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Efficacy of Epidural Blocks

  • Poor patient selection.

  • Questionable technique.

  • Correct pain generator (see next slide)

  • Modality vs. treatment

    • White et al showed good short term pain relief 82% at day one to 7% response after 6 months.
  • The period of pain relief given by the ESI must be used in conjunction with an active rehabilitation program.

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