The following patients should not have this injection: if you are allergic to any of the medications to be injected, if you are on a blood-thinning medication (. Coumadin, injectable Heparin), or if you have an active infection going on. With blood thinners like Coumadin, your doctor may advise you to stop this for 4-7 days beforehand or take “bridge therapy” with Lovenox prior to the procedures. Anti-platelet drugs like Plavix may have to be stopped for 5-10 days prior to the procedure. Aspirin should be stopped for cervical procedures for 10 days prior, but not for Lumbar.
I just had my second in just under two months for an issue at L5/S1 in my back. I suffer from both degenerative disc disease and spinal stenosis AND i have a bulging disc there. So, it’s been going on off and on since about 2012 and in total, I’ve had five injections now. They have helped for a period of time but certainly not permanent. And PT has not helped at all. My doctor has told me that because it’s at L5/S1, insurance will outright deny coverage for surgery UNTIL we’ve tried basically every other remedy including the injections. So, I’m at a loss. The pain is absolutely debilitating and pain meds don’t work either so what is a person to do???
The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.