Effectiveness of Caudal Epidural Injections in Treatment of Chronic Low Back and Lower Extremity Pain

Inclusion Criteria: * At least 18 years of age * History of chronic, function-limiting low back pain of at least 6 months duration * Able to give voluntary, written informed consent to participate, * Able to understand the investigation, cooperate with the procedures, and willing to return for follow-up * No recent surgical procedures within last three months Exclusion Criteria: * Cauda Equina symptoms and/or compressive radiculopathy * Narcotic use of no greater than 100mg/day hydrocodone, 60mg Methadone. or 100mg morphine * Uncontrolled major Depression or uncontrolled psychiatric disorder * Uncontrolled or acute medical illnesses * Chronic severe conditions that could interfere with outcome assessments * Women who are pregnant or lactating * Subjects who have participated in a clinical study with an investigational product within 30 days of enrollment * Patients with multiple complaints involving concomitant hip osteoarthritis * Inability to achieve proper positioning and inability to understand informed consent and protocol * History of adverse reaction to local anesthetic or anti-inflammatory drugs and history of gastrointestinal bleeding or ulcers