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Pain Treatments

Caudal Steroid Injection

Caudal Steroid Injection

A caudal injection is an injection given to the lowest portion of the epidural space near the tail bone. A caudal steroid injection can help reduce lower back and leg pain caused by sciatica, herniated discs, bone spurs or other back problems.

The doctor will numb your lower back with medication near the tail bone, which is just above the buttocks. Then, guided by an x-ray, he will:

  • Insert a thin needle into your back, just above your tailbone
  • Inject dye to confirm that medication is administered into the correct space
  • Inject a mixture of anesthetic (for temporary pain relief) and steroid (for longer term relief)

The medicines then spread in the epidural and caudal spaces, thereby hopefully reducing nerve inflammation and pain. Usually, the procedure takes less than 15 minutes and you can go home the same day.

Some patients report pain relief within the first few hours after the injection, but pain may return later that day as the local anesthetic wears off. Longer-term relief usually begins in 48-72 hours, once the steroid begins to work.

How long the pain relief lasts varies person to person. For some, the relief lasts several months or longer. If the treatment works for you, you can have periodic injections to stay pain-free.

The risk of a complication from caudal injection is very low. Rarely, complications include bleeding or infection at the injection site or possibly a headache if the sac surrounding the spinal canal is punctured, which is unusual in a caudal injection. Most of the time, these effects resolve within a few hours.

Do not do any rigorous activity for the first day after your caudal injection. Take it easy. You can return to your normal activities the next day. Do not drive the day of the injection if you have had any form of anesthesia.

You can continue your regular diet and medications immediately.

In some cases, it may take up to a week for the steroid to begin working. If you don’t feel better within the first two weeks, see your doctor to discuss different treatment options.

Not sure what treatment options are best for you?  Contact us today to see how we can help you.

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