Last week we had oral steroids for radiculopathy.  This week we have epidural steroids.  Still no difference.

This surprises me, maybe, a little more than the other result.  Putting the steroid right where you ‘need’ it is something we do with osteoarthritis, another ‘low inflammatory’ state, all the time.  And in OA there is definitely a short term effect on pain.  But this is a reminder that disc herniation is not OA – they are not the same and may not respond to similar treatments the same way.

Let’s quit with the steroids for low back pain now, OK?