Resources and Research

Annual Maximum Dose of Epidural Steroid Injection

Read the Factfinder for Patient Safety from the Spine Intervention Society

Ryan Mattie, MD, David C. Miller, MD, MA, and Clark C. Smith, MD, MPH3 on behalf of the Spine Intervention Society’s Patient Safety Committee 1 Providence Cedars-Sinai Tarzana Medical Center, Interventional Pain M

Myth: It is standard practice to perform an initial series of three high-dose epidural steroid injections (ESI) separated by one week, and this treatment can safely be repeated several times in one year. Fact: Effectiveness data and adverse effect profiles of epidurally administered glucocorticoids (GC) dispute both the need for and the safety of frequent high-dose ESI. Patient selection criteria, interventional

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