Minimally Invasive Spine & Pain Interventions
Caudal Adhesiolysis
Caudal epidural adhesiolysis is a minimally invasive spinal procedure done for pain management. Inflammation in the epidural space can lead to the development of scar tissue which aggravates nearby nerve roots, causing intense and chronic pain that radiates from the lower back, down the legs. While epidural injections may help with pain and inflammation, until the scar tissue is removed, pain and nerve root damage will continue to resurface. Caudal epidural adhesiolysis is a treatment used to break up and eliminate scar tissue within the spine to facilitate the spread of pain medications.
What is Caudal Adhesiolysis?
Caudal Adhesiolysis by Racz technique is a minimally invasive spine intervention that involves inserting a flexible, malleable catheter into the herniated disc or scar tissue that is compromising the nerve root. A catheter is advanced to the location of adhesion, which is shown by an epidurogram, and adhesiolysis is done.
- Degenerative Canal stenosis
- Normal AP diameter 15-25
- <12 radiating pain, numbness, claudication
- <8 severe pain, surgery indicated
- Post surgery spine pain due to fibrosis
Indications
- Spinal stenosis
- Spinal compression fractures
- Inflamed or pinched nerves
- Degenerated, bulging, or herniated discs
- Facet joint syndrome is caused by degenerative changes in the spine
- Epidural inflammation or fibrosis
- Chronic pain following back surgery
- Refractory back pain
