Neurology March 2025 PMID 39938000

Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN Guidelines Subcommittee.

Carmel Armon, Pushpa Narayanaswami, Sonja Potrebic, Gary Gronseth, Misha-Miroslav Bačkonja, Viet L Cai, James Dorman, Christopher Gilligan, Scott A Heller, Heather M Silsbee, Don B Smith

Mentions

122
Peak: 49 in Feb 2025
across 4 sources since Feb 2025

Extended reach

524,339
potential audience

Total likes

219

Video views

386

Mentions per month

Feb 2025 – Jul 2025

Where it's discussed

  • News65 articles
  • X / Twitter52 posts
  • YouTube3 videos
  • Blogs2 articles

AI synopsis

What people are saying

The group exhibits high interest through shared links and mentions of recent publications, such as statements about the 'limited efficacy' of epidural steroid injections, which underscores concerns about their long-term benefit. The tone remains professional and focused, reinforcing the importance of evidence-based practice in pain management.

AgreementModerate agreement

Most posts acknowledge the review's conclusion of limited short-term efficacy, demonstrating general agreement with the findings.

InterestHigh interest

Posts indicate high interest, with references to recent publications and discussions of clinical practices, showing active engagement.

EngagementModerate engagement

While many posts share summaries or links, they do not all deeply analyze the data, reflecting moderate engagement.

ImpactModerate impact

The discussions highlight the significance of the review in shaping clinical approaches, suggesting the findings are influential but not revolutionary.

Abstract in brief

  • This systematic review evaluates how effective epidural steroid injections (ESIs) are in treating cervical and lumbar radiculopathies and spinal stenosis, focusing on pain and disability improvements at 3 months (short-term) and 6 months (long-term).
  • It analyzed 90 randomized controlled trials (RCTs) published between 2005 and 2021, and found that ESIs likely help reduce short-term pain and disability in radiculopathies and possibly in lumbar stenosis, but evidence for long-term benefits is limited or unclear.
  • Overall, the review concludes that ESIs have limited short-term efficacy in reducing pain and disability for these conditions, with insufficient evidence to confirm long-term effectiveness, especially for cervical stenosis.]

Top posts

Most liked on X and Bluesky
The Sp⚽️rts Physio
@AdamMeakins · X

JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar radiculopathies https://t.co/h9RPdaVePd

Feb 18, 2025 · 84 likes · 22 shares · 107,647 followers View post →
Lyell Jones MD
@LyellJ · X

Feb 14, 2025 · 65 likes · 9 shares · 20,846 followers View post →
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X

Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary Report of the AAN Guidelines Subcommittee https://t.co/gIkWtLattt https://t.co/0LBdVrmvO0

Feb 18, 2025 · 22 likes · 3 shares · 26,228 followers View post →
Neurology Journal
@GreenJournal · X

Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN Guidelines Subcommittee https://t.co/YglGe2f8Bu #NeuroTwitter #NeuroX

Feb 25, 2025 · 20 likes · 7 shares · 97,993 followers View post →
Lyell Jones MD
@LyellJ · X

Link to summary: https://t.co/E5700Np30P

Feb 14, 2025 · 8 likes · 1 share · 20,846 followers View post →
Christine Goertz
@ChristineGoertz · X

“The review affirms limited efficacy of ESIs in reducing pain and disability in cervical and lumbar radiculopathies and possibly in lumbar spinal stenosis, largely in the short term.” https://t.co/iZtP6Bi7jo

Feb 12, 2025 · 3 likes · 1,277 followers View post →

All mentions

Pain Specialists Australia
@Pain_Spec_Aus · X

Epidural Steroid Injections: Can They Really Help with Nerve Pain? Armon C, Narayanaswami P, et al. Epidural steroid injections for chronic back pain: A systematic review. Neurology. 2025 Feb 12. https://t.co/6g1Ji5SDTn https://t.co/52gVi22AWA

Jul 3, 2025 · 1 like · 1,093 followers View post →
WeitzSportsChiro
@WeitzSportChiro · X

Epidural steroid injections reduce pain in patients with cervical or lumbar radiculopathies (radiating pain) in 24% of patients for up to 3 mths. For patients with cervical or lumbar stenosis, there is no evidence that they reduce pain. https://t.co/JlyIUWZha5

May 17, 2025 · 1 like · 9,396 followers View post →
James Bogash, DC
@drbogash · X

Spinal injections: Do they work? It depends... https://t.co/CwJgDelqeM via @YouTube

Apr 10, 2025 · 392 followers View post →
Anton
@Anton65529666 · X

RT @GreenJournal: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN…

Feb 27, 2025 · 7 shares · 2 followers View post →
Dr David Choluj, MD
@davidcholuj · X

RT @GreenJournal: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN…

Feb 27, 2025 · 7 shares · 137 followers View post →
ong beng hooi
@ongbenghooi1 · X

RT @GreenJournal: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN…

Feb 26, 2025 · 7 shares · 540 followers View post →
José Alberto
@josealberto_gc · X

RT @GreenJournal: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN…

Feb 26, 2025 · 7 shares · 1,469 followers View post →
dopamine
@YH1M · X

RT @GreenJournal: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN…

Feb 26, 2025 · 7 shares · 1,751 followers View post →
felipe castro
@fcastro13 · X

RT @GreenJournal: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN…

Feb 25, 2025 · 7 shares · 304 followers View post →
Kiran Patil MD FAAN
@KiranPatilMD · X

RT @GreenJournal: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN…

Feb 25, 2025 · 7 shares · 1,458 followers View post →
Patricio S. Espinosa MD, MPH, FAAN.
@psespinosa · X

Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary | Neurology https://t.co/L4wuenwRSn

Feb 25, 2025 · 2 likes · 278 followers View post →
Neurology Journal
@GreenJournal · X

Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary: Report of the AAN Guidelines Subcommittee https://t.co/YglGe2f8Bu #NeuroTwitter #NeuroX

Feb 25, 2025 · 20 likes · 7 shares · 97,993 followers View post →
Wendy Ng
@Wendy_WY_Ng · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 21, 2025 · 22 shares · 269 followers View post →
Robert West, PhD ✝️
@westr · X

RT @GreenJournal: Read the related article in Neurology®: https://t.co/GpIfYmpy8k

Feb 20, 2025 · 1 share · 19,323 followers View post →
Neurology Journal
@GreenJournal · X

Read the related article in Neurology®: https://t.co/GpIfYmpy8k

Feb 20, 2025 · 1 like · 1 share · 97,993 followers View post →
Vance locke
@VanceLocke · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 19, 2025 · 22 shares · 163 followers View post →
innerchildca
@innerchildca · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 19, 2025 · 22 shares · 938 followers View post →
Peter O'Sullivan
@PeteOSullivanPT · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 19, 2025 · 22 shares · 57,389 followers View post →
Virginia Jiménez
@Ginnypenick · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 19, 2025 · 22 shares · 1,830 followers View post →
Sally Banerjee
@sallybanerjee · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 19, 2025 · 22 shares · 173 followers View post →
Michael Vianin
@mvianin · X

Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary | Neurology - https://t.co/Ybw2shP8ZX

Feb 19, 2025 · 128 followers View post →
William Montaña
@WilliamMontaa10 · X

RT @Retlouping: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary Report of the AAN Gu…

Feb 18, 2025 · 3 shares · 12 followers View post →
Liz Monserrath Ortiz
@LizMonserrath · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 34 followers View post →
Aaron Boyum
@aaronjboyum · X

RT @Retlouping: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary Report of the AAN Gu…

Feb 18, 2025 · 3 shares · 265 followers View post →
Lloyd Renals
@LloydRenals · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 2,621 followers View post →
Matt Kenyon
@Physio_lab · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 455 followers View post →
Koushik
@koushikphysio · X

RT @Retlouping: Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary Report of the AAN Gu…

Feb 18, 2025 · 3 shares · 519 followers View post →
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X

Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary Report of the AAN Guidelines Subcommittee https://t.co/gIkWtLattt https://t.co/0LBdVrmvO0

Feb 18, 2025 · 22 likes · 3 shares · 26,228 followers View post →
Zach Mayo, PT, DPT, OCS, FiT
@ZachMayoDPT · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 41 followers View post →
Fred
@DrSharonO · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 774 followers View post →
Kurt Harris MD
@radfugee · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 1,759 followers View post →
Jummy Sonibare
@js_softtissue · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 16 followers View post →
Andrew Pontin
@PontinAndrew · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 293 followers View post →
Joe Barry
@JoeBarryPhysio · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 336 followers View post →
Daniel Godeassi
@dangodeassi · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 205 followers View post →
Aaron McEneaney
@aaron_physio · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 738 followers View post →
The Better Clinician Project
@ClinicianBetter · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 9,827 followers View post →
H@zel
@AnjuShr99687913 · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 3 followers View post →
Ben Cormack
@CorKinetic · X

RT @AdamMeakins: JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar r…

Feb 18, 2025 · 22 shares · 28,371 followers View post →
The Sp⚽️rts Physio
@AdamMeakins · X

JUST PUBLISHED: Limited efficacy of epidural steroid injections in reducing pain and disability in cervical and lumbar radiculopathies https://t.co/h9RPdaVePd

Feb 18, 2025 · 84 likes · 22 shares · 107,647 followers View post →
ong beng hooi
@ongbenghooi1 · X

RT @LyellJ:

Feb 15, 2025 · 9 shares · 540 followers View post →
Kara Stavros, MD, FAAN
@StavrosKara · X

RT @LyellJ:

Feb 15, 2025 · 9 shares · 2,584 followers View post →
Manuel Martinez MD
@manuelmtzmm · X

RT @LyellJ:

Feb 15, 2025 · 9 shares · 48 followers View post →
Mohammad Sadegh Eslami Manouchehri
@dr_mseman · X

RT @LyellJ:

Feb 15, 2025 · 9 shares · 82 followers View post →
Manoj Mayogi Mishra
@mayogisense · X

RT @LyellJ:

Feb 15, 2025 · 9 shares · 572 followers View post →
Alan Chávez
@AlanOSCM · X

RT @LyellJ:

Feb 14, 2025 · 9 shares · 285 followers View post →
pablo vizhnay
@_pvijo · X

RT @LyellJ:

Feb 14, 2025 · 9 shares · 454 followers View post →
dopamine
@YH1M · X

RT @LyellJ:

Feb 14, 2025 · 9 shares · 1,751 followers View post →
Lyell Jones MD
@LyellJ · X

Link to summary: https://t.co/E5700Np30P

Feb 14, 2025 · 8 likes · 1 share · 20,846 followers View post →
Lyell Jones MD
@LyellJ · X

Feb 14, 2025 · 65 likes · 9 shares · 20,846 followers View post →
Patricio S. Espinosa MD, MPH, FAAN.
@psespinosa · X

Epidural Steroids for Cervical and Lumbar Radicular Pain and Spinal Stenosis Systematic Review Summary | Neurology https://t.co/L4wuenwRSn

Feb 14, 2025 · 278 followers View post →
Christine Goertz
@ChristineGoertz · X

“The review affirms limited efficacy of ESIs in reducing pain and disability in cervical and lumbar radiculopathies and possibly in lumbar spinal stenosis, largely in the short term.” https://t.co/iZtP6Bi7jo

Feb 12, 2025 · 3 likes · 1,277 followers View post →