Caudal Epidural with Lysis of Adhesions

The interventional pain management technique of spinal endoscopy with epidural adhesiolysis emerged in the 1990s and has become a crucial invasive treatment for chronic low back pain that is unresponsive to other modalities, such as percutaneous spring guided adhesiolysis and transforaminal epidural injections. Epidural adhesions can occur following spinal surgery, disc material leakage into the epidural space, or an inflammatory response. Despite advances in diagnostic technology, such as computerized tomography and magnetic resonance imaging, managing epidural adhesions that cause chronic, persistent pain remains challenging. However, percutaneous endoscopic lysis of epidural scar tissue is a safe and cost-effective modality. This review covers multiple aspects of endoscopic adhesiolysis, including its clinical effectiveness, rationale, indications, and potential complications.

How are lysis of epidural adhesions performed?

During the lysis of epidural adhesions procedure, the surgeon will use small instruments to separate linked organs using small incisions made laparoscopically. The objective of this minimally invasive surgery is to alleviate the symptoms of patient and restore the normal function of the affected organs. Following surgeries raise the likelihood of adhesion recurrence. The surgeon may be able to position a barrier at the operation site, depending on the site of the lysis procedure, to lower the probability of a relapse.

Why are lysis of epidural adhesions performed?

Abnormal attachments between two organs, known as adhesions, can impede the normal function of either or both organs. This results in pain and discomfort. Diagnostic imaging techniques, like X-rays or ultrasound, are ineffective in detecting most adhesions, which are frequently identified during exploratory surgery.

How long does the procedure take?

Since the surgery is performed as an outpatient procedure, it takes less than an hour.

Schedule a consultation

Why suffer the lingering discomfort and pain in back or neck after surgery? Seek relief by reaching out to the Neuro Spine & Pain Center at 305-296-2212. Simply schedule an evaluation with Our Doctors. They will identify the root of your pain and may employ a range of therapies to alleviate it, such as epidural lysis of adhesions if you have excessive scarring. Rest assured that Our doctors are trained and well-equipped to help you. To begin the journey toward wellness, book your appointment today.

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