeminal nucleus caudalis) are believed to interact with sensory fibers from theupper cervical roots.

Interventional techniques for headaches

An overview of the most common interventional techniques used for headache treatment is provided and the literature supporting their efficacy is reviewed.

Headaches and the cervical zygapophysial joints

According to the World Health Organization, patients with severe headaches or migraine suffer the same degree of disability as a patient with quadriplegia or dementia. Population-based studies…

Epidural steroids in the management of chronic spinal pain and radiculopathy.

The results showed that there was strong evidence to indicate effectiveness of transforaminal epidural injections in managing lumbar nerve root pain, while there was limited or inconclusive evidence of effectiveness of epidural injection in managing chronic spinal pain without radiculopathy, spinal stenosis, post lumbr laminectomy syndrome, and cervical radicULopathy.

Cervicogenic Headache: A Review of Diagnostic and Treatment Strategies

  • D. Biondi
  • Medicine
    The Journal of the American Osteopathic Association
  • 2005
Clinical presentation of cervicogenic headache, proposed diagnostic criteria, pathophysiologic mechanisms, and methods of diagnostic evaluation are reviewed and guidelines for developing a successful multidisciplinary pain management program using medication, physical therapy, osteopathic manipulative treatment, other nonpharmacologic modes of treatment, and anesthetic interventions are presented.

Epidural steroids in the management of chronic spinal pain: a systematic review.

There is moderate evidence for interlaminar epidurals in the cervical spine and limited evidence in the lumbar spine for long-term relief in managing chronic pain of lumbr radiculopathy and postlumbar laminectomy syndrome.

Cervicogenic headache: Diagnostic evaluation and treatment strategies

  • D. Biondi
  • Medicine
    Current pain and headache reports
  • 2001
The clinical presentation of cervicogenic headache suggests that there is an activation of the trigeminovascular neuroinflammatory cascade, which is thought to be one of the important pathophysiologic mechanisms of migraine.

Improvement of Migraine by Cervical Epidural Block -A case report-

A 41-year-old woman who had suffered from severe headache on her left temporal area for 12 years visited the pain clinic and was continuously medicated with sumatriptan, and her headache was gradually relieved.

Transient neurologic syndrome after spinal anesthesia with epidural steroid treatment.

Role of epidural steroids in the management of chronic spinal pain: a systematic review of effectiveness and complications.

The evidence for effectiveness of epidural injections in managing chronic spinal pain ranged from limited to strong, and the evidence for caudal epidural steroid injections was strong for short-term relief and moderate for long- term relief.

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