RACZ Caudal Neurolysis

This injec­tion, gen­er­al­ly per­formed as an out­pa­tient pro­ce­dure under local anes­the­sia, relieves low back and leg pain most often caused by scar­ring from a pri­or back surgery. The pro­ce­dure is per­formed with the patient lying face down with a cush­ion placed under the stom­ach. The physi­cian locates the small open­ing at the base of the sacrum (called the sacral hia­tus) and injects a local anes­thet­ic that numbs the skin and all the tis­sue down to the sur­face of the sacral hia­tus. The physi­cian then guides the nee­dle through the anes­thetized track and into the epidur­al space. A con­trast solu­tion is inject­ed, allow­ing the physi­cian to see the scarred and painful areas on an X‑ray device called a flu­o­ro­scope. A small, flex­i­ble catheter is fed through the nee­dle and posi­tioned at the loca­tion of scar­ring. A steroid-anes­thet­ics mix is inject­ed through the catheter and around the scar­ring, bathing the painful area in med­ica­tion and dis­solv­ing the scar tis­sue. The nee­dle and catheter are removed. In some cas­es, it may be nec­es­sary to keep the catheter in place to allow for more injec­tions over the next few days. It also may be nec­es­sary to repeat the pro­ce­dure a few months lat­er to reduce scar tis­sue further.

Click here to review an illus­tra­tion of RACZ Cau­dal Neu­rol­y­sis.
(Infor­ma­tion obtained from www​.viewmed​ica​.com 2012 Swarm Interactive).