Interlaminar ESI Injectate Question
I was looking at the LCD regarding steroids allowed for ESI's. Dexamethasone can be used with no issue. However, the use of methylprednisolone was eliminated (see below) unless I'm reading this incorrectly.
When it comes to Triamcinolone I am a little confused. Kenalog is not approved for Epidural use, which I presume is due to preservatives? So it appears you can use preservative free Triamcinolone? Is this correct? (Source: Student Doctor Network)
Source: Student Doctor Network - July 23, 2022 Category: Universities & Medical Training Authors: DrSwede Tags: Pain Medicine Source Type: forums
Intrathecal Methylprednisolone for PHN
I have an 88yo patient with severe PHN. Has failed the usual suspects: Lyrica, TCA, gabapentin, capsaicin, opioids, Lidoderm. He is losing weight, has become inactive and is in severe pain. I've come across research about intrathecal Methylprednisolone injection and some studies look to be quite effective. Have any of you done this? I have never injected IT steroids and know about concerns with additives causing arachnoiditis, etc.
Can anyone comment on whether IT steroids should be...
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Source: Student Doctor Network - May 15, 2021 Category: Universities & Medical Training Authors: dhcofc Tags: Pain Medicine Source Type: forums
