Here’s the basic move for do-it-yourselfers: Lie on your back on the floor, with your knees bent and feet flat. With palms facing you and thumbs almost touching, press the fingers of both hands, evenly spaced, below your sternum (breastbone). Take in a deep breath. As you let it out, press your fingers firmly up under your ribcage, then push firmly down towards the floor and then out towards your feet. What you’re doing is pulling that pouch back down with the rest of your stomach. Once you get the hang of it, it’s a quick and simple maneuver.
Epidural steroid injections are most commonly used in situations of radicular pain, which is a radiating pain that is transmitted away from the spine by an irritated spinal nerve. Irritation of a spinal nerve in the low back ( lumbar radiculopathy ), such as from lumbar spinal stenosis , cervical spinal stenosis, herniated disc , and foraminal encroachment, causes back pain that goes down the leg. Epidural injection is also used as a minimally invasive procedure to treat nerve compression in the neck (cervical spine), referred to as cervical radiculopathy , which causes pain.
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.