NEUROLOGY EXPERT FORUM
My 9/13 post on ESI

My 9/13 post on ESI


  I'm confused if a reply was made to my 9/13 post by the CCF.  Please advise if something was posted in reply to my situation.  Thanks  
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Dear Lee:
If your question was about the value of epidural steroid injection for thoracic disc disease, no, an answer was not posted.
In my opinion and, I believe, in the opinion of several neurologists, the value of epidural steroid injections anywhere is debatable. This modality of treatment has not been proven to be effective or of definite value in any well designed case-control study. Continued use is based upon anecdotal reports of pain relief. ESI has been most used in the lumbar spine.
The indication for ESI in the thoracic area is more debatable. Thoracic discs are uncommon, and are usually symptomatic from major or serious  compression of thespinal cord or of the roots. Such thoracic disc disease is most appropriately treated with surgery, often emergently. Lesser forms of thoracic disc disease, if they do exist, likely do not need any invasive treatment.
This answer is provided for general information purposes only. Specific questions regarding you individual medical problem should be directed to your physician.




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