The Basis for Recommending Repeating Epidural Steroid Injections for Radicular Low Back Pain

It is not unusual for the “typical” low back pain patient to be referred out by their PCP for epidurals when the 1 wk trial of ibuprofen didn’t work or when physical therapy has failed. There are a large number of ESIs done in this country in patients that have never been sent to a chiropractor for treatment.

There is even evidence that suggests that patients referred for an epidural have a higher likelihood of progressing to back surgery (which is again, of questionable benefit with much risk). But what the heck…it’s only $12K or so….who cares if it works? Now that $300 course of chiropractic care–THAT we need to keep an eye on.

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James Bogash

For more than a decade, Dr. Bogash has stayed current with the medical literature as it relates to physiology, disease prevention and disease management. He uses his knowledge to educate patients, the community and cyberspace on the best way to avoid and / or manage chronic diseases using lifestyle and targeted supplementation.