The occasional epidural steroid injection

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The article provides a detailed guide on performing occasional epidural steroid injections for back pain, particularly in rural settings where general practitioner-anesthetists may need to manage such cases. It emphasizes patient selection, advising against those with prior back surgeries due to increased complexity and infection risk. The procedure involves careful needle placement to avoid complications, with specific instructions on identifying the epidural space using the loss-of-resistance technique. Despite weak supporting evidence, this method is sometimes recommended when other treatments are not viable.

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