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Doctor insights on: Caudal Epidural

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What do I need to know about a caudal epidural injection?

What do I need to know about a  caudal epidural injection?

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

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Dr. Melissa Gowans
2 doctors shared insights

Epidural (Definition)

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


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What should I expect after getting a caudal epidural injection?

What should I expect after getting  a caudal epidural injection?

Pain relief: can be variable but starts improving after 3-4 days and can take up to 10-14 days to provide the most relief. Sometimes you need a second injection to get improved long lasting relief from the pain you suffer. ...Read more

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Any tips? What should I expect after a caudal epidural injection?

Any tips? What should I expect after a caudal epidural injection?

Pain relief: can be variable but starts improving after 3-4 days and can take up to 10-14 days to provide the most relief. Sometimes you need a second injection to get improved long lasting relief from the pain you suffer. ...Read more

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

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

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 more

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

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 more

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

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 more

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CRPS in foot from fx, ORIF. Prescribed Tapentadol, caudal epidural suggested. Which is better- or try both? SCS also suggested for later- good idea?

CRPS in foot from fx, ORIF. Prescribed Tapentadol, caudal epidural suggested. Which is better- or try both? SCS also suggested for later- good idea?

See below: Caudal has little value. A lumbar sympathetic block would be the more appropriate injection. Tapentadol is a great medication in this situation I would add a gabapentin like drug (Lyrica or Gralise). A SCS is an option is the above fails. ...Read more

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Had caudal epidural steroid injection (with ketamine) for CRPS left foot. Relief for 7 days- will dr consider 2nd injection for prolonged relief?

Had caudal epidural steroid injection (with ketamine) for CRPS left foot. Relief for 7 days- will dr consider 2nd injection for prolonged relief?

Lumbar sympath blk: I would suggest a series of lumbar sympathetic blocks without steroid. If these fail ketamine infusions may help. A spinal cord stimulator may also be an answer. ...Read more

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Does a epidural hurt ?

Does a epidural hurt ?

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 more

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