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Injectable Corticosteroids

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Abstract

The anti-inflammatory properties of injectable corticosteroids are commonly used to treat a variety of chronic pain conditions. The primary role for the injection of corticosteroids is to reduce inflammation and pain through the localized delivery of the medication to target tissue in efforts to maximize benefit and limit systemic side effects. Spinal injections, such as epidural steroid injections (ESI), facet joint injections, and sacroiliac injections, are frequently utilized interventions to treat spine and radicular pain, while joint, muscle, and tendon sheath injections are commonly used for a variety of musculoskeletal pain conditions. Peripheral nerve blocks, utilized for perioperative anesthesia and analgesia, may include a corticosteroid component for the enhancement of neural blockade and analgesia. The appropriate utilization of injectable corticosteroids takes into consideration the aspects of safety according to site and contents of injection, as well as potential associated systemic consequences. This chapter reviews the unique set of properties of the most commonly utilized injectable corticosteroids and highlights key aspects of their use in epidural and musculoskeletal injections.

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Authors and Affiliations

  1. Interventional Pain Department, Moffitt Cancer Center, University of South Florida, Tampa, FL, USA

    Devang Padalia & Neal Shah

  2. Department of Neurology, University of South Florida, Tampa, FL, USA

    Jaspreet Singh & Navdeep Jassal

  3. Department of Physical Medicine and Rehabilitation, University of South Florida, Tampa, FL, USA

    Corey Reeves

  4. Department of Neurology and Anesthesiology, Louisiana State University, Shreveport, LA, USA

    Randall P. Brewer

Authors
  1. Devang Padalia
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  2. Neal Shah
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  3. Jaspreet Singh
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  4. Navdeep Jassal
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  5. Corey Reeves
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  6. Randall P. Brewer
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Corresponding author

Correspondence to Devang Padalia .

Editor information

Editors and Affiliations

  1. The Spine and Nerve Center of the Virginias, Charleston, WV, USA

    Timothy R. Deer

  2. Evolve Restorative Center, Santa Rosa, CA, USA

    Jason E. Pope

  3. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA

    Tim J. Lamer

  4. Pain Diagnostics and Interventional Care, Sewickley, PA, USA

    David Provenzano

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Padalia, D., Shah, N., Singh, J., Jassal, N., Reeves, C., Brewer, R.P. (2019). Injectable Corticosteroids. In: Deer, T., Pope, J., Lamer, T., Provenzano, D. (eds) Deer's Treatment of Pain. Springer, Cham. https://doi.org/10.1007/978-3-030-12281-2_26

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  • DOI: https://doi.org/10.1007/978-3-030-12281-2_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-12280-5

  • Online ISBN: 978-3-030-12281-2

  • eBook Packages: MedicineMedicine (R0)

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