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Cervical Epidural Injection in the Management of Refractory Pain and Stiffness in Spondyloarthropathy: A Case Report Series
Author(s) -
Gungor Semih,
Aiyer Rohit,
Erkan Doruk
Publication year - 2018
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/papr.12616
Subject(s) - medicine , refractory (planetary science) , neck pain , spondyloarthropathy , conservative management , surgery , conservative treatment , epidural steroid injection , anesthesia , low back pain , ankylosing spondylitis , physics , alternative medicine , pathology , astrobiology
Objectives The primary objective of this case series was to report the use of cervical epidural steroid injection in the management of neck pain and stiffness secondary to spondyloarthropathy in cases refractory to conservative therapy. Methods This was a case report series on three patients with diagnosis of spondyloarthropathy who presented with severe stiffness and non‐radicular axial neck pain refractory to conservative therapy. All patients received cervical epidural steroid injections with significant improvement of their axial neck pain and stiffness. Results Cervical epidural steroid injections may be effective to improve the axial neck pain and stiffness in patients with diagnosis of spondyloarthropathy refractory to conservative management. Thus, we believe that epidural steroid injections should be considered in the management of patients with spondyloarthopathies.