Updated Analysis of Declining Utilization Rate of 13% Epidural Procedures for Chronic Spinal Pain Management in the Traditional Medicare Population from 2019 to 2024.

Epidural injection utilization has shifted substantially over the last 25 years, driven by changes in clinical practice, regulatory and economic influences, and pandemic-related disruptions. The increasing concentration of procedure utilization among interventional pain specialists, together with the continued expansion of transforaminal techniques, underscores the progressive specialization and refinement of interventional pain management within the Medicare population.