To the Editor: As surgeons with a combined experience of more than 80 years in managing lumbar disc prolapse, we would like to add to this debate on the place of corticosteroid injection, from the advantage of those who have both seen the problem during surgery and managed the condition non-operatively. The opinions expressed recently in the Journal1-4 suggest such experience is essential to the understanding of both the pathogenesis and natural history of the disorder.
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- 1. Harris IA, Buchbinder R. Time to reconsider steroid injections in the spine? Med J Aust 2013; 199: 237. <MJA full text>
- 2. Harris IA, Buchbinder R. Time to reconsider steroid injections in the spine? [letter]. Med J Aust 2013; 199: 754. <MJA full text>
- 3. Bogduk N. Time to reconsider steroid injections in the spine? [letter]. Med J Aust 2013; 199: 752. <MJA full text>
- 4. Davies SJ, Hogg MN, Visser EJ. Time to reconsider steroid injections in the spine? [letter] Med J Aust 2013; 199: 252-254. <MJA full text>
- 5. Ryan MD, Taylor TKF. Management of lumbar nerve root pain. Med J Aust 1981; 2: 532-534.
- 6. Karppinen J, Malmivaara A, Kurunlahti M, et al. Periradicular infiltration for sciatica: a randomized controlled trial. Spine 2001; 26: 1059-1067.
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