Caudal Epidural Steroid Injection
A caudal epidural is a type of steroid injection administered to the low back. It can relieve nerve pain and inflammation often caused by disk herniation, spinal stenosis, or radiculopathy (radiating) pain.
Before the procedure
- You will be asked to hold aspirin and other blood thinning medications. Clearance may be required from your physician.
- Food and drink restrictions will be implemented.
- Anxiety reducing medication may be prescribed and sent to your preferred pharmacy with instructions given for taking the day of the procedure.
- You will be asked to have a driver available to get you home safely post procedure.
What to expect
- You will first be taken to the pre-procedure area where we will take your vital signs, have you sign the consent form, and answer questions about the procedure.
- Once in the procedure area, your skin will be cleaned with antibacterial soap and medications will be prepared.
- The procedure typically takes about 15 minutes
- It will be carried out using x-ray guidance.
- Your vital signs will be monitored and staff will walk you through all aspects of the procedure as they are happening.
- You will be allowed to leave 10-30 minutes post procedure or as determined safe by staff.
After the procedure
- Temporary numbness or weakness in your legs may occur due to the anesthetic being injected along the nerve roots.
- You will be given written discharge instructions to refer to post procedure
- Rest and limiting strenuous activity for a few days is typically recommended
- Ice and medications previously used for pain may be used immediately and for the next few days as needed.
- Pain relief typically occurs 3-10 days post injection. Although you may notice improvement sooner.
- Follow up with your referring provider to document your response and discuss your treatment plan.