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MDT plus Transforaminal Steroid Injections vs Usual Care for Lumbar Disc Herniation
November 2025
MDT plus Transforaminal Steroid Injections vs Usual Care for Lumbar Disc Herniation
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Effectiveness and cost-effectiveness of mechanical diagnosis and treatment combined with transforaminal epidural steroid injections for patients on a waiting list for surgery for a chronic lumbar herniated disc: a randomized controlled trial and economic
Spine J . 2025 Jul;25(7):1309-1321.Synopsis
Seventy-two patients with incapacitating sciatica due to lumbar disc herniation were randomized to combination therapy Mechanical Diagnosis & Treatment (MDT) plus transforaminal epidural steroid injections (TESIs) (MDT ± TESIs; n=34) or no added intervention while waiting for surgery (n=38). The primary outcome was undergoing lumbar disc surgery within 12 months (yes/no). Secondary outcomes includ...
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