William M. Goldstein, MD; William S. Isaacson, MD
To the Editors: I was disappointed that the article by Deyo and colleagues (1) did not mention epidural corticosteroid injections as a conservative therapy recommended for treating herniated disks. For acute herniation, epidural steroid injections can afford dramatic and long-term relief, especially if used in conjunction with the other conservative treatments outlined by the investigators (1). Overall, patients with symptoms of short duration (preferably less than 3 months, certainly less than 1 year) benefit the most, with both a greater success rate (50% to 90%), as well as longer pain relief (2). In patients with chronic conditions, such as spinal
Goldstein WM, Isaacson WS. Lumbar Disk Disease. Ann Intern Med. ;113:330–331. doi: 10.7326/0003-4819-113-4-330
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Published: Ann Intern Med. 1990;113(4):330-331.
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