Pain medicine

Use of corticosteroids for adult chronic pain interventions: sympathetic and peripheral nerve blocks, trigger point injections - guidelines from the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, the American Society of Interventional Pain Physicians, and the International Pain and Spine Intervention Society

Reg Anesth Pain MedPublished Practice guideline

Methodological detailsmodified Delphi process, multisociety
  • Modified Delphi process
  • Multisociety

Recommendations

As issued by the authors

  1. Imaging guidance improves the safety of some procedures, incl. stellate blocks, lower extremity peripheral nerve blocks and some trigger point injection sites

  2. Adding non-particulate corticosteroid to local anesthetic is beneficial in cluster headaches but not in other headache types

  3. Corticosteroid may provide additional benefit in TAP blocks and ilioinguinal/iliohypogastric nerve blocks in postherniorrhaphy pain; no evidence for pudendal nerve blocks

  4. Minimal benefit for corticosteroids in trigger point injections

Original publication

Use of corticosteroids for adult chronic pain interventions: sympathetic and peripheral nerve blocks, trigger point injections - guidelines from the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, the American Society of Interventional Pain Physicians, and the International Pain and Spine Intervention Society. Reg Anesth Pain Med. Published 16 July 2024. doi:10.1136/rapm-2024-105593

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