The Racz procedure which is also called Epidural Neurolysis is utilized to relax some of the scar tissues from the involved nerves in the epidural space of the spinal cord, so that the medications such as cortisone can reach the affected areas. It is helpful in alleviating the pain caused by the disfigure
What causes epidural scarring?
Epidural scarring is mostly caused by bleeding in the epidural space being next to back surgery and the following healing process where epidural fat is re ntegrated with fibrotic tissues. However, the process is naturally occurring subsequently surgical mediation. In some cases scarring is also caused by disc damage and leakage of the CSF
How long does the procedure take?
The procedure is also called a lunch hour procedure, usually it takes 30 to 60 minutes. The procedure can be opted to be done in a single sitting or a course of 3 injections within a period of 12 months can also be opted, during the procedure a catheter is placed in the posterior epidural space and guided up to the area where scarring is caused, the process in done under the of an X-ray under totally hygienic condition also a light sedation is given through inter venous injections
Will the injection hurt?
The procedure is carried out by inserting the injections into the skin and deeper in the tissues. There are some irritation and pain involved, the pain resembles like getting a tetanus injection or a slight needle prick. The area to be treated is given a local anesthetic to decrease sensation, before the needle and the catheter is introduced into the spinal area
Will I receive any sedation for this procedure?
The whole procedure is carried out by giving local anesthesia and inter venous sedation is given. However, the amount of dosage depends upon the patient’s ability to resist. During the whole procedure, it is vital to communicate with the patient to ensure the proper installation of the catheter
What are the risks and side effects?
In general the Racz epidural Neurolysis procedure is safe enough, however, when the needle is introduced, there are some risks of complexities and side effects. The severe drawbacks and complexities are not commonly observed. Possible risks and side effects include
- Temporary pain and inflammation
- Temporary urinary irregularity
- Spinal nerve damage causing bleeding in the epidural space
- Weight gain
- Water confinement
What should I expect after the procedure?
Soon after the process you will be able to walk slowly, however, there might be slight numbness in your legs and might feel heavy, also your pain will be noticeably relieved. This is just because of the anesthesia. The physician will strictly ask you to avoid driving on the following day