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Papers of the Week

Papers: 28 Mar 2020 - 3 Apr 2020

Human Studies

2020 Mar

Pain Physician



An Updated Analysis of Utilization of Epidural Procedures in Managing Chronic Pain in the Medicare Population from 2000 to 2018.


Manchikanti L, Sanapati MR, Soin A, Manchikanti MV, Pampati V, Singh V, Hirsch JA
Pain Physician. 2020 Mar; 23(2):111-126.
PMID: 32214288.


With increasing costs of health care in the United States, attention is focused on expensive conditions. Musculoskeletal disorders with low back and neck pain account for the third highest amount of various disease categories. Minimally invasive interventional techniques for managing spinal pain, including epidural injections, have been considered to be growing rapidly. However, recent analyses of utilization of interventional techniques from 2000 to 2018 has shown a decline of 2.6% and a decline of 21% from 2009 to 2018 for epidural and adhesiolysis procedures.