Caudal Steroid Injection

Caudal Epidural Steroid Injections are a combination of a steroid and a local anesthetic that is delivered to your lower back to treat chronic back pain and lower extremity pain.

The most common conditions treated are:
Sciatica/Lubar Radiculitis – This is a condition that is characterized by pain, weakness, or sensory changes along the sciatic nerve pathway in the lower extremity. Pain typically radiates down the back of the buttock into the lower extremity. Some people describe the sensory changes as “pins and needles” and the pain is described as “sharp shooting pain”.

Herniated/Bulging Disc (most common cause of sciatica) – Separating each individual vertebrae (spine bones) are discs that act as cushions that minimize the impact that the spinal column receives. Since the discs are designed to be pliable and provide support, they have a tendency to herniate backwards through the outer ligaments and cause irritation to adjacent nerves. Disk disease is one of the most common causes of chronic lower back pain and accounts for approximately 10% of all low back pain complaints.

Degenerative Lumbar Spinal Stenosis (DLSS) – A disorder due to narrowing of the spinal canal diameter which causes nerve impingement. Spinal stenosis can result in persistent pain in the lower back and lower extremities. Those affected often complain of difficulty walking, chronic back and leg pain, decreased sensation in the lower extremities, and decreased physical activity. Many people with spinal stenosis present with bilateral (both left and right) lower extremity pain radiation.

Nevada Advanced Pain Specialists is recognized as an industry leader in pain management. We have a state-of-the-art facility in Reno, Nevada, that allows for us to offer the highest possible level of quality care of our patients.

We are committed to providing a comprehensive and multi-disciplinary approach for each individual’s pain complaints to provide the most appropriate care. Our approach includes analysis of biomechanics, joint motion, as well as skeletal, nerve and muscle tissues. Every individual is evaluated for the root cause of their pain – not just a “quick fix” approach to only provide symptomatic relief.

Your pain will be evaluated with latest diagnostic tools and technologies used by the professionals at Nevada Advanced Pain Specialists to make accurate assessments including: EMG/Nerve testing, MRIs, x-rays, bone scans, and diagnostic pain injections.


Over 90% of our facet joint injection patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Over 83% of our epidural patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Overall, 83% of our patients report a better quality of life, 60% report less pain, and 62% report improvement in their function

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