Treatment outcomes of peri-articular steroid injection for patients with work-related sacroiliac joint pain and lumbar para-spinal muscle strain
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Loma Linda University Medical Center, Loma Linda, CA, USA (Department of Occupational Medicine)
Loma Linda University, Loma Linda, CA, USA (School of Public Health)
Online publication date: 2020-12-03
Corresponding author
Khalid Medani   

Linda University Medical Center, Department of Occupational Medicine, 328 E Commercial Rd, San Bernardino, CA 92408, USA
Int J Occup Med Environ Health. 2021;34(1):111-20
Objectives: Evaluating treatment outcomes of local corticosteroid injections for work-related lower back pain (LBP) as the current evidence for the American College of Occupational and Environmental Medicine guidelines is considered insufficient to recommend this practice. Material and Methods: The authors conducted a retrospective study involving the patients who were treated with peri-articular and lower lumbar corticosteroid injections for work-related LBP at their occupational medicine clinic. Results: Sixty-four patients met the inclusion criteria. The average pain level was reduced from M±SD 5.1±2.0 to M±SD 3.1±2.3 after the corticosteroid injection (p < 0.0001). Thirty-five patients (55%) were discharged to regular duty; 23 (36%) were transferred to orthopedics due to persistent pain; and 6 (9%) were lost to follow-up. Conclusions: Corticosteroid injections for work-related LBP are effective in reducing pain and enhancing discharge to regular duty. Nonetheless, larger prospective trials are needed to validate these findings. Int J Occup Med Environ Health. 2021;34(1):111–20
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