A caudal epidural injection involves injecting anti-inflammatory medication into the epidural space in the lower back, near the tailbone. This procedure is designed to reduce inflammation and relieve pain in the lower back, legs, or buttocks. Conditions like herniated discs, spinal stenosis, or degenerative disc disease can cause pain by pressing on the spinal nerves. The injection helps decrease this irritation and offers relief from chronic pain.

The epidural space surrounds the spinal cord and nerves. Inflammation in this area can result in significant pain. The injection targets this space to reduce swelling and inflammation, easing discomfort. We perform the procedure with the patient lying face down. Imaging techniques like fluoroscopy guide the needle to the correct spot. A local anesthetic is often used to numb the area before the injection, reducing any pain during the process.

The medication used typically includes a corticosteroid, which helps decrease inflammation, and sometimes a local anesthetic for immediate relief. Many patients experience significant relief after the injection, although the duration of relief can vary. Some people may feel better for weeks or months, while others may need additional injections. Repeat injections can be part of a longer-term pain management plan, which may also include physical therapy and other treatments.

While generally safe, there are some risks associated with the procedure, such as infection, bleeding, or a nerve injury. However, these risks are rare, and most patients find the procedure effective in managing chronic pain. Caudal epidural injections offer a less invasive alternative to surgery for those with persistent lower back pain or leg pain.

If you’re considering this treatment, it’s important to consult with a specialist. Visit University Pain and Spine Center in New York and New Jersey, where our team can help determine if a caudal epidural injection is right for you.