Abstract: Intractable lower back pain is increasingly adding to the morbidity of general population. Conservative therapy failure and refusal for operative procedures has led to the use of regional pain options in form of caudal epidural blocks. Increasingly popular with the anaesthetists in cases of patients for lower abdominal surgeries, caudal epidural block has transgressed that boundary from the operating theatres to the OPD and orthopaedic practice for pain relief with steroid injections.
Blind procedures till not so long ago had been making rounds in the OPD’s with sometimes failed ( 5-25%)and sometimes good results. With the advent of sate of art MSK dedicated ultrasound machines, such procedures when performed under USG guidance have taken an enormous leap in the pain management mainly because of less complications rate, accurate needle placement in the sacral hiatus…
