Use of particulate corticosteroid injections to treat low back pain in a low-income setting: 8 years of experience in Mozambique

  • Serguei Otchirov
  • Damiano PizzolEmail author
  • Mario Antunes


Low back pain (LBP) is one of the most prevalent musculoskeletal conditions in both developed and developing countries, ranking highest of the 291 conditions studied in terms of years lost to disability in 2010 [1]. Worldwide, the prevalence of LBP is 30–80% among the general population, increasing with age and lower socioeconomic status and education levels [2]. Although data are missing, it is estimated that the burden of LBP in low-income countries is relatively high due to their low overall socioeconomic status, lack of work protection, and restricted access to medical care [2]. In African countries, in particular, patients may not have access to adequate health care due to economic reasons, as well as the distance to referral hospitals, and thus to health specialities, such as physiotherapy, physical rehabilitation, and pain medicine.

Corticosteroids are used widely for the medical treatment of LBP. Lumbar epidural injections of corticosteroids are the most commonly...


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Conflict of interest

All authors declare that they have no conflict of interest.




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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryCentral Hospital of BeiraBeiraMozambique
  2. 2.Operational Research UnitDoctors with Africa CUAMMBeiraMozambique

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