Addressing Controversies Around Epidural Steroid Injections (212)

2:45 PM–3:45 PM Friday, February 28

This session will explore the evidence for opioid sparing, improved function, and surgery prevention from treatment by epidural steroid injection (ESI) and explore other controversies around ESI.

Session Introduction

Samer Narouze

Evidence for Opioid Sparing, Improved Function, and Surgery Prevention

Dermot Maher

Transforaminal vs. Interlaminar Epidural Injection: When to Perform, When to Inject

David Kennedy

Should Anticoagulants Be Held Before ESI?

Susan Moeschler

Learning Objectives:

  • Analyze the literature regarding ESI outcomes: opioid sparing, improved function, and surgery prevention.
  • Develop a plan for when to perform TF vs. IL ESI and how to integrate it into a multimodal plan of care.
  • Assess the pros and cons of using nonparticulate vs. particulate steroids, and recognize the impact of managing anticoagulants with ESI.