Systemic corticosteroids for acute low back pain: Do we treat because we are expected to?
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Systemic corticosteroids for acute low back pain: Do we treat because we are expected to? Background: Systemic corticosteroids have myriad adverse effects that range from relatively mild (eg, fluid retention, headache, insomnia, mood lability, and poor glycemic control) to severe (eg, tendon rupture, heart failure, adrenal insufficiency, and immunosuppression).1 These effects are mostly time- and dose-dependent.2 Nevertheless, oral steroid therapy such as prednisone bursts, prednisone tapers, and Medrol Dosepaks are often used for a variety of ailments, including acute low back pain.
Evidence Based Practice 17(4):06