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  Boone | Carroll | Fort Dodge | Guthrie Center | Manning | Nevada |     (515)212.2420

Caudal Epidural Steroid Injections


Commonly used to treat lower back, rectal or groin pain.


Many people have found relief from chronic lower back pain in a non-operative procedure called Epidural Injections.

Epidural Injections for Back Pain


Epidural means "around the spinal cord." Typically, epidural injections are performed at our clients in Boone, Nevada or Guthrie Center Iowa as an out-patient as an out-patient procedure. The procedure is completed by Chris Hanson, CRNA, ARNP . Chris has had special training and has performed thousands of epidural injections in a variety of setting from surgery suites to clinics.


Before receiving an epidural injection, you will probably undergo an imaging test. This will be ordered by your Primary Care Physician and may involve a CT scan or an MRI of the back. The test allows your doctor to identify possible causes of back pain. It is also used to determine if you are a good candidate and would likely benefit from an Epidural. If you and Doctor agree, a referral for the procedure and an appointment will be made.


You will be asked if you have any allergies and a list of any medications you are currently taking. You may be asked not to take certain medications for a period of time before the procedure. Please arrive at the hospital at the time of your appointment, checking in at the front desk. They will make sure you are properly checked in and given a ID bracelet.


You will be escorted to the procedure area, given a gown and told to lie face down on a special table. The Anesthetist might give you a sedating medication. But sedation is not usually necessary.


The epidural injection has several steps:


The injection site will be cleaned and numbed with an anesthetic.

The anesthetist will insert a needle through the skin toward the spine.(You may feel some pressure but no pain.)

The anesthetist and the X-ray Technician will use a machine that produces real-time

X-ray video called fluoroscopy. With it, the anesthetist will maneuver the needle between the bones of the spine.

Using a contrast dye, the anesthetist will confirm the needle is placed in the epidural space. That's the space between the spine and the spinal cord inside it.

When the needle is in position, the anesthetists will inject a solution into the epidural space. The solution contains a steroid medicine, also called corticosteroid, and usually an anesthetic medicine too.

The epidural injection is usually not painful because of the numbing medicine used at the start. After the procedure, you should feel fine and will likely be released after a short observation period. You will need someone to drive you home. Some people do have mild tenderness for up to a few days after the injection.


Return to Pain Services


Boone | Carroll | Fort Dodge | Guthrie Center | Manning | Nevada   Mid-Iowa Anesthesia & Pain Services Inc.

Phone: (515) 212-2420 | Fax: (515) 433-8975

Business Address: PO Box # 548 Boone, Iowa 50036