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-> Epidural Lysis of Adhesions
WHAT IS EPIDURAL LYSIS OF ADHESIONS?
WHAT PATIENTS ARE CANDIDATES FOR LYSIS OF ADHESIONS?
Also called Racz procedure, this procedure is
performed to remove excessive scarring in the epidural space. The epidural space is
a thin area between the inside of the spine and the protective
layer around the spinal cord. Scar tissue may restrict the
natural movement of nerves causing inflammation and pain.
HOW IS THE PROCEDURE PERFORMED?
Patients who have had prior neck or back surgery
but still have persistent pain may benefit from this procedure.
Patients who have herniated disks that are not surgically
correctable may also receive pain relief from this procedure.
WILL THE PROCEDURE BE PAINFUL?
You will be given conscious sedation through an
IV (intravenous needle) inserted in your arm/hand on your
admission to the facility where the procedure will be performed.
You will be escorted to the surgical suite with the nurse and
asked to lay on your stomach for the procedure . The MD and /or
nurse will monitor your blood pressure, heart rate and
respiratory rate (breathing) during the procedure.
The physician will perform the procedure with a special x ray
machine called the fluoroscope to accurately visualize the
anatomy. Then contrast dye will be injected to see the
restrictive location or scarring area in your epidural space
which may be causing your pain. Then a special catheter called
the Racz catheter (www.epimedint.com)
will be guided with x ray to the scarred area. A special
medication called hyaluronidase is then injected to breakup the
scarring as well as mechanical forces of the Racz catheter to
break up the scarring. Finally, a mixture of steroids and local
anesthetics will be injected to decreased the inflammation and
provide pain relief after the lysis of adhesions.
WHAT ARE THE RISKS AND SIDE EFFECTS FROM THE RACZ LYSIS OF
Typically the sedation provided minimizes pain.
Pain may increase in the
first 48-72 hours because of the mechanical forces used to break
up the scarring.
HOW LONG DOES IT TAKE FOR THE PROCEDURE TO WORK?
The most common risks are local pain from the
needle and catheter which is a mild to moderate burning
sensation lasting 2-7 days. More serious but extremely rare risks are
bleeding, infection, nerve injury, paralysis and weakness in the
The beneficial effects are usually appreciated
2-4 weeks following the procedure
Advanced Spine and Pain Center
21 Spurs Lane, Suite 240 | San Antonio, TX 78240
10323 State Hwy 151, Suite 1077
| San Antonio, Texas 78251
phone 210.690.0777 fax 210.690.0779