Alternative therapies

Sacral(Caudal) Epidural Injection

Description

The epidural space is between the dural sac (a membrane encasing the spinal cord, spinal fluid and nerve roots) and the vertebral wall.

An epidural steroid injection (ESI) is an injection that delivers long-acting steroids directly into the epidural space. The steroids help to reduce the pain by reducing inflammation around the nerves. A local anaesthetic also used to ‘flush out’ inflammatory agents that may be irritating a nerve.

Epidural steroid injections are typically used to treat pain radiating from the lower back into the legs or from the neck into the arms. The conditions most often considered for ESI are herniated discs, stenosis, nerve root compression and in some cases spondylolisthesis.

sacral epidural

Before the Procedure

  • An epidural injection is a day case procedure. You will come in the morning and you will probably be able to go home in the afternoon.
  • Do not eat or drink for 6 hours before your injection
  • You can take your regular heart and blood pressure medications on the morning of the injection with a sip of water. Check with your doctor regarding
  • taking diabetes medications prior to the injection.
  • Discontinue taking anti-inflammatories three days before the injection

sacral-epidural-anesthetic

  • Discontinue taking aspirin products and other blood thinners seven days before the injection
  • If on blood thinners call the doctor who prescribed the medication to get approval to stop taking them before the injection.

During the Procedure

  • The patient lies flat on his/her abdomen on an x-ray table
  • A local anaesthetic is administered to the injection site and some sedation is also given so patients don’t feel any pain during the procedure
  • Using live x-ray for guidance, the consultant directs a needle toward the epidural space.
  • The needle is inserted into the base of your spine just near your coccyx. There is a small triangular opening there which allows access to the spinal canal.
  • A small needle is inserted and a radio-opaque dye is injected to confirm that the needle is in the correct space.
  • The steroid solution is injected (you may feel some heaviness and/or numbness in your legs caused by the anaesthetic). This generally only lasts a few hours
  • An epidural steroid injection usually takes between 15 and 20 minutes.

After the Procedure

  • Following the injection the patient is usually monitored for 15/20 minutes before being discharged to go home
  • It is important that the patient have someone to drive him/her home after the injection
  • Patients are usually asked to rest on the day of the injections
  • Normal activities including work may typically be resumed the following day. Please note your back may be sore for 24/48 hours.
  • The effects of the epidural are variable in their onset and so some people might notice an immediate benefit where in others it may take up to 10 days to feel some pain relief.
  • Whilst the epidural injection is relatively safe and quick to perform, it has the disadvantage of being unpredictable in its action and short lived in its effect.
  • Some patients do not respond to the injection.
  • For those who do respond, its effect may last from 4 – 6 months. There is no definitive research to dictate how often a patient should have ESI’s. In general it is considered reasonable to perform up to 4 ESI’s per year.
Risks
  • The procedure is generally safe and we rarely see any problems.
  • Occasionally patients report some bladder dysfunction but this usually improves in 24 hrs

I hope you have enjoyed this article. If you have any further questions, please comment. I would love to hear from you and will respond to you promptly.

Wishing you healing and joy.

Tags

Related Articles

19 Comments

  1. I’ve been surfing online more than 3 hours today, yet I never
    found any interesting article like yours. It’s pretty worth enough for me.

    In my opinion, if all site owners and bloggers made good content as you did, the net will be a lot more useful than ever before.
    Hello there! This article couldn’t be written much better!

    Looking through this article reminds me of my previous roommate!
    He always kept talking about this. I’ll send this information to
    him. Pretty sure he’ll have a good read. Thanks for sharing!
    Its such as you read my mind! You appear to know so
    much about this, like you wrote the e-book in it
    or something. I think that you simply could do with a few p.c.
    to power the message home a little bit, however instead of that, that is wonderful blog.
    A fantastic read. I will certainly be back. http://Foxnews.net/

  2. What’s up, this weekend is nice in favor of me, for the reason that this
    occasion i am reading this enormous informative post
    here at my residence.

  3. Seine , wie Sie lesen mein Geist! Sie scheinen zuu begreifenn sovel
    über diese, , wie Sie schrieb deer e book iin ihhr oder so etwas.
    Icch fühle mich diie Sie gerade koonnte tun mit einige Prozent biss Strom die Meldung
    Hauus ein wenig, aber mit Ausnabme dass das ist great Blog.

    A great lesen. Ich werde auf jeden Fall sicherlich wiederkommen.

  4. Hey there! I know this is kind of off-topic however I had to
    ask. Does operating a well-established blog such as yours take a massive
    amount work? I am completely new to writing a blog but I
    do write in my diary daily. I’d like to start a blog so I can share my experience and feelings online.
    Please let me know if you have any kind of ideas or tips for brand new aspiring
    bloggers. Appreciate it!

  5. Hallo Es wurde gerade wachsam Blog über Google und fand,
    ddass es wirklich informativ. Ich wirst aufpassen Brüssel.
    Ichh werde dankbar,wenn Sie weiterhin dieese künftig.

    Viele Meenschen werden von Ihrem Schreiiben profitiert werden. Cheers!

  6. Gibt es in Ihrewm Websire eine Kontaktseite? Ich habe eine harte Zeit Probleme Ortung es aber, Ichh möchte schießen Sie eine E-Mail.
    für Ihr Bllog Sie interessiert Verhandlung seiin könnten Ich habe einige bekam.
    So oder so, große Website und ich freuen uns darauf, siee zu entwickeln erweitern wachsrn im Laute der Zeit.

  7. Icch Griff Ihre rss feed wie ich kann nicht zzu finden Ihhre E-Mail link
    oder neweletter Service. Haben Sie haben Siie überhaupt?
    Bitte ermöglichen mee wissen damit I darf nur
    abonnieren. Danke.

  8. Nice post. I was checking constantly this blog and I am
    impressed! Very useful information specially the last part 🙂 I care for such information a lot.
    I was seeking this particular info for a very long time.

    Thank you and good luck.

  9. Hey! Do you know if they make anny plugins to help with SEO?
    I’m trying to get my blog to rank for some targeted keywords but
    I’m not seeing very gookd gains. If you khow of any please share.
    Appreciate it!

  10. Quality content is the key to be a focys for thee people to pay a quick visit the web page, that’s what this web site is providing.

  11. Hey there! I just wish to give you a big thumbs
    up for the great information you have got right here on this post.

    I am returning to your website for more soon.

  12. Pretty component of content. I simply stumbled upon your web site and in accession capital to claim that I acquire actually enjoyed
    account your blog posts. Anyway I will be subscribing for your feeds and even I success you get admission to consistently
    fast.

  13. If some one needs expert view about blogging and site-building afterward i propose him/her to visit this
    web site, Keep up the fastidious work.

  14. Valuable info. Fortunate me I found your website by accident, and I am surprised
    why this coincidence did not took place in advance!
    I bookmarked it.

Leave a Reply

Your email address will not be published. Required fields are marked *

Back to top button

Adblock Detected

Please consider supporting us by disabling your ad blocker