Epidural Injections Panel

The panel responds to audience questions about epidural injections. Dr. Knezevic discusses dexamethasone’s long-acting gelatinous formulation. Dr. Tracy describes the CMS’s lack of agreement on the appropriate dose of steroids for individual patients. Dr. Diwan discusses the lack of benefit from sodium chloride in the injections for patients with high-level pain. Dr. Gupta discusses the various approaches to transforaminal epidural injections. The panel agrees that skill and proper training is essential. Dr. Manchikanti offers expert advice to address various situations.