Caudal Epidural Steroid Injections

The Center for Pain Management uses caudal epidural steroid injections (also called caudal blocks) as a pain management treatment option to relieve lower back pain and radiating leg pain. The steroids used can reduce the swelling and inflammation caused by stenosis, radiculopathy, sciatica and herniated discs.

How it works: Local anesthetic is used to numb the skin and tissue down to the surface of sacral hiatus. After a needle is carefully inserted in the target area, a contrast solution (a liquid that displays on X-ray) is used to help the doctor see painful areas using fluoroscopy. Then a combination of anesthetic and anti-inflammatory medicine is injected into the epidural space, bathing the affected area in medication. Most patients have significant pain relief after one or two caudal epidural steroid injections, but it might be necessary to repeat the procedure several times to receive the full benefit of the pain management treatment.

Updates + Announcements

Christmas Schedule: All Offices Will CLOSE Early Monday, Dec. 24 & All Day Tuesday, Dec. 25

All of the Center for Pain Management’s locations will CLOSE EARLY Monday, December 24 and CLOSE ALL DAY Tuesday, December 25 in observance of Christmas. This includes our Indianapolis, Greenwood and Lafayette, Indiana medical offices and surgery centers. Please keep…
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Dr. Edward Kowlowitz Named One of America’s Top Doctors in Pain Medicine

Castle Connolly Medical Ltd. named Edward Kowlowitz, MD one of America’s Top Doctors in Pain Medicine. Dr. Kowlowitz is 1 of 7 physicians in Indiana to earn this distinguished designation. He has been practicing medicine since 1988 and founded Center…
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September is Pain Awareness Month

Center for Pain Management joins the global health care community in recognizing September as Pain Awareness Month.  This international campaign was first established in 2001 to create greater understanding that pain is a serious public health issue. Pain Awareness Month…
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CBS Affiliate WLFI-18 in Lafayette Indiana Interviews Dr. Edward Kowlowitz About Prescribing Pain Medications

Reporter Kayla Sullivan with WLFI-18 TV (CBS affiliate), interviewed Lafayette pain management doctor, Dr. Edward Kowlowitz, MD at the Center for Pain Management. The news channel has been investigating why major pharmacies are denying prescriptions for pain medications. Dr. Kowlowitz…
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Meet Dr. David Miller, MD in Our Lafayette, Indiana Pain Center

Dr. David C. Miller is a Board Certified interventional pain management physician with more than 25 years of experience. He specializes in the evaluation and treatment of complex pain problems utilizing advanced interventional therapies, injections, implantable technologies, regenerative medicine, palliative…
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