Review & Recommendation Statements

NASS has developed Review and Recommendation Statements to represent the interests of spine care in variety of forums, including payers, government entities, and quality improvement bodies. The scope and number of questions addressed in these reviews is generally smaller than that of a formal clinical guideline, allowing for a more rapid review and response and incorporation of transparently identified consensus where evidence is lacking. ​ ​​

Lumbar Transforaminal Epidural Steroid Injections: 
Review and Recommendation Statement (1/2013)

Lumbar transforaminal epidural steroid injection (LTFESI) is used to treat lumbar radicular pain and radiculopathy. Patients who are candidates for TFESI typically have not responded to some form(s) of medical treatment and have often had recent cross sectional imaging studies that correlate with their clinical findings. This statement is intended to present the current state of the evidence about the use of TFESI to treat lumbar radiculopathy/radiculitis resulting from herniated disc or spinal stenosis and provide evidence-based recommendations regarding their use in treating lumbar radicular pain.

Statement
Evidentiary Tables

Cervical Epidural Steroid Injections: 
Review and Recommendation Statement (3/2011)​  

Cervical epidural steroid injection (CESI) is used to treat cervical radicular pain and cervical radiculopathy which have an estimated annual incidence of 83.2/100,000 persons. The condition can be associated with significant pain and disability. Patients who are candidates for CESI typically have not responded to some form(s) of medical treatment, and have often had recent cross sectional imaging studies that correlate with their clinical findings. This statement is intended to present the current state of the evidence about the use of CESI to treat cervical radiculopathy/radiculitis and provide evidence-based recommendations regarding their use in treating cervical radicular pain.

Statement
Evidentiary Tables​