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A 24-year-old member asked:

Does a caudal epidural steroid injection provide pain relief for compressed disks at l4/l5? for how long?

6 doctor answers13 doctors weighed in
Dr. Richard Guyer
Orthopedic Spine Surgery 46 years experience
Depends: Some patients may get great relief from one injection and not be bothered again. Others may need 3 injections and still others may not any relief or any prolonged relief and may be candidates for surgery if their pain is severe enough.
Dr. Karen Sibert
Anesthesiology 39 years experience
Possibly: The caudal space is a way of entering the epidural space at a lower level in the back, near the tailbone. Medications such as steroids injected there should be able to reach the l4-5 level. However, it's hard to predict exactly how much pain relief will be achieved or how long it will last. Consult an anesthesiologist or other physician with special training in pain management. Good luck!
Dr. Qamar Khan
Pain Management 17 years experience
Depends: Epidural injections have a variable relief pattern and it really depends on the steroid used and location of pathology. Typically epidural injections work best if placed next to or on top of the level of pathology. Caudal epidural injections are several levels below l4/l5 and sometimes may not provide adequate relief. Epidural injections if they work can provide from weeks to months of relief.
Dr. Tarek Shahbandar
Anesthesiology 22 years experience
Caudal: The high volume used in caudal epidural typically does reach up to l 4-5 level.
Dr. David Rosenfeld
Pain Management 27 years experience
It depends: It is a little high for many caudal injections to reach. I would suggest a more focused epidural injection closer to the level of the disc issue.
Dr. Edward Hellman
Orthopedic Surgery 29 years experience
Yes: Yes, a caudal epidural steroid injection is felt to cover pathology at L5-S1 and L4-5, but not higher. The length of time an epidural steroid injection works varies tremendously from months to even years at times. It is among the more powerful options that is non operative for spinal stenosis.

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Similar questions

A 42-year-old member asked:

For how long does a caudal epidural steroid injection provide pain relief for compressed disks at l4/l5?

3 doctor answers6 doctors weighed in
Dr. Robert Kent
Physical Medicine and Rehabilitation 12 years experience
Depends on the: Underlying pathology, disc rupture verse foraminal narrowing vs stenosis, which could all be related to collapsed disc. It should give you at least a couple weeks of pain relief, long enough to get through some physical therapy. Sometimes, if it is transient inflammation, the steroids can give long term relief, from a few months to resolving the pain. It just depends on the injury itself.
A 37-year-old member asked:

How long does a caudal epidural steroid injection provide pain relief for compressed disks?

4 doctor answers7 doctors weighed in
Dr. Mark Weston
Orthopedic Spine Surgery 31 years experience
Varies: Varies significantly person to person case to case the medication is usually present for about a month until reabsorbed.

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Last updated May 26, 2017

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