Abstract
To the Editor: From the perspective of practice in a pain clinic, Benzon (in JW Neurology , Sep 2001, p. 70, accession number 010726008) brands our review biased and ... unduly alarming but provides no evidence to counter our database. However, he does concur that epidural steroids are not efficacious. We discovered no inflammatory basis for back and radicular pain and discussed the toxicity of various injection mixtures ( J Neurol Neurosurg Psychiatry 2001; 70:433). Injections into epidural space, nerve roots, and facet joints are often inaccurate and can leak intrathecally; facet and facet-nerve injections are also ineffective and can produce dangerous chemical meningitis. Serious …
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