The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.
For many people, back pain goes away on its own or with nonsurgical treatments. Epidural steroid injections shouldn't typically be used as a first-line therapy for back pain relief, but that doesn't mean they can't play a role in treating pain. But injections won't cure the underlying cause of back pain, and they provide only temporary relief. Unfortunately, in many cases, chronic back pain can't be cured, but must instead be managed, like other chronic conditionsand patients must have realistic expectations of what epidurals can do.
Hip joint injections might be prescribed for patients who experience pain in the lower back, buttocks, thigh or in the pelvic region. Diagnosing hip problems can be tricky, in part because the joint between the femur and pelvis is located relatively deep inside the body. However, a congenital condition, osteoarthritis or traumatic injury to the hip can cause pain, tingling, numbness or muscle weakness to radiate to the lower back, thigh or buttocks. Pain might also be experienced in the hip joint itself, and can be a result of degeneration within the joint or compression of a nearby nerve.