I am a
Home I AM A Search Login

Papers of the Week

2019 Sep

Pain Physician



Cervical Interlaminar Epidural Injections in the Treatment of Cervical Disc Herniation, Post Surgery Syndrome, or Discogenic Pain: Cost Utility Analysis from Randomized Trials.


Manchikanti L, Pampati V, Parr Iii A, Manchikanti MV, Sanapati MR, Kaye AD, Hirsch JA
Pain Physician. 2019 Sep; 22(5):421-431.
PMID: 31561644.


Neck pain is one of the major conditions attributing to overall disability in the United States. There have been multiple publications assessing clinical and cost effectiveness of multiple modalities of interventions in managing chronic neck pain. Even then, the literature has been considered sparse in relation to cervical interlaminar epidural injections in managing chronic neck pain. In contrast, cost utility studies of lumbar interlaminar injections, caudal epidural injections, cervical and lumbar facet joint nerve blocks, percutaneous adhesiolysis demonstrated costs of less than $3,500 for quality-adjusted life year (QALY).