An epidural approached through the natural opening at the base of the sacrum.
What it is
The caudal route enters the epidural space through the sacral hiatus, well below the end of the spinal cord. It is particularly useful where previous surgery has made the standard approach difficult, and it bathes the lower nerve roots broadly.
What we use it for
- Low back and leg pain after previous lumbar surgery
- Multi-level lower lumbar nerve irritation
- Patients in whom an interlaminar approach is difficult
- Coccydynia and lower sacral pain
What to expect
- Face down, under fluoroscopy.
- About 15 minutes.
- A larger volume of fluid is used than in other epidurals, so pressure is more noticeable.
- A driver is required.
Risks
Every procedure carries a small risk of bleeding, infection, an allergic reaction, or a temporary increase in pain. Steroid can raise blood sugar for several days, which matters if you are diabetic. Serious complications are rare, and the specific risks for your procedure and your health will be discussed before you consent to anything.
Call (314) 310-5577 or request an appointment.
Common questions
Why choose the caudal route?
Usually because scarring from previous surgery makes the direct route unreliable, or because the target is the lowest nerve roots.
Hurt in an accident? Start here.
You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.
Monday–Friday, 8:00 a.m. – 4:00 p.m. Same-day appointments are often available for new accident and injury patients.