Epidural Steroid Injection

Figure 13 : Anatomic cartoon depicting caudal epidural steroid injection. (From Waldman SD: Atlas of Interventional Pain Management, 2nd ed. Philadelphia, WB Saunders, 2001.)

Technique

The caudal route is the safest approach to the epidural space. The thecal sac ends at S1 in most patients, so the risk of dural puncture and headache is extremely low and the risk of bleeding causing complications is negligible.11 The patient is posi ...

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