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Sex differences in clinical and experimental pain responses have been widely reported; however, few studies have examined sex differences in outcomes from interventional pain treatment and the predictors thereof. The aims of this study were to examine sex differences in 1 the acute pain produced by epidural steroid injections ESIs , 2 clinical improvements in pain and pain-related psychological distress and disability after ESIs, and 3 predictors of the clinical response to ESIs. A total of 57 patients 37 menopausal women and 20 men , seen in the pain clinic of a regional medical center for ESI therapy, participated. Patients rated the painfulness of the ESI procedure itself.

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