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All Posts Tagged: Epidural Lysis procedure


What Is Epidural Lysis And How The Procedure Is Done?

The condition is commonly caused by leakage into the lumbar spine’s epidural space after the surgical process. Adhesions can result in constant leg pain, yet doctors are skilled for breaking up the scar tissue that works in a way to cause pain with the utilization of a particular catheter and blend of medications. This is actually an epidural lysis procedure.

In most cases, epidural adhesions happen after spine surgery, however, in some cases, this can likewise happen after disc herniation because of leakage of disc material into epidural space. The objective of epidural lysis procedure is to precisely and chemically break off unnecessary scar tissue in the epidural space in order to diminish nerve disturbance and potentially ease the pain.

How Is The Epidural Lysis Procedure Done?

The patient will be required to lie on the stomach, then the monitors will be attached in order to screen the heart rate, blood pressure, and oxygenation. After the patient has been sedated, the back will be brushed with an antiseptic solution and drape the back with sterile material. The doctor will numb the skin with a local anesthetic. After that, the doctor will insert a particular needle through the skin simply over the tailbone region into the epidural space.

An X-Ray dye will be injected into the needle to picture the scarred region. A particular catheter will be inserted through the needle to the scarred zone in order to break the adhesions. Furthermore, different liquids will be injected through the catheter with an objective to diminish the pain, break down scar tissue, and decrease inflammation. Regular medications utilized are steroids, local anesthetic, enzyme and hypertonic saline.

Suitable Candidates for Epidural Lysis Procedure

In most cases, the procedure is utilized with patients who have constant lower back and leg pain because of epidural adhesions after lumbar (lower) spine surgery or an injury. However, symptoms include lower back pain (normally a consistent, burning pain), radicular pain, (for example, sciatica which shoots from the spine into the thighs, calves or feet), muscle spasms, motor/sensory or reflex changes, and restricted flexibility in the thighs and calves.

Besides treating unnecessary scarring, this procedure can be utilized to treat a scope of other back and spine conditions, including:

  • Herniated or prolapsed intervertebral discs (particularly when not surgically correctable).
  • Metastatic carcinoma of the spine (driving towards compression fracture).
  • Degenerative spondylosis (influencing numerous levels of the spine).
  • Spinal (back) stenosis (a reduction of the open spaces within the spine).
  • Cervical (neck) stenosis.
  • Post-laminectomy syndrome (failed back surgery).
  • Degenerative arthritis of the spine.
  • Occipital neuralgia.

Epidural lysis procedure is certainly not a “first line” treatment. However, in most cases, patients who go through this treatment have attempted more conservative treatment alternatives, (for example, medications and epidural steroid injections), which have been unsuccessful to ease the pain.

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How Advantageous Is Epidural Lysis Procedure? Epidural Lysis Related Conditions & Procedure

Epidural Lysis is performed in order to get rid of extreme scarring in the epidural space. The Epidural Lysis of Adhesions occurs at the point when the scar tissue limits the natural movement of nerves resulting in inflammation and pain. Individuals who have already gone through neck or back surgery, however, still have persistent pain possibly epidural lysis procedure will be advantageous for them along with patients who have herniated discs.

Related Conditions for Epidural Lysis

In the cases of epidural lysis, this generally incorporates chronic pain associated with the accumulation of scar tissue near the spine or spinal nerves. Regions of the spine that might be affected by this may include the sacroiliac joint or the junction at which the spine meets the pelvis. Scar tissue taking place after spinal surgery or distinctive sorts of harm may result in new-beginning pain.

In addition, stenosis is a condition associated with spinal scar tissue, where nerve tissue is mechanically affected upon or compressed by the accumulation of this tissue around it. Stenosis is the place where pain can occur, sensory disarranges, or on the other hand, the loss of motor control. The elimination of these attachments through lysis may result in a return to regular activities and relief from pain for patients affected by these conditions.

How Is The Epidural Lysis Procedure Performed?

You will be asked to lie down in a position where you will be facing down for the procedure. In order to numb the skin, a local anesthetic will be utilized over the buttock region. A needle is inserted which is a small caliber, flexible catheter through an opening at the tailbone with the guidance of X-Ray towards the affected nerve root.

Medications Utilized For This Procedure?

The medications include:

  • Local Anaesthetics
  • Steroids
  • Hyaluronidase

Or a blend of the three will be utilized to inject through the catheter to the influenced nerve root. Steroids are powerful in decreasing the swelling and inflammation around the nerve roots. Hyaluronidase is a chemical that works in a way to lessen adhesions.

Safety measures After Procedure

The doctor will recommend you straightforward exercises in order to help you keep up the movement of nerves all through the spinal canal. These exercises work in a way to encourage nerve root movement is referred to as Neural Flossing. These exercises work in a way to recapture adaptability and quality and avoid the limitation of influenced nerve roots and the subsequent return of your pain.

Advantages of Epidural Lysis Procedure

  • Slightly Invasive
  • Speedy Recovery
  • Great Success Rate
  • Same Day Procedure
  • Small Cut and Slight Scar Tissue Formation
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Want a reliable solution for persistent back pain?

Epidural lysis of adhesions alludes to a percutaneous spinal strategy for relief from discomfort (Racz method). Pain may arise because of epidural aggravation, nerve root pressure, venous engorgement, and scar tissue.

Lumbar spinal stenosis causes different types of painful sensations in back or leg, and is perceived with expanding recurrence in elderly patients whose physical status isn’t constantly reasonable for medical procedure. Epidural adhesions are frequently caused by spillage into the lumbar spine’s epidural space following careful intercession. Adhesions can lead to tireless leg torment, yet pain doctors are equipped for separating the scar tissues that structure and cause this pain with the utilization of an uncommon catheter and blend of medicines. This system is known as epidural lysis procedure.

The following signs are to be considered before opting for Epidural Lysis Procedure:

  • Back/neck pain and sciatica (with or without surgery)
  • Chronic low back pain
  • Radiculopathy (mono- or polysegmental)
  • Failed back surgery syndrome
  • Lumbar spinal stenosis
  • Post-laminectomy syndrome
  • Spinal stenosis
  • Neurogenic claudication
  • Degenerative disc disease
  • Herniated/prolapsed intervertebral disc
  • Epidural scarring
  • Sympathetically independent pain

Epidural lysis strategy is anything but a “first line” treatment meaning, the patients who experience this treatment have attempted more preservationist treatment choices, for example, prescriptions and epidural steroid infusions, medical procedure, which have neglected to alleviate their pain.

If you have persistent, nagging back or neck pain following surgery, don’t suffer any longer. Please call Pain Management Institute at 815-464-7212 to schedule your evaluation with Dr. Zaki. He is very experienced in interventional treatments and a world renowned Pain Medicine Physician who has been practicing ways to cure pain leading to serious problems for the past several years After determining the cause of your pain, he may use a variety of treatments to provide you with pain relief.

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Get rid of post operative back pain with Epidural Lysis procedure

When you experience a back injury that affects the spine, a band of dense scar tissues is formed naturally in the epidural cavity as a factor in the natural healing process. The epidural space is the region between the spinal cord and the vertebral bones that encircle it. The band of scar tissues applies pressure on the nerves in their excess and restrain their movement causing severe pain and inflammation

The epidural Lysis procedure is an  outpatient approach carried out to reduce the amount of scar tissues or sometime remove it permanently, thus releasing pinched nerves and relieving pain. The procedure includes the use of a small plastic tube called a catheter to help delivering various medications into the epidural space that dissolves the scar tissue formation. The combination of the drugs may vary in some treatment, however, mostly steroids are used to relieve inflammation encircling the pinched nerves along with the local anesthetic. The epidural Lysis procedure is medically safe and effective method to reduce pain and inflammation

Who are the candidates?

The Epidural Lysis procedure is mostly recommended for the patients who experience chronic back pain and leg pain due to the formation of epidural adhesion, after a lower spine surgery or a sudden injury or fall. The symptoms might include severe pain in the lower back along with a burning sensation, sciatica pain that sparks from the spine and spreads into the thighs, calves and feet, muscle spasms, reflex change and lower range of motion in the legs

Along with treating excessive scarring the epidural Lysis procedure also treats a variety of spinal problems including;

  • Herniated disc
  • Compression fractures
  • Degenerative spine
  • Spinal Stenosis
  • Cervical Stenosis
  • Failed back surgery syndrome
  • Arthritis of the spine

The Epidural Lysis procedure may not be the first option, the patients who opt this therapy have usually tried several other traditional treatments including medications and epidural steroid injections and failed to reduce pain


The Epidural Lysis procedure is an outpatient approach and can be performed in a surgery center, the patient is usually given local anesthesia. The procedure takes 30 to 60 minutes. The epidural Lysis procedure is initiated by  cleaning the patients lower back with an antiseptic solution before exposing it to the numbing medications. Soon after the numbing a small cut is made and with the help of an X-ray guidance a catheter is inserted and guided into the Epidural space. The catheter may release a contrasting pigmentation to confirm the exact location of pain

Once the confirmation of the affected area is made the catheter is used to deliver the blend of medications into the targeted area that will aid in dissolving the formation of scar tissues reducing swelling and pain. During the whole procedure the catheter is being monitored with the X-Ray guidance to ensure safe and effective positioning of the catheter. As all the medications have been delivered, the catheter is removed and the cut is cleaned and covered with a bandage

In case you or any of your loved one is suffering from any severe back pain and looking for a safe and cost-effective Epidural Lysis treatment, get a professional advice from Dr. Zaki Anwar by placing an appointment at 815-464-7212. He is a world renowned Pain Medicine Physician who has been practicing regenerative injection therapies for the past several years with remarkable results

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