Koen Van Boxem , MD, FIPP, PhD , 1 , Mienke Rijsdijk , MD, PhD 2 , Guy Hans , MD, PhD 3 , 4 , Jasper de Jong , MD 5 , Jan Willem Kallewaard , MD, FIPP 6 , Kris Vissers , MD, FIPP, PhD 7 , Maarten van Kleef , MD, FIPP, PhD 8 , James P. Rathmell , MD, FIPP 9 , 10 , Jan Van Zundert , MD, FIPP, PhD 1 , 8
02 July 2018
Epidural corticosteroid injections are used frequently worldwide in the treatment of radicular pain. Concerns have arisen involving rare major neurologic injuries after this treatment. Recommendations to prevent these complications have been published, but local implementation is not always feasible due to local circumstances, necessitating local recommendations based on literature review.
A work group of 4 stakeholder pain societies in Belgium, The Netherlands, and Luxembourg (Benelux) has reviewed the literature involving neurological complications after epidural corticosteroid injections and possible safety measures to prevent these major neurologic injuries.
Twenty‐six considerations and recommendations were selected by the work group. These involve the use of imaging, injection equipment particulate and nonparticulate corticosteroids, epidural approach, and maximal volume to be injected.