Lack of Superiority of Epidural Injections with Lidocaine with Steroids Compared to Without Steroids in Spinal Pain: A Systematic Review and Meta-Analysis.
Knezevic N, Manchikanti L, Urits I, Orhurhu V, Vangala B, Vanaparthy R, Sanapati M, Shah S, Soin A, Mahajan A, Atluri S, Kaye A, Hirsch J. Lack of Superiority of Epidural Injections with Lidocaine with Steroids Compared to Without Steroids in Spinal Pain: A Systematic Review and Meta-Analysis. Pain Physician 2020, 23: s239-s270. PMID: 32942786, DOI: 10.36076/ppj.2020/23/s239.Peer-Reviewed Original ResearchMeSH KeywordsAdrenal Cortex HormonesAnesthetics, LocalAnti-Inflammatory AgentsHumansInjections, EpiduralLidocaineLow Back PainPain ManagementReproducibility of ResultsConceptsRandomized controlled trialsSpinal painSystematic reviewInterventional Pain Management Techniques-Quality AppraisalMeta-analysisSecondary to disc herniationPost surgery syndromeEvidence synthesis principlesCochrane review criteriaEpidural injectionSystematic review of randomized controlled trialsReview of randomized controlled trialsMethodological quality assessmentLiterature searchPreferred Reporting ItemsPain reliefSecondary outcome measuresEffects of lidocaineIPM-QRBLocal anestheticsEvidence synthesisModerate evidenceMultiple randomized controlled trialsReporting ItemsDiscogenic pain