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May 09, 2007

Epidural for Back pain

JAMA april 25 had a perspective on epidural steroid injections for back pain. Out of about $90 Billion spent on back pain, nearly $50 million is spent on these injections, for which little evidence can be found. There was improvement between 2 to 6 weeks, but not much at first or long-term. So it is not useless.

The big question is, how is the other $90 Billion spent and is there any evidence for it?

poor efficacy | By Robert Maddox | 12:35 AM

Comments

I can certainly speak for the ineffectiveness of the injections. I have had 3 intercostal nerve blocks with steroids over the past 6 months, and I have only had 1-3 weeks of relief each time. As for the other $40 Billion in your stats, from my experience, I imagine that some of it is spent on imaging while the majority is spent on inflated "specialist's" operating costs. I am sure the last thing you want to hear is another patient complaining about what must be 'unusual' or 'extreme' cases of their bad experiences with incompetent and/or fraudulent doctors. However, I must say that this particular medical specialty does seem to employ a higher than average number of 'quacks'. Just take a look at their hours, which are amazingly similar to those of 'bankers'. And, again, in my experience, the treatments seem to produce lower than average success. Just a humble opinion, etched by painful experience.

Posted by: Painful Patience at May 9, 2007 05:54 PM

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