Corticosteroid added to lidocaine of no benefit in epidural injections for lumbar spinal stenosis .
Long-Term Effects of Repeated Injections of Local Anesthetic With or Without Corticosteroid for Lumbar Spinal Stenosis: A Randomized Trial
Arch Phys Med Rehabil. 2017 Aug;98(8):1499-1507400 patients, 50 years of age or older, with lumbar spinal stenosis, were randomized to epidural injection of corticosteroid plus lidocaine, or lidocaine alone. Patients could request crossover to the other group after 6 weeks but remained blinded to initial and subsequent treatment. Patients were assessed for disability and leg pain over 12 months. Results demonstrated no significant differences between groups in either the Roland-Morris Disability Questionnaire or leg pain severity at 12 weeks, 6 months, or 12 months.
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