Sacral epidural injection is a minimally invasive therapeutic technique used for the relief of pain in the lumbar spine and lower extremities, particularly in conditions such as low back pain and sciatica.
How it is performed
This procedure involves targeted injection of a local anesthetic, with or without corticosteroid, into the epidural space via the sacrum, usually through the sacral hiatus.
Therapeutic goal
The reduction of inflammation and irritation of spinal nerve roots, in order to relieve pain and improve lower limb mobility.
Indications
• Chronic low back pain
• Sciatica
• Nerve root compression
• Post-traumatic or post-surgical pain syndromes
Benefits
• Immediate pain relief
• Improved functional capacity
• Safe and well-tolerated procedure
Technical guidance
In most cases, the procedure is performed using anatomical landmarks or ultrasound guidance. In selected cases, fluoroscopic guidance may be used for greater accuracy.