The effectiveness of intradiscal corticosteroid injection for the treatment of chronic discovertebral low back pain: a systematic review.

ABSTRACT:

Objective

Determine the effectiveness of intradiscal corticosteroid injection (IDCI) for the treatment of discovertebral low back pain.

Design

Systematic review.

Population

Adults with chronic low back pain attributed to disc or vertebral end plate pain, as evidenced by positive provocation discography or Modic 1 or 2 changes on magnetic resonance imaging.

Intervention

Fluoroscopically guided or computed tomography-guided IDCI.

Comparison

Sham/placebo procedure including intradiscal saline, anesthetic, discography alone, or other active treatment.

Outcomes

Reduction in chronic low back pain reported on a visual analog scale or numeric rating scale and reduction in disability reported by a validated scale such as the Oswestry Disability Index.

M

SUBMITTER: Miller S 

PROVIDER: S-EPMC11494378 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature