Patients are encouraged to ask questions. We feel that open lines of communication enhances the level of care we can provide and improves the overall experience. If you are uncomfortable with any aspect of your pain management feel free to ask. Be sure to inform the medical team about anything affecting your health. Patients are advised to eat only a light meal prior to the procedure and should bring along a list of any current medications being taken. Those taking blood thinners will often be advised to temporarily discontinue using such prescriptions about two weeks prior to having a caudal steroid injection. In preparation for the procedure, the patient lies face down. A cushion is placed under the abdomen to elevate the sacrum.