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Caudal Epidural

What is a Caudal Epidural?

A Caudal Epidural is an injection at the base of the spine, which is placed in the area outside of the lining of the spinal area, which bathes the nerves in the lower spine, hopefully resulting in a reduction of your leg and possibly back pain.

The solution injected consists of three components: a local anaesthetic (Bupivicaine), some saline and a steroid (Kenalog). The steroid works to reduce pain by working as a powerful anti-inflammatory agent.

What happens on the day?

You must have an empty stomach with no solids or miky drinks consumed for at least 6 hours before the procedure. Clear fluids are allowed up until 2 hours before the procedure. After you arrive, the procedure will be explained to you. Your temperature, blood pressure and pulse will be recorded. You will be positioned on your stomach throughout the procedure.

The procedure may be done under sedation or under a local anaesthetic. The doctor will mark the skin to pin point the site for the injection. The skin will be cleaned with an antiseptic solution which may stain the skin. This can be washed off later.

A local anaesthetic injection is then given through a small needle to numb the area. A slight stinging sensation will be felt at this time, but will pass within a minute. The Caudal Epidural injection is then given and you may feel some pressure around the lower spine as the solution goes in. The needle is then removed and a small plaster is applied over the injection site.

You then remain lying on your stomach for 20 minutes and then you may turn and lie flat on your back for 2 hours. Your blood pressure and pulse will be taken after the procedure and again 30 minutes later. You will be required to pass urine before being allowed to go home.

What are the possible side effects?

As with any procedure there can be side effects. There may be mild discomfort associated with having blood taken and having an injection.

Due to the injection there may be a very small risk of infection, but this is MINIMAL and no greater than for any injection. Sterile precautions are taken throughout the procedure to prevent infection.

Although unlikely, the injection may also cause a temporary flare of back or leg pain and you may also experience pins and needles in your leg. Occasionally patients may experience a redness of their face which could last a day. Women occasionally report some irregularities in their periods.

Please be sure to ask Mr. Bajekal at the time of the consultation or ring the office on 0208 367 7007 if you have any more questions

You must not drive yourself home after this procedure and for 24 hours after sedation.

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