Caudal Epidural Steroid Injections

Caudal epidural steroid injections are again very similar to translaminar epidural steroid injections or transforaminal. The concept is the same; we are trying to apply local anesthetic and steroids to an area where there is nerve irritation due to a disc herniation or stenosis of the nerve or the neuroforamen. So the caudal epidural space is reached through the sacral hiatus, which is our sacrum, there is a natural hole that is there that the needle can pass very carefully through without placing a needle in someone’s spine. From there, we use a very small catheter, instead of a needle, and we can thread that catheter all the way up to the disc that’s in question. We can go left or right, we can place it on the dorsal root ganglion, we can move it wherever we need to by use of a catheter under fluoroscopic guidance or x-ray guidance.