Osteoporosis from epidural steroid injections: harmful and useless intervention

In stead of harmful non-effective interventions medicine needs to focus on analgesic which are devoid of side effects and have a clear efficacy…those do exist although not from pharmaceutical companies….but natural endogenous compounds such as palmitoylethanolamide (special for sciatic pain) and lipoic acid special for diabetic pain….But due to the fact these are supplements, not much attention is given to these interesting compounds!

Each successive translaminar lumbar epidural steroid injection (LESI) increased the risk of vertebral fracture by a factor of 1.21 (95% CI 1.08-1.30, P=0.003) after adjustment for covariates, according to the study, published online in the Journal of Bone and Joint Surgery.

The researchers used the records of 3,000 patients, ages 50 or older, who’d received at least one translaminar lumbar epidural steroid injection in the Henry Ford Health System for compressive neuropathic pain. They compared this group to 3,000 patients, selected via propensity matching, who had not received a lumbar epidural steroid injection for their pain.

Neurology Update


Epidural steroid injections are often offered to patients as a conservative treatment for back or leg pain from herniated discs.

We have already highlighted the lack of outcome studies to support this intervention in an earlier post on radiculopathy.

Data from a new study now indicates that epidural steroids may actually be harmful, and increase the risk of osteoporosis with spinal compression fractures.

compression fracuture

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