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Treats back pain: Injection of steroids in the epidural space have been used for decades to treat low back and/or leg pain. The caudal approach means that the medications are introduced into the spinal canal near the tailbone and fluid is used to push the medication up to where it is needed. It is most often used to treat pain from disc herniation or spinal stenosis. ...Read more
The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more
Great Question: Unfortunately, there is no good literature to give exact amount of time that a patient might expect to receive relief from any type of epidual steroid injection. Caudals are usually done for spinal stenosis or complex fused spines fo relief of pressure on nerve structures. No two spines are alike. They are like snow flakes and fingerprints and so different are patient responses. ...Read moreSee 2 more doctor answers
For how long does a caudal epidural steroid injection provide pain relief for compressed disks at l4/l5?
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. ...Read moreSee 1 more doctor answer
Does a caudal epidural steroid injection provide pain relief for compressed disks at l4/l5? For how long?
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! ...Read moreSee 2 more doctor answers
Different procedures: Lumbar sympathetic blocks are a more common procedure to perform for CRPS. They help to temporarily silence the sympathetic nerves involved with the redness and swelling of CRPS. Caudal epidurals inject steroids around the nerves where they leave the spinal cord and are more often performed for spinal pain (arthritis and ruptured discs) than for CRPS. ...Read more
CRPS in foot from fx, ORIF. Prescribed Tapentadol, caudal epidural suggested. Which is better- or try both? SCS also suggested for later- good idea?
Varies: Crps is felt to be related to an abnormal response of the sympathetic pain system to an initial stimuli that then cycles out of control. Oral medications are often therefore neurological based, such as gabapentin. Sympathetic blocks are useful both diagnostically and therapeutically. Epidural steroid injections do not usually have much affect. ...Read more
Had caudal epidural steroid injection (with ketamine) for CRPS left foot. Relief for 7 days- will dr consider 2nd injection for prolonged relief?
Yes absolutely: An epidural is a needle stick and needle sticks hurt. Uusually it hurts about the same as an I.V. But if i hit a bone(1 in 5) it may hurt or rmay not hurt more. U might get a bruise and it may hurt after like any bruise but there is no chacne of disc dammage which is what most mean by back injury. If i hit a nerve (1 in 1000) it hurts like a bang on your funny bone, usually resolves the same. ...Read moreSee 2 more doctor answers
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