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All Posts Tagged: Epidural Lysis treatment


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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