Caudal Epidural Steroid Injection
Overview
This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.
Preparation
In preparation for the procedure, the patient lies face down. A cushion is placed under the abdomen to elevate the sacrum.
Anesthetic Injected
The physician administers a local anesthetic to numb the skin and the tissue above the small opening at the base of the sacrum. This opening is called the sacral hiatus.
Needle Inserted
When the area is numb, the physician guides a needle through the sacral hiatus and into the caudal epidural space. This is the open space in the sacrum where the irritated nerve roots are located.
Contrast Solution Injected
The physician injects contrast solution through the needle. The physician uses a fluoroscope (a type of x-ray device) to confirm that the tip of the needle is positioned correctly within the epidural space.
Medication Injected
After the needle’s position has been confirmed, the physician injects a steroid-anesthetic medication. This medication bathes the irritated nerve roots. It will help alleviate the patient’s pain.
End of Procedure
When the procedure is complete, the physician removes the needle and bandages the insertion site. The patient may feel significant relief after one injection. Some patients may need multiple injections before they feel the full benefit of the medication.
What Our Patients are Saying
Dr. Muhammad was professional, knowledgeable and seemed to genuinely care about finding a solution to my pain problem.
Dr. Rasheed has been a wonderful doctor so far. He’s very professional and confident. He has had a ton if ideas for us to try, which is completely different from my last pain mgt. doc. So far, he’s been everything I could have asked in a pain mgt. doctor.
I love Dr. Abdelfattah! He is an amazing doctor. He has an excellent beside manner, and her Is very interested and concerned about his patients, and their diagnosis, and he is able to empathize with his patients. He is very skilled at preforming minimally invasive procedures that can really reduce pain. He is NOT a pill mill, but he is NOT scared to prescribe what the patient may need to be comfortable and to reduce pain. As far as I can tell the Pain Management Clinic is in full compliance with the State medical board’s guidelines on Pain Management Clinics. I would send anyone who is seeking relief from their pain to him because he is going to do his very best to find out what is causing the pain, and the best way to treat it. Truly an AWESOME doctor!!! I nominate him as a TOP DOCTOR!!! Being a healthcare professional I know a good physician when I see one and this one is it!!!!
Staff was amazing, tell you what they think and give you options and really wants to know the underlined cause before they do anything. I think that’s awesome and will recommend to anyone!!!
Everyone was so nice. Dr. Zhao explained things to me in a way I could understand everything. She had a smile on her face the whole time. It was like she was happy to see me. I really liked how the appointment turned out.
Dr. Syed listens to me & gives me hope for conquering this constant pain of neuropathy. He is open to new methods of treating my constant pain.
Super place, super doctors. Took the time to explain everything to me.