Dr. Ward is a South Georgia native raised in nearby Mitchell County. He attended Valdosta State College graduating with honors in Biology and Chemistry. Dr. Ward received his Doctor of Medicine Degree from the Medical College of Georgia in Augusta, Georgia. His Internship and Residency in Anesthesiology was completed at Eugene Talmadge Memorial Hospital and University Hospital in Augusta. Dr. Ward had subspecialty training emphasis on regional anesthesia/pain managemet techniques. This subspecialty of Anesthesiology eventually became the recognized subspecialty of Pain Management with specialized training and certification in the late 1990's.
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.
Caudal epidural steroid injections involve injecting a steroid into the epidural space, where the irritated nerve roots are located. The caudal injection is performed through the sacral opening and is used to treat low back pain. This injection includes both a long-lasting steroid and an anesthetic (lidocaine, bupivacaine). The steroid reduces inflammation and irritation, while the anesthetic interrupts the pain-spasm cycle and nociceptor transmission (Boswell 2007). The medicines spread to the most painful levels of the spine, reducing inflammation and irritation. The entire procedure usually takes less than 15 minutes.