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Correspondence
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Volume 337:1241-1243 October 23, 1997 Number 17
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Corticosteroid Injections for Sciatica

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 by Carette, S.
To the Editor: Carette et al. (June 5 issue)1 studied the efficacy of epidural methylprednisolone injections in patients with sciatica due to a herniated nucleus pulposus. After three and six weeks, the patients who received injections of corticosteroid reported less leg pain than those who received placebo. There were no differences in other outcome measures. Interpretation of this trial is hampered by the use of a placebo saline injection that differed in volume from the methylprednisolone injection: 1 ml as opposed to 10 ml. Some of the effect of epidural injections may be through the distention of epidural structures. The . . . [Full Text of this Article]

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