Epidural corticosteroid injections for sciatica: An Abridged Cochrane Systematic Review and Meta-Analysis
The injection of corticosteroids in the epidural space is found to mildly beneficial for a short period of time. Safety was not determined in this paper.
The Takeaway: This study evaluated the use of corticosteroids for epidural injections in the spine. The use of corticosteroids for an epidural injection is an off-label use of this medication and is not FDA approved. Still, doctors have the choice to use corticosteroids in this manner and insurance will commonly cover this procedure. People often wonder why PRP is not FDA approved and why it is not covered by insurance, but many times patients don’t realize that many treatments are not FDA approved yet still provide profound benefits. Unfortunately, PRP is typically not covered by insurance.
Oliveira M, Et Al. Epidural corticosteroid injections for sciatica: An Abridged Cochrane Systematic Review and Meta-Analysis. Spine (Phila Pa 1976). 2020 Sep 1.