Caudal epidural steroid injection youtube

As a skilled and experienced Pain Medicine Interventionalist, Dr. Levin evaluates each patient very thoroughly and carefully to help determine appropriate treatment options in order to provide the most effective individualized care.  These treatment options may include:  Lumbar, Thoracic and Cervical Epidural Steroid Injections utilizing targeted transforaminal techniques, Lumbar and Cervical Sympathetic Blocks, Sphenopalatine, Facial and Head and Neck Procedures, Discography, Percutaneuos Discectomy or Disc Decompression procedures, precision joint and nerve injections, Radiofrequency Neuroablative procedures, Peripheral or Spinal Cord Stimulator trials and implants, Foraminoplasties and several patented and patent pending advanced interventional procedures.

During a caudal epidural, the lower back, just above the buttocks, is numbed with a local anesthetic. Then, a thin needle is inserted just above the tailbone and a mixture of local anesthetic and steroid medication is administered into the caudal space. Once the medication has been administered, it spreads within the epidural and caudal spaces, resulting in reduced nerve inflammation and pain. The 15-minute procedure can result in relief in as little as 30 minutes after the injection, however, long term relief might not begin until the steroid begins to work, which is usually within two to three days. The length of time relief is felt varies from patient to patient, but is often felt for several months. Periodic injections are usually necessary in order to remain pain-free.

Epidural injections can be performed from several different approaches; these include a caudal, interlaminar, or transforaminal approach. The approach your provider chooses is based on each individual patient’s clinical presentation, the personal preference and experience of the provider performing the injection, the desired outcome, and most importantly, the risks versus benefits of performing one type of epidural over another. Clinically, the purpose of all epidural injections is to place a mixture of steroid and local anesthetic at the source of the problem to decrease inflammation causing pain, and to promote healing and clinical improvement. The epidural steroid injection involves placing steroid medication in the inflamed area and significantly reduces nerve irritation thus improving pain. This treatment option has the potential to completely resolve pain and ultimately may prevent operative treatment.

Dr. Ward is a South Georgia native raised in Sale City (Mitchell County). He attended Valdosta State College graduating Magna Cum Laude with a BS Degree in Biology and Chemistry (top 1% of his class). He received his Doctor of Medicine Degree from the Medical College of Georgia in Augusta, GA in 1980. He completed his Internship and Residency in Anesthesiology at the Medical College of Georgia. After Residency, he became a clinical faculty member in the Department of Anesthesiology. Dr. Ward practiced Anesthesiology for 25 years with South GA Anesthesia Associates at Archbold Hospital.

My injections into L5-L4-S1 were done incorrectly my last time and I was literally having the same symptoms as someone who overdosed on a street drug. Mainly being short, deep breathing, dizziness, racing heart rate and high blood pressure. In short, what had happen to me is the pain management doctor gave me too much ‘juice’. I certainly resent this as it was an unbearable experience. My first time to get injections it was a complete and total breeze and piece of cake by the same don’t know why I reacted on that way.

Caudal epidural steroid injection youtube

caudal epidural steroid injection youtube

Dr. Ward is a South Georgia native raised in Sale City (Mitchell County). He attended Valdosta State College graduating Magna Cum Laude with a BS Degree in Biology and Chemistry (top 1% of his class). He received his Doctor of Medicine Degree from the Medical College of Georgia in Augusta, GA in 1980. He completed his Internship and Residency in Anesthesiology at the Medical College of Georgia. After Residency, he became a clinical faculty member in the Department of Anesthesiology. Dr. Ward practiced Anesthesiology for 25 years with South GA Anesthesia Associates at Archbold Hospital.

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