Caudal epidural steroid injection with catheter cpt code

This is a rare complication that may occur if a small hole is made in the fibrous sac and does not close up after the needle puncture. These small holes are only made in less than 1% of epidural injections and usually heal on their own. The spinal fluid inside can leak out, and when severe, the brain loses the cushioning effect of the fluid, which causes a severe headache when you sit or stand. These types of headaches occur typically about 2-3 days after the procedure and are positional - they come on when you sit or stand and go away when you lie down. If you do develop a spinal headache, it is OK to treat yourself. As long as you do not feel ill and have no fever and the headache goes away when you lay down, you may treat yourself with 24 hours of bed rest with bathroom privileges while drinking plenty of fluids. This almost always works. If it does not, contact the radiologist who performed the procedure or your referring physician. A procedure (called an epidural blood patch) can be performed in the hospital that has a very high success rate in treating spinal headaches.  

What should I do and expect after the procedure?
You may have some partial numbness in your buttocks and/or legs from the anesthetic after the injection. This may last several hours but you will be able to function safely as long as you take precautions. You will report your remaining pain (if any) and also record the relief you experience over the next week in a “pain diary” which we will provide. *Mail or fax the completed pain diary in the envelope provided, so that your treating physician can be informed of your results and plan future tests and/or treatment if needed.

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.

Dr. Ward is a South Georgia native raised in nearby Mitchell County. He attended Valdosta State College graduating with honors in Biology and Chemistry. Dr. Ward received his Doctor of Medicine Degree from the Medical College of Georgia in Augusta, Georgia. His Internship and Residency in Anesthesiology was completed at Eugene Talmadge Memorial Hospital and University Hospital in Augusta. Dr. Ward had subspecialty training emphasis on regional anesthesia/pain managemet techniques. This subspecialty of Anesthesiology eventually became the recognized subspecialty of Pain Management with specialized training and certification in the late 1990's.

Caudal epidural steroid injection with catheter cpt code

caudal epidural steroid injection with catheter cpt code

Dr. Ward is a South Georgia native raised in nearby Mitchell County. He attended Valdosta State College graduating with honors in Biology and Chemistry. Dr. Ward received his Doctor of Medicine Degree from the Medical College of Georgia in Augusta, Georgia. His Internship and Residency in Anesthesiology was completed at Eugene Talmadge Memorial Hospital and University Hospital in Augusta. Dr. Ward had subspecialty training emphasis on regional anesthesia/pain managemet techniques. This subspecialty of Anesthesiology eventually became the recognized subspecialty of Pain Management with specialized training and certification in the late 1990's.

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