Trends in lumbar epidural injection selection: A survey of practitioner preferences and practice patterns

Symptom distribution, particularly radicular pain, strongly influenced the choice of transforaminal supraneural injections, underscoring the primacy of clinical presentation over imaging alone. The predominant use of dexamethasone reflects a broader shift toward safety-oriented protocols. Overall, provider training and practice setting were more predictive of decision-making than clinical scenario complexity, highlighting the need for continued education across all provider types.