Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Pain | |||||
[16]
Systematic review |
49 people with radiologically confirmed disc herniation Data from 1 RCT |
Proportion of people with symptom relief
3 months
54% with triamcinolone interlaminar perineural injection 40% with placebo (saline) interlaminar perineural injection plus intramuscular triamcinolone Absolute numbers not reported |
Significance not assessed Randomisation method not reported |
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[16]
Systematic review |
160 people with lower-limb pain caused by confirmed disc herniation Data from 1 RCT |
Proportion of people with symptom relief
12 months
65% with corticosteroid injections 65% with saline placebo injection Absolute numbers not reported |
Reported as not significant P value not reported |
Not significant | |
[17]
Systematic review |
23 people with nerve root compromise Data from 1 RCT |
Proportion of people with improvement in back and leg pain (unspecified)
4 weeks
with caudal corticosteroid injection of 25 mL triamcinolone acetonide 80 mg with or without 0.5% procaine hydrochloride with placebo (25 mL saline injection) Absolute results not reported |
Reported as significant in favour of corticosteroid injection No further data reported |
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[17]
Systematic review |
23 people with nerve root compromise Data from 1 RCT |
Proportion of people with improvement in back and leg pain (unspecified)
12 months
with caudal corticosteroid injection of 25 mL triamcinolone acetonide 80 mg with or without 0.5% procaine hydrochloride with placebo (25 mL saline injection) Absolute results not reported |
Reported as no significant difference between groups at 12 months No further data reported |
Not significant | |
[19]
Systematic review |
228 people with unilateral sciatica, possibly caused by disc herniation Data from 1 RCT |
Proportion of people with improvement in leg pain (unspecified) measured by visual analogue scale (VAS)
3 weeks
with triamcinolone 80 mg plus 10 mL bupivacaine 0.25% with 2 mL normal saline Absolute results not reported |
Reported as no significant difference between groups No further data reported by review |
Not significant | |
[19]
Systematic review |
228 people with unilateral sciatica, possibly caused by disc herniation Data from 1 RCT |
Proportion of people with improvement in leg pain (unspecified) measured by Likert scale
3 weeks
61% with triamcinolone 80 mg plus 10 mL bupivacaine 0.25% 40% with 2 mL normal saline Absolute numbers not reported |
P <0.01 |
Effect size not calculated | triamcinolone 80 mg plus 10 mL bupivacaine 0.25% |
[19]
Systematic review |
228 people with unilateral sciatica, possibly caused by disc herniation Data from 1 RCT |
Proportion of people with improvement in leg pain (unspecified) measured by VAS
6 weeks
with triamcinolone 80 mg plus 10 mL bupivacaine 0.25% with 2 mL normal saline Absolute results not reported |
Reported as no significant difference between groups No further data reported by review |
Not significant | |
[19]
Systematic review |
228 people with unilateral sciatica, possibly caused by disc herniation Data from 1 RCT |
Proportion of people with improvement in leg pain (unspecified) measured by Likert scale
6 weeks
with triamcinolone 80 mg plus 10 mL bupivacaine 0.25% with 2 mL normal saline Absolute results not reported |
Reported as no significant difference between groups No further data reported by review |
Not significant | |
[19]
Systematic review |
158 people with sciatica caused by herniated nucleus pulposus Data from 1 RCT |
Improvement in leg pain (unspecified)
6 weeks
with methylprednisolone acetate (80 mg and 8 mL of isotonic saline) with 1 mL isotonic saline Absolute results not reported |
P = 0.03 |
Effect size not calculated | methylprednisolone acetate (80 mg and 8 mL of isotonic saline) |
[19]
Systematic review |
158 people with sciatica caused by herniated nucleus pulposus Data from 1 RCT |
Improvement in leg pain (unspecified)
3 months
with methylprednisolone acetate (80 mg and 8 mL of isotonic saline) with 1 mL isotonic saline Absolute results not reported |
Reported as no significant differences between groups No further data reported |
Not significant | |
[19]
Systematic review |
51 people with lumbar root compression documented by neurological deficit and abnormality noted on myelography Data from 1 RCT |
Pain (unspecified)
3 months
with 80 mg methylprednisolone (2 mL) with 2 mL normal saline Absolute results not reported |
Reported as no significant differences between groups No further data reported |
Not significant | |
[19]
Systematic review |
151 people with lumbar root compression documented by neurological deficit and abnormality noted on myelography Data from 1 RCT |
Pain (unspecified)
14 months
with 80 mg methylprednisolone (2 mL) with 2 mL normal saline Absolute results not reported |
Reported as no significant difference between groups No further data reported |
Not significant | |
[20]
RCT |
85 people with sciatica caused by herniated disc |
Mean change in pain scores from baseline measured by unspecified VAS
35 days
–30.3 mm with epidural corticosteroid injections (2 mL prednisolone acetate at 2-day intervals for a total of 3 injections) –25.2 mm with placebo (2 mL isotonic saline injection) |
Mean difference –5.1 95% CI –18.7 to +8.4 |
Not significant | |
[21]
RCT |
76 people with leg and back pain caused by herniated disc |
Improvement in leg pain measured by VAS score
3 months
mean change of 27.4 with methylprednisolone 40 mg plus local anaesthetic mean change of 24.3 with local anaesthetic alone |
Significance not assessed |
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[21]
RCT |
124 people with leg and back pain caused by herniated disc (76 people) or spinal stenosis (48 people) |
Improvement in back pain measured by VAS score
3 months
mean change of 6.9 with methylprednisolone 40 mg plus local anaesthetic mean change of 9.9 with local anaesthetic alone |
P = 0.57 |
Not significant |