Specialties
Caudal Epidural Steroid Injection
Our Goal for You:
- Identify the cause of your pain.
- Minimize your down time with non-surgical or minimally invasive procedures if possible.
- Get back to living the life you want.
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.

Why Choose Advanced Spine Centers
Board Certified & Fellowship Trained.
Voted 2019’s Best Spine Surgeon.
Internationally Recognized Trainer to Spine Surgeons.
Pioneer in Non-Surgical & Micro-Surgical Procedures.
