The Epidural Lysis procedure may be necessary if your pain is chronic


After surgery or serious injury the spinal cord is affected, causing the bands of fibrous scar tissues to develop naturally in the space around the spinal cord called the epidural space as a step of a natural healing process, when in the process of healing the excessive scar tissues may pinch the nerves and cause pain and inflammation

The whole process

An Epidural Lysis procedure is an outpatient approach that aims to reduce or eliminate the  amount of scar tissues which exerts pressure on the nerves and thus the reduction of scar tissues relieves pain. The procedure takes almost 30 to 60 minutes, the epidural lysis procedure is initiated by cleaning the area of the lower back with an antiseptic solution prior to injecting the local anesthetic after the numbing process a small cut is made and with the help of X-ray guidance the catheter is inserted into the area that is indicated of causing pain

A specialized catheter called Racz catheter the catheter helps injecting several medications in the epidural space to soften and physically break down the excessive growth of scar tissues. Once the procedure is done, the catheter is removed and the incision is covered with a bandage

Once all the injections have been administered, the catheter is removed, and the incision area is cleansed and bandaged.

What happens after the procedure?

The patients are observed for a short time and allowed to go home. For some time the patient may feel mild numbness and heaviness in the legs, but it will settle in a few hours

However, the accurate contrast of the medications may fluctuate, but mostly steroids are used to cut down the inflammation near the nerves,  a chemical enzyme hyaluronidase is responsible for melting the scar tissues give along with a  local anesthetic. The  Epidural Lysis procedure is relatively safe and beneficial procedure and a guaranteed method for pain relief

The exact combination of drugs can vary, but most often used is a steroid to reduce inflammation around the nerves, a chemical enzyme (hyaluronidase) to dissolve the adhesions, and a local anesthetic. Lysis of adhesions is a safe, effective and proven method for pain relief.

Who are the candidates?

The epidural Lysis procedure is most recommended for the patients who experience chronic lower back pain and leg pain due to the growth of scar tissues in the epidural space consecutive of the lower spinal surgery or a severe  injury

Symptoms of the epidurial lysis adhesion

The symptoms may include;

  • Lower back pain with burning sensation
  • Sciatica pain that succeeds from spine and into the thighs and calves
  • Muscles sprains
  • Sensory changes
  • Immobility in thighs and calves