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Caudal Epidural Steroid Injection

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Caudal Epidural Steroid InjectionLow back pain is the most common medical complaint in the country. Often, you just need some time to let your lower back recover from its painful condition. Sometimes, though, you require some pain relief while you undergo non-invasive, integral therapies to heal your condition. A caudal epidural steroid injection is ideal to help you through the period of recovery. To receive the most effective back pain relief in the safest and surest way, call on the spine experts near you at the Spine & Rehab Group. There are eight convenient locations in NYC in the Financial District, Greenwich Village and Midtown Manhattan. If you’re in New Jersey, visit an office in Bergen County, Morris County or Union County, including Paramus, Riverdale, Englewood Cliffs, Cranford and East Brunswick. Call today for a consultation.

What Is a Caudal Epidural Steroid Injection?

A caudal epidural steroid injection is an injection administered into your low back through an opening in the sacral bone, called the caudal epidural. This procedure involves an injection of pain-relieving medication directly into the epidural space where you’re feeling the pain. The epidural space is a sleeve-like area between the dura mater and the vertebral wall that contains fat and small blood vessels. Spinal nerves go through the epidural space before traveling down to your legs.

Any structural changes to your spine in this area can cause inflammation or irritation to the nerve roots, leading to pain and mobility problems. The caudal epidural steroid, which contains a local anesthetic and a steroid medication, relieves the pain to improve your quality of life.

At the New York City and northern New Jersey offices of the Spine & Rehab GroupDr. Amr Hosny and his team of experienced spine doctors use cutting-edge technology to diagnose your spinal condition and select the best treatment procedure for you. If you need a caudal epidural steroid injection, your spine specialist can perform the procedure right in the office.

Our Board certified doctors Amr Hosny, MD, MBA, FASA
Amr Hosny, MD, MBA, FASA
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David Chu, MD, FAAPMR
David Chu, MD, FAAPMR
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Vivek Mehta, MD, FAAPMR Board Certified Interventional Spine Medicine
Vivek Mehta, MD, FAAPMR
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Deepali Gupta, MD, DABA, DABPM Board Certified Interventional Spine Specialist
Deepali Gupta, MD, DABA, DABPM
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Is a Caudal Epidural Steroid Injection Necessary?

A caudal epidural steroid injection bathes the epidural space with local anesthetic and cortisone. As a result, you receive weeks or even months of relief from the pain. The epidural space consists of ligaments, spinal discs and nerve roots. Any damage to a spinal disc can lead to a compression of the nerves, leading to low back pain. The same happens if you suffer damage to the ligaments. The injection is a minimally invasive procedure that offers multiple benefits, including:

This versatile pain treatment is ideal for treating a wide range of spinal conditions, such as:

Your spine doctor examines your spine using the latest equipment to diagnose your condition. The right diagnosis improves the outcomes of the lumbar epidural steroid injection and other spinal treatments.

Do I Need a Caudal Epidural Steroid Injection?

An epidural caudal steroid injection can change your life by relieving pain and improving mobility. Factors that qualify you as a good candidate for this procedure include that you:

Dr. Hosny, a Harvard-trained and board-certified interventional spine specialist, examines your symptoms and the condition of your lower back to determine if you’re a good candidate for a caudal steroid injection. The treatment goals include pain relief and addressing the root cause of your pain.

patient TESTIMONIALS ★★★★★

I came to the spine and rehab group for my back and leg pain. I was able to get an appointment the same day I called. The staff was very friendly and courteous. The doctors were very knowledgeable and took time to explain what was causing my pain and answer all my questions. I felt comfortable having my procedure done in their state of the art surgery center, where the staff made you feel at ease. They are very easy to reach and available to answer all your questions.

Narendra G.

The entire staff at The Spine & Rehab group is great. They are so helpful and kind. The doctors really take time to talk to their patients and answer any and all of the questions that I had. I've had office visits and procedures done and everyone to the front desk, to the nurses. and the doctors were just great and knowledgeable. They really got me feeling better as well. Since I starting going there my pain has improved greatly! I would recommend The Spine & Rehab Group to everyone!

Carmen C.

The Spine & Rehab Group is my go to place for chronic pain. The doctors are compassionate and supportive. The nurses and staff are professional and so caring. I have been a patient here for almost 10 years . The doctors and physician assistant are extremely knowledgeable and always looking for the best way to help with my chronic pain! I always recommend The Spine & Rehab Group to people dealing with pain, I even tell my other doctors what wonderful doctors they are.

Val B.

These days it’s hard to find a professional, yet extremely caring physicians office, particularly in the field of Pain Management. Dr. Hosny, Dr. Chu, physician’s assistant Summer and the entire staff have managed to make this happen. Robin helped me many times with insurance to ensure that I got my shots in a timely manner (Hi Robin!). I’ve been going to this office for about three years and I couldn’t be more pleased!


I went to Dr. Hosny with lower back pain. I spend many hours sitting in a truck for my job. After an hour or so I would get pain in my back. Since I am a truck driver, pain killers were not an option for me. After a few sessions with Dr. Hosny, I am pain free. The staff at New Jersey Pain Care Center and are wonderful and caring people. I would recommend anyone go to Dr. Hosny if they want real results.


I had gone to Dr. Hosny with severe back pain after spinal surgery. It was debilitating pain that stopped me from being able to function normally. Dr. Hosny suggested that I have a Spinal Cord Stimulator implanted in my back. It is the best thing I EVER did. I am so excited to be able to return to my normal life with no medication. My experience at the pain center was wonderful. The nurses were very understanding and kind.


I have had back surgeries that provided me no relief from my pain. After a few treatments with Dr. Hosny, I have almost no discomfort. I have no need for my pain medication anymore, and have been able to go back to working out and enjoying activities with my family. I was pleasantly surprised at the treatment I received at New Jersey Pain Care Center. The staff is very nice, and treats you with respect. The facility is clean, bright and everything is brand new.


I had been having pain in my neck for many years. I had been to other doctors and they all recommended that I have surgery. I was hesitant to get surgery, so I wanted one more opinion. I had a friend tell me about Dr. Hosny and New Jersey Pain Care Center. From the moment I met Dr. Hosny I knew he wasn’t your average doctor. He took the time to listen to my concerns about surgery, and he agreed. After my cervical radiofrequency, I have full range of motion back in my neck, and best of all, no pain.

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How Is the Caudal Steroid Injection Procedure Done?

A caudal steroid injection is an outpatient procedure, meaning the doctor allows you to go home the same day as the treatment. You can expect minimal downtime and few risks of complications. The procedure offers back pain relief within a few days. During a caudal epidural steroid injection procedure, you can expect:

  1. Your spine doctor carries out initial consultations and any necessary imaging or blood tests.
  2. The doctor rules out conditions that increase the risk of complications, such as pregnancy, allergic reactions to steroid treatments, blood-thinning medication and infections.
  3. During the procedure, you lay face down on an x-ray table.
  4. The injection site is identified, cleaned and numbed.
  5. The doctor injects dye to pinpoint where the injection should go, guided by live x-ray images.
  6. Using a small needle, your spine doctor injects the medication to the exact spot it’s needed.

You may experience some minor bleeding, pain or numbness at the injection site, but your doctor monitors you for some time before you leave the clinic. If pain in your lower back bothers you at all, don’t suffer needlessly. Contact the pain specialists at the Spine & Rehab Group. Led by Dr. Hosny, the friendly team talks you through your treatment options, risks and success rates.

Page Updated on Jul 28, 2022 by Dr. Hosny (Interventional Spine Specialist) of The Spine & Rehab Group
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