FDA Cracks Down on Epidural Corticosteroids
Just after publishing Dr. Deborah Pate’s review of epidural corticosteroid injections for sciatica (April 22 newsletter – “Steroids for Sciatica: More Trouble Than They’re Worth), which concluded, based on the available evidence, that epidural steroid injections “have little clinical benefit (short or long term), and are associated with significant risks …
“Injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death. The injections are given to treat neck and back pain, and radiating pain in the arms and legs. The effectiveness and safety of epidural administration of corticosteroids have not been established, and FDA has not approved corticosteroids for this use.”
The FDA is requiring that drug labels of injectable corticosteroids carry a warning detailing these potential risks, and recommends that patients “discuss the benefits and risks of epidural corticosteroid injections with their health care professionals, along with the benefits and risks associated with other possible treatments.”
The administration also announced plans to convene a meeting of “external experts” later this year to discuss the benefits vs. risks of epidural corticosteroid injections. The advisory committee meeting could lead to further FDA actions.
In the meantime, maybe try to treat your neck, back, shoulder pain with natural methods, such as acupuncture or chiropractic care, which is drug-free care.