Caudal Epidural Steroid Injection

  • Since 1952, people have been using epidural steroid injections to relieve pain. 
  • They are a significant non-surgical therapeutic option for low back pain that travels to the lower limbs and, less frequently, for neck discomfort that travels to the arms when required. 
  • The steroids must enter the epidural space to be used in an epidural steroid injection.

Indications

  • Neck pain that radiates to the arms
  • Low-back pain that radiates to the lower limbs.

Clinical Significance

  • An effective day-care technique that is generally quick, quick, and straightforward to do is the caudal epidural steroid injection. 
  • When patients are at high risk for surgery, are not responding well to conservative treatment, or refuse surgery, it could be considered as an alternative to surgical procedures. 
  • Patients are released from the hospital following injection, preventing extended stays in the hospital and bed rest.

Complications

Epidural steroid injections are easy to perform and have a very low incidence of complications

Caudal Epidural Steroid Injection

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References

and Interesting Articles

  • Murakibhavi VG, Khemka AG. Caudal epidural steroid injection: a randomized controlled trial. Evid Based Spine Care J. 2011 Nov;2(4):19-26. doi: 10.1055/s-0031-1274753. PMID: 23230402; PMCID: PMC3506149.
  • Patel K, Chopra P, Upadhyayula S. Epidural Steroid Injections. [Updated 2022 Jul 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470189/
  • Al Khalili Y, Ly N, Murphy PB. Cervicogenic Headache. 2022 Oct 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 29939639.
  • Kane AW, Diaz DS, Moore C. Physical Therapy Management of Adults with Mild Traumatic Brain Injury. Semin Speech Lang. 2019 Feb;40(1):36-47. doi: 10.1055/s-0038-1676652. Epub 2019 Jan 7. PMID: 30616293.

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