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Caudal Epidural Steroid Injection
Caudal Epidural
What is it about?

This procedure is to improve sciatica pain where the cause is thought to be due to a pinched or trapped nerve within the spine. Used for nerve root irritation between L4 and S4. Injecting through the sacral hiatus is the least complicated way to access the epidural space, and may be performed as a day case without the need for admission.

The whole idea is to inject the medicine as close to the affected area as possible in order to give an immediate and longlasting relief from the condition.

Before your scheduled visit/procedure
  • If you are taking any anticoagulant (blood thinner) medication like Coumadin, Plavix or Ticlid, please inform the physician or nurse before scheduling the procedure
  • You may not eat 4 hours before the procedure
  • You are not permitted to drive after the procedure and must be accompanied by a responsible adult. Please contact the physician or his staff for more info.
  • Please call the pan management service if you are running a fever, flu, have a cold or any infection.
How is it performed?

The patient is usually positioned face down with a pillow under the hips for comfort. The buttocks and sacral area are cleansed using anti-septic, and then the needle insertion point is frozen with some local anaesthetic.
A small needle is inserted through the sacral membrane into the epidural space.

After Care

You may be observed for a longer period  according to fraility and other medical conditions. Vitals will be measured where necessary. Leg strength and walking ability will be assessed prior to discharge.  You may resume normal daily activity the following day. Please call us if you continue to have pain or notce swelling, redness, fever or experience a new onset of weaknesss

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