Caudal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anaesthetic 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.

Anaesthetic Injected

The physician administers a local anaesthetic 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-anaesthetic 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.

BMI Goring Hall Hospital

Worthing Appointments
01903 707324

Montefiore Hospital

Hove Appointments
01273 828030

Nuffield Health Hospital

Brighton Appointments
01273 627008
Haywards Heath Appointments
01444 476777