Caudal Epidural Steroid Injections

The covering over the spinal cord and exiting nerve roots in the spine is called the dura. The sleeve-like space surrounding the dura is called the epidural space. Nerves travel through the epidural space before they travel into your extremities. The nerves leave the spine from small nerve holes, or canals called foramen. Narrowing of these canals and irritation of the nerves may be due to a damaged disc, degenerative joint disease, thickening of ligaments, slippage of vertebra (spondylolisthesis) or from contact with a bone spur. Inflammation of these nerves may cause pain in your lower back, neck, trunk, and may radiate to your arms, buttock, hips and legs.

This procedure is the placement of an anesthetic and anti-inflammatory (steroid) solution in the epidural space where the disc and nerves are located. The purpose of this injection is to decrease inflammation and irritation around the disc and nerve roots before they exit the spine, thereby reducing your pain. The procedure may be repeated periodically, if necessary, and is an important part of treating conditions such as herniated discs, sciatic pain, spondylolisthesis, spinal stenosis and degenerative disc disease. It can be performed in the cervical, thoracic or lumbar regions.

All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting. Epidural injections may not change the underlying cause, but it can break the cycle of pain and allow other treatments to be effective. The steroids usually take one to three days to take effect. You may not feel the full benefit from this procedure for about a week.

  • Over 18
  • Continuous pain for over 2-3 months
  • Spondylolisthesis
  • Sciatica pain
  • Bony Spurs
  • Herniated disc
  • Degenerative Disc Disease
  • Degenerative Lumbar Spinal Stenosis

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