Caudal ESI

Non-Surgical Treatments

Start With the Least-Invasive Options

Non-Surgical Spine, Neck & Back Treatments

• Most back and leg pain improves without injections. We start with activity modifications, then medications, then physical therapy. When those steps aren't enough, an epidural steroid injection can calm the inflamed nerve, and that's when this procedure comes in.
• Caudal ESI (Epidural Steroid Injection) Our primary treatment approach uses fluoroscopic guidance to inject corticosteroids through the sacral hiatus, targeting inflammation around the nerve roots. This minimally invasive procedure typically takes 15-20 minutes and provides relief for 3-6 months.
  • Fluoroscopy-guided precision targeting
  • Same-day outpatient procedure
• Physical Therapy Integration Following your injection, our physical therapists work with you to strengthen your core, improve flexibility, and prevent future episodes. Many patients benefit from starting therapy 1-2 weeks after their injection when inflammation has decreased.
  • Specialized spine rehabilitation programs
  • Movement re-education and ergonomic training
• Medication Management Our pain specialists optimize your medication regimen to work synergistically with your injection therapy. We focus on reducing long-term opioid dependence while maintaining effective pain control.
  • Anti-inflammatory and neuropathic pain medications
  • Muscle relaxants and topical treatments
• Activity Modification Counseling Our team provides personalized guidance on modifying daily activities and work tasks to reduce stress on your spine. We help you maintain an active lifestyle while protecting your healing tissues.
  • Ergonomic workplace assessments
  • Safe lifting and movement techniques

Studies show that 70-80% of patients experience significant pain relief within 2-4 weeks of Caudal ESI, with many achieving 3-6 months of improved function.