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All Posts Tagged: Racz epidural Neurolysis Procedure


Racz Epidural Neurolysis Benefits and Suitable Candidate

In the case of RACZ epidural neurolysis, a series of injections or an injection utilized in the area of the spine. This method is utilized as a treatment for chronic back pain. The repeated injections are utilized four times during the two days in house treatment. It is a fact that the back pain most of the times is complex and has numerous causes. Going through interventional pain treatment for chronic back pain has demonstrated that the pain frequently takes place because of scar tissue that is either from injury, disc herniation, or past back surgical procedure.

In most cases, RACZ epidural neurolysis can work in a way to avoid the requirement for spinal surgery with chronic back pain and sciatic pain. Based on the fact that the treatment can possibly give prompt and vital long term ease from chronic pain and uneasiness in the lumbar spine, without the requirement for spinal surgery. Furthermore, this treatment is also successful in easing lower back pain and transmitting sciatic pain.

How Can The Doctor Determine, In Case, The Racz Epidural Neurolysis Treatment Is Feasible For You?

The treatment is only suggested in conditions of extreme, chronic pain. Patients are required to have somewhere around three months history of unsuccessful, conventional treatment, for back or sciatic pain in order to be a suitable candidate for RACZ epidural neurolysis. In most conditions, RACZ epidural neurolysis can likewise turn out to be effective after a successful micro-surgical nerve decompression, as this surgical procedure can leave the spine with agonizing surgical scarring, or annoyance in the region of the spinal cord.

Nerve root irritation can be determined through MRI-imaging. Around six weeks ought to be allowed in the middle of the recent epidural injection and the RACZ catheter for security reasons.

Advantages of Racz Epidural Neurolysis

The procedure totally maintains a strategic distance from tissue injury. The procedure utilizes the natural openings in the spine so as to get to the epidural space. Thus it turns out to be the least invasive type of surgical pain therapy accessible. The treatment is mainly useful after unsatisfactory outcomes from micro-surgical treatment (open spine surgery). Contingent upon conditions, up to 50% of patients feel no adequate relief from pain following micro-surgery, despite the fact that the essential issue ought to have been addressed.

The zone around the spine is especially weak for surgical procedures because of its high density of nerve tissue. Scar formation after open spinal surgery can potentially drive towards chronic irritation and loss of function, in this way making a secondary issue.

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The Racz epidural Neurolysis Procedure is used to eliminate scar tissue formation around the capture nerves in the epidural space of the spine. So that the medication such as cortisone can reach the aimed location. The procedure brings a potential decrease in pain caused by scar tissue formation

The cause of Epidural scarring

The epidural scar tissue formation often occurs from bleeding into the epidural space following a back surgery and the consecutive healing process where epidural fat is covered with fibrotic tissues. The scar tissue often forms naturally after a surgical intervention. In some cases scarring occurs due to a rupture disc and the leakage of its inner material

The procedure at PMI

The procedure usually takes between an hour or half. It can be done once, or in a series of up to three injections scheduled in a period of twelve months. At The Pain Management Institute the procedure involves implanting a catheter in the epidural space and guided up to the area of scarring. The whole procedure is done in our fluoroscopy costumes under sterile conditions with IV sedation

What is injected in Racz Epidural Procedure?

The Racz epidural injections composed of the following

  • A mixture of local anesthetic
  • Steroid medications
  • A contrasting pigmentation so that the scar tissue formation can be easily recognized in the fluoroscopy
  • Concentrated sterile salt solution to soften scar tissue

Will I feel pain?

The procedure involves administering a needle under the skin and deep into the tissue. There is some uneasiness involved, that might feel like getting a tetanus shot or skin prick. The tissues under the skin are deaden with a local anesthetic before inserting a spinal needle and catheter

What are the risks and side effects?

Overall, this procedure is safe. However, with any procedure, there are risks, side effects, and the possibility of side effects. Fortunately, the serious side effects and complications are rare. Risks and side effects may include the following:

  • Pain/soreness, occurs most often, however, it is temporary
  • Urinary difficulty – Occasionally, people report some difficulty urinating for the first several hours, post procedure,

Other risks associated with the Racz procedure can include:

  • Spinal puncture risks
  • Headaches
  • Infection
  • Bleeding inside the epidural space with nerve damage
  • Worsening of symptoms

Cortisone injection risks/side effects, such as:

  • Weight gain
  • Increase in blood sugar (mainly in diabetics)
  • Water retention

Retardation of the body’s own natural production of cortisone

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