Caudal Epidural Injection
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What is a Caudal Epidural Injection?

A caudal epidural injection is a minimally invasive procedure used to relieve pain in the lower back and legs by delivering medications directly into the epidural space at the base of the spine. This type of injection targets inflammation and nerve irritation, providing significant pain relief for various conditions.

Indications for Caudal Epidural Injection

Chronic Lower Back Pain

Persistent pain that may radiate to the legs.

Sciatica

Pain that travels down the sciatic nerve from the lower back to the legs.

Herniated Discs

Discs that have slipped out of place and are pressing on nerves.

Spinal Stenosis

Narrowing of the spinal canal causing nerve compression.

Degenerative Disc Disease

Age-related wear and tear on spinal discs.

Post-Surgical Pain

Pain following back surgery.

Procedure

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Preparation

The patient lies face down on a procedure table. The skin over the sacral area (base of the spine) is cleaned and numbed with a local anesthetic.
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Imaging Guidance

Using fluoroscopy (a type of X-ray) or Ultrasound (USG), the physician accurately guides a needle into the caudal epidural space.
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Injection

A combination of a local anesthetic and a corticosteroid is injected into the epidural space to reduce inflammation and pain.
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Observation

The patient is monitored for a short time after the injection to assess immediate pain relief and any adverse reactions.

Benefits

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Pain Relief: Provides significant reduction in pain and inflammation.

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Improved Mobility: Reduces pain, allowing for better movement and function.

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Minimally Invasive: Less risk and recovery time compared to surgery.

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Reduced Need for Oral Medications: Lowers reliance on pain medications with potential side effects.

Risks and Considerations

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Infection: Slight risk of infection at the injection site.

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Bleeding: Rare cases of bleeding, especially in patients with bleeding disorders or on blood-thinning medications.

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Allergic Reaction: Possible reaction to the medications used.

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Temporary Increase in Pain: Some patients may experience a temporary increase in pain after the injection.

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Limited Duration of Relief: Pain relief may be temporary, requiring repeat injections or additional treatments.

Post-Procedure Care

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Rest

It is recommended to rest for the first 24 hours post-injection.
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Activity Modification

Gradually return to normal activities, avoiding strenuous activities for a few days.
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Pain Monitoring

Keep track of pain levels and any changes in symptoms.
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Follow-Up

Schedule a follow-up appointment to discuss the effectiveness of the injection and any further treatment options.

Who Can Benefit?

Patients who have not responded to conservative treatments like physical therapy, oral medications, or lifestyle changes may benefit from caudal epidural injections. It is especially useful for those with chronic lower back or leg pain caused by nerve irritation or inflammation.

Conclusion

Caudal epidural injections offer a targeted approach to managing lower back and leg pain. By delivering medications directly to the site of inflammation and nerve irritation, this procedure can significantly improve quality of life and functionality. For personalized care and to determine if a caudal epidural injection is right for you, consult the specialists at ALGOS.

Located centrally on Cunningham Road, Bengaluru, opposite Indian Express, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.

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