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.
Your exercises are completely based on your diagnoses and the procedures you undergo to combat the pain. One prominently used, non-surgical method is epidural steroid injections . The steroid is injected into the epidural space and decreases inflammation around the spinal nerves. If you are undergoing epidural steroid injections, you will want to take the rest day off for a little downtime to not cause unnecessary inflammation. After your brief resting period, you will want to resume normal, but not overly vigorous activity. It is best to start with walking slowly. For every 30 minute sitting period, you should take 5 to 10 minutes to get up and walk around. It may be uncomfortable at first, but if you stick with regular slow activity for the first day, you can build up to more activity.