I have every sympathy with the way you feel as that was the reaction I had when I finished the course of steroids my consultant condescended to allow me to have until the next appointment: it was 2 weeks each of 15mg/day, 10mg/day, 5mg/day. I was almost completely painfree for the first time for years within 48 hours and it was back within 36 hours of taking the last 5mg tablets. I pulled myself up the stairs and retreated to bed in tears - in the room where my (by then) retired husband was on the computer. For the first time he realised what I had been going through. I immediately took a small dose which relieved the pain as I had a few tablets left. I was absolutely gobsmacked (there is no other word I'm afraid) when the following week the consultant refused to listen to my story and wanted me to take another drug with horrible side effects as he didn't think it was PMR \"as you're too young\" and it must be some other inflammatory arthritis. The hip pain was excruciating at nights and when trying to walk and the tears were from the pain and frustration at not being able to do anything - no wonder there is \"depressed mood\" with PMR.
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.