It is a form of caudal epidural injection to be given in multiple disc prolapse like L4-L5  & L5-S1. In this procedure tuohy needle is placed in caudal epidural space, which is lowest space in our lumbosacral spine and we give anti-inflammatory medications, injections, hyaluronidase or hypertonic saline.

This reduces swelling, adhesion around the nerve. It is to be used the pain originating from disc or may be given after failed spine surgery.