Intra-articular steroid injections for lumbar disk herniation: a systematic review and meta-analysis - Takeaways - MDSpire

Intra-articular steroid injections for lumbar disk herniation: a systematic review and meta-analysis

  • By

  • Saran Singh Gill

  • Pratik Ramkumar

  • Abith Ganesh Kamath

  • Sreeraag Kanakala

  • Akhil Anil

  • Srikar Reddy Namireddy

  • Srihan Yalavarthy

  • Daniele S. C. Ramsay

  • Ahmed Salih

  • Ahkash Thavarajasingam

  • Adrisa Prashar

  • Sajeenth Vishnu K

  • Tim Beutel

  • Salvatore Russo

  • Santhosh G. Thavarajasingam

  • Hariharan Subbiah Ponniah

  • November 14, 2025

  • 0 min

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  • 1

    Lumbar disc herniation (LDH) affects 5–20 individuals per 1,000 annually, with higher prevalence in males aged 30–50 years.

  • 2

    Intra-articular steroid injections, including TFESI, IESI, and CESI, provide effective symptomatic relief for patients with LDH.

  • 3

    These steroid injections reduce inflammation and pain by inhibiting pro-inflammatory cytokines and decreasing pain mediators.

  • 4

    This systematic review and meta-analysis evaluates the efficacy of different IA steroid injection techniques for LDH management.

  • 5

    The study aims to support evidence-based recommendations to improve pain management and functional outcomes for LDH patients.

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