Caudal epidural steroid injections are considered very safe procedures and there are very few side effects. Although rare, patients should still look for signs of injection or allergic reaction while resting at home. Patients may feel a little sore after the injection, but overall, can expect to experience significant pain relief a few days after the procedure. If only a small amount of pain relief is felt, patients should talk to their Tulsa Pain physician. The physician may recommend an alternative pain treatment, or in some cases, a repeat injection in order to feel the full effects of the medication. Caudal epidural steroid injections are not a permanent pain solution, but may also be repeated after the effects have worn off in a couple of months.
There is moderate evidence for the use of CSI’s for chronic lumbar radiculopathy and even failed back surgery syndrome (Heran, et al., 2008). Studies have shown that CSI provides short-term pain relief for up to 80% and long-term pain relief for up to 75% of patients with a lumbar (lower back) radiculopathy (Amsterdam & Kilgore, 2009). CSI has also been reported as beneficial for short- and long-term pain relief in Lumbar Spondylosis, Piriformis Syndrome, and Lumbar Spinal Stenosis (Isaac & Wang, 2008). A systematic review found strong evidence for the use of CSI’s in treating chronic low back and extremity pain as a result of disc herniation, failed back surgery syndrome, spinal stenosis and other discogenic pain without evidence of herniation (Conn & al., 2009). In all, over 40 studies on over 4000 patients have been conducted with the vast majority supporting the effectiveness of CSI’s (Williams & Park, 2007).