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Caudal Epidural Blocks Simplest Low risk for thecal puncture. Dura ends at S2. Unreliable above the L4-5 levels. Requires higher volumes of medication (10-15cc to reach L4-L5 levels). Large area that is anesthetized limits the use of this block for diagnosis. Useful for paracentral disc protrusion at L4-L5, L5-S1 and subsequent radicular pain of both lower extremities. Previous slide Next slide Back to first slide View graphic version © 1998 Specialty Physicians Alliance. All rights reserved. If you have questions or comments please contact webmaster@spa-ortho.com