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Caudal Racz Catheter Epidural Steroid Injection

What does “Caudal Racz Catheter Epidural Steroid Injection” mean?

Here is the meaning of each word:

  1. Caudal: area of the tailbone which has an opening to the epidural space
  2. Racz catheter: a spinal catheter developed by Dr. Racz
  3. Epidural Steroid Injection: to injected a steroid medication into the space outside the dura of the spine.

Altogether, “Caudal Racz Catheter Epidural Steroid Injection” means to inject a steroid medication into the opening of the tailbone which goes to the epidural space.

Why is a Caudal Racz Catheter Epidural Steroid Injection done?

1. A Caudal Racz Catheter Epidural Steroid Injection is a procedure often done as a treatment for pain from disc herniations in the low back. The disc herniation typically causes inflammation of the disc and the spinal nerve next to it. This can cause low back and leg pain (sciatica). The inflammation and the pain it causes, are the target of this procedure. The steroid can relieve the inflammation.

2. Another reason for a Caudal Razc Catheter Epidural Steroid Injection is spinal stenosis (narrowing of the canal in the spine). In spinal stenosis, the spinal canal is narrowed causing inflammation of the spinal nerves and the area around the spinal cord. Relieving this inflammation is the goal of the injection.

3. Sometimes Caudal Racz Catheter Epidural Steroid Injections are done for general low back pain. In this instance, the exact cause or location of the inflammation may not be known.

4. Another reason for this injection is for adhesions (scar tissue) from prior surgery.

What is a Caudal Racz Catheter Epidural Steroid Injection?

This is an injection into the epidural space of the low back. It takes advantage of a small opening in the tailbone (sacrum) where we have an opening (sacral hiatus) which gives access to the epidural space. The medication which is injected there usually goes upwards into the lumbar epidural space.

How is a Caudal Racz Catheter Epidural Steroid Injection done?

  1. This procedure us done in a Procedure Room or Operating Room
  2. Sometimes relaxing medications (sedation) is given in the IV
  3. The patient is placed on the stomach (prone)
  4. The area of the tailbone is cleaned with a sterile antiseptic solution
  5. Sterile sheets (drapes) are placed around the area
  6. An X-Ray machine is used to see the opening in the tailbone (sacral hiatus)
  7. A Local Anesthetic is injected under the skine
  8. A specialized needle is placed through the sacral hiatus into the caudal epidural space with the help of the X-Ray machine
  9. A Racz catheter is now placed through the needle and advanced upward towards the lumbar area. This is done with the help of the X-Ray machine which shows the catheter.
  10. A small amount of contrast material (fluid which looks dark on an X-Ray) is injected through the needle to verify the correct position.
  11. Medication is now injected through the catheter. The medication is often a combination of a Steroid and a Local Anesthetic.
  12. The needle and catheter are removed.
  13. A band-aid is placed on the site.
  14. The patient is brought to the Recovery Area.

How long does it take to perform a Caudal Racz catheter injection?

This injection can take about 5-10 minutes to perform.

What type of benefit can patients gain from this injection?

A caudal Racz catheter injection can relief back and leg pain from a disc herniation.

The pain relief can last from weeks to months.