Epidural Steroid Injections and Selective Nerve Blocks

Blake A. Johnson

Interventional spine injection procedures for the diagnosis and treatment of low back and neck pain play an important role in the management of this common problem. Epidural injections for pain management have been employed since early in the past century.1 Caudal epidural injections were first described in 1901 by Cathelin.2 The midline epidural technique was introduced by Pages in 1921.3 Although the efficacy of these procedures continues to be the subject of debate, a number of studies and clinical experience support their use for the management of spinal origin pain.

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