Caudal anesthesia is becoming increasingly rare. But not caudal epidural steroids.
Prolonged caudal analgesia (for several days) hardly ever changes due to infection in this area, except — within a few hours after surgery. But a single dose of medication is free to spread.
CAUDAL INTRODUCTION OF LOCAL ANESTHETICS AND STEROIDS
Undoubtedly, it is possible to perform caudal anesthesia without fluoroscopy. But caudal administration of steroids without it is untidy medicine.
Caudal administration of drugs for ischialgia is applied quite widely, according to the same principles as at the lumbar level in lumbargia (see “EXTERNATED EPIDURAL ANALGEZY”). In the post-Soviet countries, it is performed without X-ray control, and in developed countries it is considered a “bad form” (see the epigraph). It would be better for us, before such an introduction, to get used at least to a preliminary profile picture in order to make sure that the needle is in the sacral canal.
“Pressor caudal” with large volumes of physiological structure, followed by manual therapy, was once used for the treatment of scalgia. Due to side effects – headaches and even su roads – this technique has lost its popularity and is mentioned by us only to emphasize the undesirability of the rapid introduction of large volumes.