19 Harley St, London, W1G 9QJ, UK

Caudal Epidural

A Caudal Epidural spinal injection allows temporary or even prolonged relief for chronic back pain. Nowadays, specialists frequently apply the caudal epidural infiltration due to its multiple benefits. This injection contains a mixture of local anaesthetics and corticosteroids. This is applied in the epidural space in the lower part of the spinal canal in the sacral region. 

We mostly use it in cases of referred low back pain to lower limbs linked to the narrow lumbar canal, to discopathies and to patients with postoperative fibrosis.

Patients experience great improvement thanks to the anti-inflammatory effect, and also by the mechanical effect (by decompression of a nervous structure by the volume of the injected liquid). Besides, it enhances local vascularization and generates analgesia.

Indications

Our specialists consider assess you carefully before performing a caudal epidural. For instance, the symptoms and also findings from imaging studies. A patient with the following features is a candidate for this procedure:

• Pain that has spread to one or both lower limbs.
• If can be performed at any stage
• In case that pain increases with standing posture and especially when walking.
• When it has not responded to other non-invasive forms of treatment (drugs and rehabilitative physical therapy).

 

 

Contraindications

There are some specific cases when it is not recommended to perform caudal epidural. They are the following:

-Infection close to the injection site.
-In patients undergoing treatment with anticoagulant and/or platelet antiaggregants. In these cases, the pre-puncture treatment must be modified.
-In patients who are allergic to local anaesthetics and corticosteroids.

-Systemic diseases: hypovolemias, hemodynamic or cardiac disorders, endocranial hypertension, among others.

The procedure

This technique requires that the specialist punctures the sacrococcygeal hiatus in order to access the lumbar epidural space. This hiatus is an inverted V-shaped recess in the posterior wall of the sacral canal.
We place the patient in prone position on a stretcher and must stay 15-20 min after performing the technique under control.

Complications

Complications are extremely rare in expert hands. For instance the following:
• Vasovagal syncope (fainting).
• Headache, nausea and vomiting.
• Systemic complications of corticosteroids: regressive proximal myopathy,  water retention, arterial hypertension, decompensation of the diabetic patient.
• Epidural hematoma (0.001%) extremely rare.
• Infection (epidural abscess) is exceptional.
• Accidental puncture of the dura that occurs with headache and leakage of the cerebrospinal fluid that disappears in a lying position.

At the London Spine Unit, we have some of the best specialists to perform caudal epidural. Book an appointment to get a checkup.

 

When do we do a caudal epidural?

We mostly use it in cases of referred low back pain to lower limbs linked to the narrow lumbar canal, to discopathies and to patients with postoperative fibrosis. Patients experience great improvement thanks to the anti-inflammatory effect, and also by the mechanical effect (by decompression of a nervous structure by the volume of the injected liquid). Besides, it enhances local vascularization and generates analgesia.

What are the indications of caudal epidural?

Our specialists consider a set of aspects to perform caudal epidural. For instance, the symptoms and also findings from imaging studies. A patient with the following features is a candidate for this procedure: • Pain that has spread to one or both lower limbs. • it can be performed at any time. • In case that pain increases with standing posture and especially when walking. • When it has not responded to other non-invasive forms of treatment (drugs and rehabilitative physical therapy).

How is the caudal epidural procedure?

This technique requires that the specialist punctures the sacrococcygeal hiatus in order to access the lumbar epidural space. This hiatus is an inverted V-shaped recess in the posterior wall of the sacral canal. We place the patient in prone position on a stretcher and must stay 15-20 min after performing the technique under XRAY control.

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810