Caudal Epidural Steroid Injection (ESI) Sample Opnote Goal. To access the epidural space via a caudal approach. The primary goal for this approach is to cover sacral nerves. Indications. Typical epidural indications such as administration of steroid for chronic pain (sciatica, herniated discs, etc), administration of blood in a blood patch

2016年12月9日 · In ESI, drugs are delivered into the epidural space by interlaminar or transforaminal routes in the cervical spine or by interlaminar, transforaminal, or caudal routes in the lumbar spine. Epidurography is usually performed before drug delivery to verify the proper position of the needle in the epidural space.

2025年2月12日 · A randomized, controlled, double-blind trial of fluoroscopic caudal epidural injections in the treatment of lumbar disc herniation and radiculitis. Spine (Phila Pa 1976) . 2011;36(23):1897-1905.

The caudal approach carries a lower risk of thecal sac puncture and can be done fluoroscopically, with ultrasound guidance, or with a combination of both—mainly with fluoroscopy being used to check contrast spread in patients with prior low back surgery.

Abstract Introduction: Epidural steroid injection (ESI) is one of the key management strategies in the management of discogenic radicular pain. This study aims to compare the efficacy and safety of fluoroscopy-guided ESI through caudal (cESI) and transforaminal (tfESI) routes for unilateral paracentral L5-S1 discogenic radicular pain.

The caudal approach has the advantages of medication delivery atleast in part to anterior epidural space (unlike interlaminar, [Figure 1]) and reduced complication rates. Lumbar radiculopathy and lumbar canal stenosis are the most common indications for performing caudal ESI.

2019年8月6日 · The use of fluoroscopy improves the success rate of caudal epidural catheter insertion. [7-8] The sacrum is visualized in a lateral view and the needle is advanced through the sacral hiatus with frequent fluoroscopic confirmation. Once the appropriate depth is reached, contrast is injected to confirm needle placement.

Caudal epidural injections (CEIs) are widely used in the treatment of lumbar spinal stenosis (LSS). Imaging modalities, such as fluoroscopy and ultrasonography, are frequently employed to confirm proper needle placement and to prevent possible complications.

Caudal epidural steroid administration is an effective treatment for chronic low back pain (LBP). Fluoroscopy guidance is the gold standard for pain procedures. Ultrasound guidance is recently being used in pain clinic procedures. We compared the ...

dressed the efficacy of fluoroscopic caudal epidural steroid injections as a treatment for patients with radiographic and clini-cal evidence of symptomatic lumbar spi-nal stenosis. The objective of our current study, therefore, was to retrospectively evaluate the efficacy of fluoroscopically-guided caudal epidural steroid injections