Should routine MRI of the lumbar spine be required prior to lumbar epidural steroid injection for sciatica pain?

@inproceedings{Ghaly2015ShouldRM,
  title={Should routine MRI of the lumbar spine be required prior to lumbar epidural steroid injection for sciatica pain?},
  author={Ramsis F. Ghaly and Alexei V Lissounov and Kenneth D. Candido and Neboj{\vs}a Nick Kne{\vz}evi{\'c}},
  booktitle={Surgical neurology international},
  year={2015}
}
BACKGROUND We describe three patients who received lumbar epidural steroid injections (LESI) for lumbosacral radicular pain that resulted in worsening of their symptoms. The procedures were performed following a review of remote diagnostic imaging studies. These cases demonstrate the lack of consensus in pain management domains for how to approach the workup and treatment of persistent/chronic low back pain, with a noted fragmentation in pain management strategies and applied therapies. CASE… CONTINUE READING