An Effective Treatment Option for Lower Back and Tailbone Pain
By Dr. Magdalena Kerschner
Caudal steroid injections have emerged as a valuable treatment option for patients suffering from chronic lower back pain, sciatica, and tailbone discomfort. This minimally invasive procedure delivers powerful anti-inflammatory medication directly to the affected area, providing meaningful relief for many individuals who have not found success with conservative treatments.
The caudal approach involves injecting a combination of local anesthetic and corticosteroids into the epidural space through the sacral hiatus, a natural opening at the base of the spine. This technique is particularly effective because it allows medication to spread throughout the lower epidural space, addressing inflammation and pain signals in multiple nerve roots simultaneously.
Patients considering this treatment often have conditions such as herniated discs, spinal stenosis, or failed back surgery syndrome. The procedure is especially beneficial for those experiencing radicular pain – pain that radiates from the spine into the legs – as the medication can effectively target inflamed nerve roots that cause these symptoms.
The procedure itself is typically performed in an outpatient setting and usually takes less than 30 minutes. Before the injection, patients receive local anesthesia to minimize discomfort. Using fluoroscopic (X-ray) guidance, the physician carefully positions the needle to ensure accurate placement. This imaging guidance is crucial for both safety and effectiveness, allowing the doctor to verify the correct distribution of medication.
Most patients report feeling pressure during the injection but minimal pain. The local anesthetic provides immediate pain relief, while the steroid medication typically begins working within 2-3 days, gradually reducing inflammation and pain over the following week. The duration of pain relief varies among individuals, with some experiencing benefits for several months or longer.
While caudal steroid injections are generally safe, patients should be aware of potential risks and side effects. These may include temporary numbness or weakness in the legs, mild soreness at the injection site, and rarely, infection or bleeding. Some patients might experience a temporary increase in pain before the anti-inflammatory effects take hold.
The success rate of caudal injections varies depending on the underlying condition and individual factors. Research suggests that approximately 60-75% of patients experience significant pain reduction following the procedure. This treatment can be particularly effective when combined with physical therapy and appropriate exercise programs, as the pain relief window provides an opportunity to strengthen supporting muscles and improve flexibility.
For optimal results, healthcare providers typically recommend limiting strenuous activities for a few days following the injection. Patients can usually return to normal activities the day after the procedure, though they should follow their physician’s specific instructions for recovery.
While not a permanent cure for chronic pain conditions, caudal steroid injections can provide substantial relief and improve quality of life for many patients. They may be repeated if necessary, though most physicians limit the number of injections to three or four per year to minimize potential side effects from repeated steroid exposure.
Before considering this treatment, patients should undergo a thorough evaluation to determine if they are suitable candidates. Certain conditions, such as active infections, bleeding disorders, or allergies to the medications used, may preclude someone from receiving these injections. A detailed discussion with a healthcare provider can help determine if caudal steroid injections are an appropriate treatment option for an individual’s specific condition.
Dr. Kerschner
Dr. Magdalene Kerschner, a graduate of Wayne State University School of Medicine, completed her Anesthesiology residency at The University of Kentucky. Her experience in spine surgery anesthesia led to her specialization in chronic pain management. As a Board Certified Interventional Pain Physician, Dr. Kerschner believes that while pain is undeniable, suffering is optional. She aims to help patients reclaim their joy through interventional techniques and complementary therapies.
Dr. Kerschner stays involved with professional societies to keep up with medical advancements. She served as Vice President of Ohio Interventional Pain Physicians Society and is an active member of Ohio Medical Association’s Substance Abuse Committee. She contributed to the development of Ohio’s HB 93, known as “The Pill Mill Bill,” which led to the closure of illegal pain clinics.
Her compassionate work extends internationally. Dr. Kerschner has participated in medical missions with World Medical Mission in Kenya, worked alongside Mother Teresa in Calcutta, and served in Brazil, the Philippines, and Belize. She received a Humanitarian Award from the Philippine government for her contributions.
Dr. Kerschner’s Scotty Dog Foundation has awarded numerous high school scholarships in Southwest Ohio and surrounding areas.
In her practice, Dr. Kerschner emphasizes individualized treatment plans, recognizing that each patient has unique needs. She believes in using good judgment to determine the most beneficial procedures, medications, and therapies for each patient. Dr. Kerschner and her staff prioritize spending ample time with patients during consultations, ensuring they have opportunities to ask questions and fully understand their treatment options.
When your pain is under control you can get back to living the way you are used to. Exercise, eat healthy, and enjoy life to the fullest. At Advanced Pain & Spine Institute we are more than just a doctor’s office, we are friends that are ready to help you get your life back.
Advanced Pain & Spine Institute Napes
239.307.7087
www.apsiwellnessnaples.com
9975 Tamiami TR N # 1, Naples, FL 34108