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Sonographically guided caudal epidural steroid injections

OBJECTIVE: Caudal epidural steroid injections are used for the symptomatic treatment of radicular lumbosacral pain syndromes, but incorrect injection placement has been recognized as a common problem with the routinely used unguided technique. We aimed to explore the use of sonography to facilitate this procedure. METHODS: In patients with clinically unreliable anatomic landmarks, high-resolution real-time sonography was used to identify those landmarks and to assist in correct needle placement. RESULTS: Sonography enabled localization of the sacral hiatus landmarks. We found this method particularly useful for guiding needle placement in patients with moderate obesity. CONCLUSIONS: Real-time sonography can facilitate caudal epidural steroid injections

Keywords : administration & dosage,Aged,drug therapy,England,Female,Humans,Injections,Injections,Epidural,methods,Middle Aged,Obesity,Pain,Patients,Sciatica,Steroids,Syndrome,Treatment Outcome,Ultrasonography,Interventional,, Guided,Caudal,Epidural,Steroid,Injections, brian barr solicitors

Date of Publication : 2003 Nov

Authors : Klocke R;Jenkinson T;Glew D;

Organisation : Royal National Hospital for Rheumatic Diseases, Bath, England. rainer.klocke@rnhrd-tr.swest.nhs.uk

Journal of Publication : J Ultrasound Med

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/14620894

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