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RACZ Caudal Neurolysis

What is RACZ caudal neurolysis?

RACZ caudal neurolysis is an injection procedure that treats pain in the lower back and leg. Typically, pain treated by this procedure has been caused by a previous surgery’s scar tissue, which presses against spinal nerves.

How is RACZ caudal neurolysis performed?

RACZ caudal neurolysis is a relatively simple outpatient procedure, which can be performed in less than an hour with just local anesthesia. During the procedure, you will be asked to lie facedown on a procedural table with a cushion under your stomach. Next, the physician will inject local anesthesia into the sacral hiatus, which is located in the sacrum (the bone that connects the vertebral column to the tailbone).

Once the area has been numbed, the physician will inject a contrast dye into the same area. This dye can be viewed in real-time with x-ray technology. This process is known as fluoroscopy. Once the physician can see the operative area, he or she threads a thin, flexible catheter through the needle to the scar tissue area. A mixture of anesthetics and steroids are injected, which allows for the painless dissolution of the problematic scar tissue.

How effective is RACZ caudal neurolysis for treating leg and lower back pain?

RACZ caudal neurolysis can be quite effective, depending on physician expertise and accuracy of catheter placement. Your pain management specialist will be able to tell you more about what kind of results you can expect following this procedure.

What risks are associated with RACZ caudal neurolysis?

There are no frequently occurring major risk factors associated with RACZ caudal neurolysis. There are a few potential side effects – common to any form of injection treatment – that you should know about: allergic reactions, infection, excessive bleeding, and swelling. Significant side effects are rare.

Is RACZ caudal neurolysis right for my leg/back pain?

Only a physician can evaluate your lower back and leg pain. If you have had a significant increase in pain since back surgery, then RACZ caudal neurolysis might be right for you. For more information about RACZ caudal neurolysis, or to schedule an appointment with a Valley area pain management specialist, contact Pain Management Associates at Hedley Orthopaedic Institute today. Pain management services in Mesa, AZ.


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