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hi Im dr. David green CEO preferred pain center here in Phoenix and Scottsdale Arizona the topic for today is caudal epidural steroid injections epidural steroid injections have been shown to be extremely effective in pain management for chronic back pain and radiculopathy which is nerve roots related pain going down one or both legs now a normal epidural steroid injection can help with one specific nerve root or in the case of a caudal epidural steroid injection it is placed in such a way that can it can help with a multiple level problem one of those problems would be something like spinal stenosis spinal stenosis is a condition that often occurs with general wear and tear arthritis and what can happen is you can start to pinch down on multiple nerve roots as theyre trying to get out from the spine and you can start to have nerve root related pain at multiple levels this may occur as pain in the buttock area coming around the hip it may go all the way down past the knee it may com