Annual Maximum Dose of Epidural Steroid Injection

Myth: It is standard practice to perform an initial series of three high-dose epidural steroid injections (ESI) separated by one week, and this treatment can safely be repeated several times in one year. Learn about the facts surrounding this myth and the best practices to support safe performance of interventional pain procedures in your practice.

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors 
Ryan Mattie, MD, David C. Miller, MD, MA, and Clark Smith, MD, MPH on behalf of the Spine Intervention Society's Patient Safety Committee.

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

Educational Objectives
Upon completion of this activity, participants should be able to:

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosures Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Ryan Mattie, MD   
Nothing to disclose 

David C. Miller, MD  
Nothing to disclose  

Clark C. Smith, MD  
Nothing to disclose

OTHER DISCLOSURES
Ryan Mattie, MD   
Nothing to disclose  

David C. Miller, MD  
Nothing to disclose  

Clark C. Smith, MD  
Nothing to disclose

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 7/2/19
Date of Activity Expiration: 7/1/22