Comments Submitted to Washington State HCA Regarding Plan to Review Spine Injections

On January 20, the Society submitted comments to the Washington State Health Care Authority (HCA) regarding their recommendation that the Health Technology Clinical Committee (HTCC) re-review the topic of spine injections.  The letter raises concerns about the basis of HCA’s recommendation, namely, the 2014 Friedly et al. paper regarding the use of epidural steroid injections for spinal stenosis as well as the April 2014 FDA warning regarding the use of steroids in the epidural space.