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How a Caudal Epidural Injection Can Help Relieve Lower Back Ache?

Apr 22, 2025

Epidural Steroid Injection

Doctor administering a caudal epidural injection to treat a patient’s lower back pain.Doctor administering a caudal epidural injection to treat a patient’s lower back pain.

Lower back ache is one of the most common health problems worldwide, affecting millions yearly. Chronic back pain can significantly impact your quality of life, whether it’s due to a sedentary lifestyle, injury, or aging. While oral medications and physical therapy can often help, there are cases where these treatments aren’t enough to provide long-lasting relief. In such cases, back injections like the caudal epidural injection can offer a highly effective solution.

Let’s explore what a  caudal epidural injection is, how it works, and how it can help relieve lower back aches and other related conditions.

What Is a Caudal Epidural Injection?

A caudal epidural injection is a type of injection used to deliver medication directly into the epidural space near the lower spine, specifically around the tailbone area. This space is where nerves from the spinal cord pass through, making it ideal for administering medication to target pain.

The caudal injection differs from typical epidural shots or lumbar injections in that it is administered explicitly through the caudal canal located in the sacral region of the spine. This allows the medication to reach the lower part of the spine and the surrounding areas more effectively. The injection aims to provide targeted relief by addressing inflammation and nerve irritation at the root cause of the pain.

How Caudal Back Injections Work

The procedure for administering a caudal back injection involves injecting a mixture of steroids and anesthetics directly into the epidural space. The steroids reduce inflammation, while the anesthetics numb the affected area, providing immediate pain relief.

These injections are typically used to treat chronic lower back pain caused by conditions such as sciatica, herniated or bulging discs, and spinal stenosis. When injected into the targeted area, the medication helps decrease inflammation around the nerves, which in turn reduces pain and improves mobility.

By directly targeting the source of the pain, a caudal epidural injection can help relieve symptoms that other treatments, such as oral medications, may not be able to address effectively.

Conditions Treated with Caudal Epidural Injections

Caudal epidural injections are used to treat a variety of  chronic back conditions. Here are some of the most common issues treated with this injection:

  • Chronic lower back ache: Persistent discomfort in the lower back that doesn’t improve with standard treatments.
  • Sciatica and nerve root inflammation: Pain, tingling, or numbness that radiates down the leg, often caused by compression of the sciatic nerve.
  • Herniated or bulging discs: Discs in the spine that have moved out of place and are pressing on surrounding nerves.
  • Degenerative disc disease or post-surgical pain: Caudal injections can alleviate long-term damage to the discs in the spine or pain after spine surgery.

Caudal back injections provide relief for these common and often debilitating conditions by addressing inflammation and pressure on the nerves.

Benefits of Choosing a Caudal Injection

A caudal epidural injection offers several benefits for patients suffering from chronic back pain:

  • Minimally invasive approach: This non-surgical treatment does not require a lengthy recovery period.
  • Quick relief from persistent pain: Many patients experience immediate relief after the injection as inflammation decreases and nerve irritation is reduced.
  • Reduced reliance on pain medications: With effective pain management through injections, you may be able to decrease your use of oral pain medications.
  • Improved mobility and overall function: Caudal injections alleviate pain and inflammation and help restore your ability to move comfortably, improving your overall quality of life.

These benefits make the caudal epidural injection a popular option for individuals with chronic back pain that hasn't responded to other treatments.

What to Expect During and After the Procedure

The process of receiving a caudal epidural injection is relatively straightforward. Here’s what to expect:

  • Preparation: Before the injection, you will lie on your stomach, and a local anesthetic will be applied to numb the area where the needle will be inserted.
  • Injection Process: Using  fluoroscopy (a type of X-ray), the doctor will carefully guide the needle into the epidural space near the tailbone. The procedure usually takes 15-30 minutes.
  • Pain Level: The procedure itself is relatively quick and minimally painful. Most patients experience only mild discomfort during the injection.
  • Aftercare: After the injection, you may experience some soreness at the injection site, but this typically resolves within a few days. You’ll be monitored for a short period before being discharged. Most people can resume normal activities within 24 hours, although strenuous activities should be avoided for a few days.

The pain relief from a caudal epidural injection can last for weeks or even months, depending on the individual and the severity of the condition. Some patients may require additional injections for continued relief.

Is It Right for You?

A caudal epidural injection may be a promising treatment option if you are dealing with chronic back pain that hasn’t responded to other methods, such as physical therapy or oral medications. If you are considering this treatment, it’s essential to consult with a pain management specialist to determine if it’s the right choice for your specific condition.

Your doctor will evaluate your symptoms and medical history and may use imaging tests to assess the problem. They will guide you through the process and recommend the best course of action for your back pain relief.

Take Control of Your Back Pain with Caudal Epidural Injections

Caudal epidural injections can be a highly effective solution for relieving lower back pain and related conditions. By targeting the root cause of the pain, these injections can provide lasting relief and improve mobility. If you are suffering from chronic back pain or other conditions like sciatica, a caudal injection might be the treatment option you need.

At  Apex Interventional Pain & Spine, we specialize in providing personalized pain relief solutions, including caudal back injections, to help you regain your comfort and quality of life. If you are experiencing ongoing back pain, don’t wait to seek treatment.  Contact us at (972) 833-7246 or  schedule an appointment today to discuss how a caudal epidural injection can help you find the relief you deserve.

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