How can I manage my postoperative back pain?

After back surgery or a severe injury influencing the spine, bands of fibrous scar tissues naturally develop in the epidural space as a part of the natural healing process. The epidural space is the area inside the spinal cord and the vertebral bones that cover it. The excessive growth, of the scar tissues may pressurize the nerves and hinders mobility, causing swelling and pain

Lysis of adhesion is an out patient method performed to reduce the amount of scar tissue or sometimes completely alleviate it, releasing pressure on the nerves and thus reduce pain. The procedure is done by Dr Zaki Anwar, Pain Management Specialist and anesthesiologist the founder of Pain Management Institute. The procedure involves the application of specially formulated catheter to administer several medications into the epidural space to burn or soften the epidural scar tissue formation. The accurate blend of the drugs may vary depending on the condition of pain, however, the most prescribed are the steroids to reduce inflammation around the nerves, chemical solution to reduce adhesion and local anesthesia. The Lysis of adhesion is relatively secure and proven method for pain reduction

Who are the candidates?

Epidural lysis of adhesion is usually for the patients who have chronic pain in the lower back and leg due to epidural scar tissue formation, soon after the lower spine surgery or an injury. Symptoms of epidural scar tissue formation involve lower back pain, particularly, consistent pain with burning sensation, sciatica pain that radiates from the spine to buttocks and thighs, calves and feet, muscle spasm, reflexive changes and restricted movements in the thighs and calves

Along with treating excessive scar tissue formation, this procedure can be helpful in treating a range of other back and spinal ailments, including;

  • Herniated or prolapsed Intervertebral discs
  • Compression fracture of the spine
  • Degenerative Spondylosis
  • Spinal Stenosis
  • Cervical Stenosis.
  • Failed back surgery syndrome
  • Degenerative arthritis of the spine.
  • Occipital neuralgia

Epidural lysis of adhesion is not the first option. Often patient’s who undergo this therapy have failed to get relief from other traditional treatments such as medications and epidural steroid injections


A number of people undergoing epidural lysis of adhesion report potential improvement in physical health, mobility and emotional well being. You may not get an immediate relief, it may take several days or weeks. The pain relief may last for 2 to 3 months. Physical therapy is a vital to help recover quickly