Epidural Lysis of Adhesions
Most commonly known as the Racz ® Procedure, Lysis of Adhesions (a.k.a Lysis of Adhesions, Percutaneous Neuroplasty, and Adhesiolysis) was invented and developed by Dr. Gabor Racz in the 1980s during his tenure as Chairman of the Department of Anesthesiology at Texas Tech University Health Sciences Center in Lubbock, Texas.
Epidural Lysis of Adhesions has been proven effective in treating chronic pain due to scar tissue formation*. This treatment is most often performed on patients with Failed Back Surgery Syndrome (FBSS), spinal stenosis, and radiculopathy. It can also be effective in treating leaky disc’s and many situations in which excessive scarring exists in the anterior lateral epidural space.
A specially designed, sheer resistant needle and Racz ® Catheter are guided into the epidural space – under the assistance of fluoroscopic imaging – of the consciously sedated patient into the target area. Corticosteroids, Hyaluroniadase, or hypertonic solution is then delivered, allowing restrictive scar tissue to dissolve and free compromised nerve roots, therefore relieving pain.
Patients begin basic stretching exercises (neuroflossing) immediately after the procedure is complete. In most cases, Epidural Lysis of Adhesions can be done in an outpatient setting and the patient may return home on the same day. Patients who have excessive amounts of scarring may require an additional two to three injections, completed in accordance with individual physician protocol.
Most patients will begin to experience improvement within several days of the procedure. Some patients will experience immediate relief; some may require several weeks to realize measureable improvement. Most patients are able to return to work the day after the catheter is removed.
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