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Supports use in radiculopathy from disc herniation strongly and less robust support for spinal stenosis radicular pain. Non particulate steroids as effective as particulate steroids.
I know I've seen study after study comparing nonparticulate to particulate, but anecdotally I've had so many patients get a more robust and prolonged response with the latter.
Classic story I'm seeing is has tfesi with 3 weeks of relief with dex, I repeat it with triamcinolone and get 3 months of relief.
Reminder: Triamcinolone's package insert states you should NOT use it in the epidural space. This is different than all other steroids which are simply not FDA approved.I know I've seen study after study comparing nonparticulate to particulate, but anecdotally I've had so many patients get a more robust and prolonged response with the latter.
Classic story I'm seeing is has tfesi with 3 weeks of relief with dex, I repeat it with triamcinolone and get 3 months of relief.
For some reason I think Bristol Myers requested this change. I want to say I read that somewhere way back when but I’m not sure. Anyone know?Reminder: Triamcinolone's package insert states you should NOT use it in the epidural space. This is different than all other steroids which are simply not FDA approved.