Our study has shown that patients having intra-articular steroid injection for forefoot conditions have good outcome following the injection and they maintain it at six months. Whereas approximately 22% of patients receiving intra-articular steroid injection for arthritis of the ankle, hindfoot or midfoot, have failed to remain free of symptom sat six months and required further intervention. This information is useful when obtaining an informed consent from the patient receiving an intra-articular injection for foot and ankle conditions, in order to provide them with realistic expectations for treatment.
Epidural steroid injections are most commonly used in situations of radicular pain, which is a radiating pain that is transmitted away from the spine by an irritated spinal nerve. Irritation of a spinal nerve in the low back ( lumbar radiculopathy ), such as from lumbar spinal stenosis , cervical spinal stenosis, herniated disc , and foraminal encroachment, causes back pain that goes down the leg. Epidural injection is also used as a minimally invasive procedure to treat nerve compression in the neck (cervical spine), referred to as cervical radiculopathy , which causes pain.