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Evaluation of the Long-Term Efficacy of Cervical Interlaminar Epidural Steroid Injections Without Local Anesthetic

Günay Er1, Rekib Sacaklidir2, Hasanali Gilan2

  • 1Pain Medicine Department, Niğde Ömer Halisdemir Education and Research Hospital, Aşağı Kayabaşı Hastaneler Street, 51100,Merkez/Niğde, Turkey.

American Journal of Physical Medicine & Rehabilitation
|May 19, 2026
PubMed
Abstract

Keywords:
Cervical Disc HerniationEpiduralInjectionInterlaminar

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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