Epidural lysis procedure is a method to lessen the compressive consequences of scar tissue (adhesions) in the spinal canal. This method is executed by the usage of a catheter (tube) which physically breaks up scar tissue as well as medications that help to soften scar tissue. It is finished with the use of a fluoroscope (x-ray machine) to help the health practitioner in placement of the catheter.
Why is it done?
The Epidural lysis procedure is accomplished when scarring is suspected to be the cause of lower back and leg pain. Most patients who go through this procedure have had prior lumbar spine surgery. Patients who have evolved scarring inside the spinal canal because of other medical conditions may also benefit from this procedure. Patients normally undergo an epidural injection (the donut shaped space that surrounds the spinal canal) that exhibits an obstruction to the waft of dye seen under x-ray. If the obstruction (blockage) of dye corresponds to the precise nerve the pain is coming from, then they’ll be a candidate for Epidural lysis procedure.
Procedure of Epidural lysis
Your health practitioner will have a look at the MRI with the end goal to determine which nerves are likely causing the disturbance and as a result, triggering the pain prior to act the Epidural lysis procedure. To localize and treat the pain, first, sequences of epidural steroid injections is frequently utilized. In the occasion that scar tissue is the reason for the pain, and then the response to the epidural steroid injections can be limited. Racz technique is thought to be the viable option, in case scar tissue is decided to be the reason for the pain.
A local anesthetic is injected with a small needle into the skin over the buttock in Epidural lysis procedure. When the part is numb, a larger needle containing catheter/guide wire is put into the epidural space making use of X-Ray direction for appropriate position. At the point when the catheter is in the right vicinity where the scar tissue is influencing the nerve root, numerous medicines such as:
- Hypertonic Saline
- Local Anesthetics
Are injected into the region with the end aim to dissolve the scar tissue and diminish the irritation and infection on the nerve.
The risks of Epidural lysis procedure are:
- Pain in the area wherein the needle(s) inserted, this will last for two to 3 days
- A response to the local anesthetic or dye. These reactions typically do not require additional treatment
- Temporary numbness or weakness in a single or both legs
- Shearing of the catheter which could result in surgical removal
- Bleeding within the injection place
- Infection within the injection region
- Increased pain
- Nerve damage, paralysis, and stroke
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