TREATMENTS
Caudal block
A caudal/sacral block is performed for pain that is caused by inflammation and irritation in the spinal canal. The aim of the procedure is to reduce the inflammation inside the spinal canal. This will then bring about partial or complete (but usually temporary) relief of the pain, spasm and referred pain that this inflammation around the nerves can cause.
The reason why your specialist performs this procedure and not a more invasive procedure, is because he or she is trying to be as conservative as possible in treating your symptoms.
When undergoing this procedure, you will be lying on your stomach on bolsters or pillows. Your specialist will use an X-ray machine to guide the needle that is used to do the procedure with. The needle is placed directly into the sacral hiatus – this is at the bottom end of the spine – and a mixture of steroids and local anaesthetic is injected into the sacral hiatus (also called caudal hiatus). This procedure is performed with local anaesthetic and sometimes with sedation.
This procedure can also be performed on an out-patient basis under CT guidance by a radiologist.
Ward care
You may sometimes have a bit of discomfort directly after the procedure, but this will clear up very soon. You will be allowed to move around freely following your procedure.
Discharge
This procedure is usually performed as a day procedure.
Rehabilitation
It is incredibly important to get a lot of rest and exercise following your procedure. It is frequently useful to supplement your treatment with physiotherapy and local treatment such as massage therapy and chiropractic treatment.
Follow-up
Routinely you will receive a date for your follow-up appointment with your specialist. This may vary from anything between two and six weeks, but you will be seen earlier if there are any complications. It is important to realise that you will have to protect your back for the rest of your life and apply good back habits (see the section Caring for your Spine). This procedure is part of conservative management, bear in mind that it may fail and further treatment including surgery may be required.
TREATMENTS
TREATING BACK PAIN
Back Care
Back Care
People who have spinal problems have them because of a genetic tendency or susceptibility they have towards spinal disease. The spinal column is one organ and people who have lower back problems frequently will develop, or at the same time have neck problems. Spinal surgery should be reserved for nerve compression and intractable pain that impairs a patients everyday life and functionality substantially. Spinal surgery changes the biomechanics of the spine and frequently leads to further spinal surgery. The mainstay in the treatment of back pain therefore is prevention. This chapter aims to explain how to go about putting as little strain on your spine as possible.
Read MoreTREATING HEADACHES
Headache Care
People who have spinal problems have them because of a genetic tendency or susceptibility they have towards spinal disease. The spinal column is one organ and people who have lower back problems frequently will develop, or at the same time have neck problems. Spinal surgery should be reserved for nerve compression and intractable pain that impairs a patients everyday life and functionality substantially. Spinal surgery changes the biomechanics of the spine and frequently leads to further spinal surgery.
Read MoreTREATING PELVIC PAIN
Pelvic Care
People who have spinal problems have them because of a genetic tendency or susceptibility they have towards spinal disease. The spinal column is one organ and people who have lower back problems frequently will develop, or at the same time have neck problems. Spinal surgery should be reserved for nerve compression and intractable pain that impairs a patients everyday life and functionality substantially. Spinal surgery changes the biomechanics of the spine and frequently leads to further spinal surgery.
Read MoreTREATING FACIAL PAIN
Facial Care
People who have spinal problems have them because of a genetic tendency or susceptibility they have towards spinal disease. The spinal column is one organ and people who have lower back problems frequently will develop, or at the same time have neck problems. Spinal surgery should be reserved for nerve compression and intractable pain that impairs a patients everyday life and functionality substantially. Spinal surgery changes the biomechanics of the spine and frequently leads to further spinal surgery.
Read MoreCONTACT US
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