CAUDAL STEROID INJECTION

This injection procedure is performed to relieve low back and radiating leg pain. The steroid (anti-inflammatory) medication can reduce the swelling and inflammation of the nerves caused by spinal conditions, such as spinal stenosis and herniated discs.

Sacral Hiatus Located

In this procedure the patient lays face down. A cushion is placed under the stomach area for comfort and arches the back.  The physician uses a fluoroscope (x-ray) to find the small opening at the base of the sacrum called the sacral hiatus.

Anesthetic Injected

Local anesthetic numbs the skin and all the tissue down to the surface of the sacral hiatus.

Epidural Inserted

The physician then guides a needle through the anesthetized track and into the epidural space. The needle is carefully inserted about one to two centimeters.

Contrast Dye Injected

Once inside the epidural space, a contrast or non allergenic iodine base solution is injected. This solution helps the physician confirm proper position of the needle and to see the problem areas using a fluoroscope.

Steroid Injected

A steroid anesthetic mix is injected into the epidural space bathing the painful area in medication.

End of Procedure

The needle is removed. The tiny needle wound is covered with a small band aid. In some cases it may be necessary to repeat the procedure as many as three times for the patient to obtain the full benefit of the medication. However, many patients feel significant relief from only one or two injections.