• Epidural steroids
• LBP may be propagated by pulposus leak of substance P, VIP, CTRP, TNFα, PLA2.
• Glucocorticoids
• Affect carbohydrate, fat, protein, electrolytes, anti inflammatory
• Mineralocorticoids
• Salt and water reabsorption
• Risks of epidural steroids
• Infection
• Trauma
• Weakness
• Paralysis
• Allergic reaction
• Meningitis
• Abscess
• Controversies
• Particulate steroids may be injected into a small artery
• Dexamethasone is classed as non-particulate as it it is water soluble.
• Methods of administration
• Caudal
• Interlaminar approach
• CEACCP
  Link:ceaccp.oxfordjournals.org/content/10/1/1.full.pdf