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Caudal Epidural Steroid Injection

Chronic pain in the lower region of the back is one of the most commonly reported health problems among adults. The causes of lower back and leg pain can be sciatica, herniated discs, bone spurs or other back problems. At Caliber Pain™, we offer caudal epidural steroid injections for pain relief at our medical facility in New York City.

The nerves that run from your spinal cord out to your back and legs have roots that can get irritated and inflamed by the fluids leaking from damaged discs or other issues. The lowest portion of the epidural space, where nerve roots are located, is the area we treat.

A caudal epidural steroid injection can help reduce inflammation and alleviate pain in the lower back and legs. These types of injections take very little time, and there is a rapid onset of long-lasting relief. The injection of medication directly into the joint may be a solution, both for pain relief as well as to help diagnose the source of your pain.

Injections for Diagnosis and Pain Relief

By placing numbing medicine into the area closest to your pain, we can gauge the amount of immediate relief you experience. If the pain goes away completely or to a great degree, we can confirm the source of pain and that it is not the symptom of another condition. Along with the numbing medication, a steroid is administered to reduce inflammation and provide long term pain relief.

Injections like corticosteroids, hyaluronic acid, platelet-rich plasma or stem cells are options for pain relief and healing damaged soft tissues. Our doctor will thoroughly discuss the benefits of each modality. Some treatment protocols incorporate regenerative medicine options once pain and inflammation are well controlled by steroids.

What to Expect

Caliber Pain™ performs this procedure on an outpatient basis in a treatment room equipped with ultrasound guidance or fluoroscopic x-ray technology.

The medicines will spread in the epidural and caudal spaces. The steroid targets inflammation and the anesthetic disrupts pain signal transmission. The steroids are specifically injected into the areas where serious inflammation has been confirmed.

A caudal steroid injection is a non-surgical procedure that can take as little as 15 minutes in an outpatient setting. Patients who receive a caudal steroid injection typically experience immediate improvements or feel as if their pain has been completely alleviated. Immediate relief may dissipate as the local anesthetic wears off. Longer-term relief usually begins in two to three days, once the steroid begins to work.

The benefit can vary by individual. For some, the relief lasts several months or longer. If the treatment works for you, you can have periodic injections to stay pain-free. You may want to consider regenerative options, like stem cells from bone marrow, adipose tissue or PRP (platelet-rich plasma), for their longer-term healing properties.

Sciatica, herniated discs, bone spurs and other back pain can be treated with caudal epidural steroid injections. If you are interested in learning more, contact Caliber Pain™ at our clinic in Midtown Manhattan.

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Caliber Pain™

635 Madison Avenue 14th Floor
New York, NY 10022


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