Don’t order repeat epidural steroid injections without evaluating the individual’s response to previous injections.

September 29, 2014

Utilization of repeat epidural steroid injections has not been shown to improve patient outcomes. Physicians should consider patient re-evaluation prior to repeat epidural steroid injections.


Novak S, Nemeth WC. The basis for recommending repeating epidural steroid injections for radicular low back pain: a literature review. Arch Phys Med Rehabil. 2008 Mar;89:543–52.