RACZ Caudal Neurolysis

RACZ caudal neurolysis is an injection procedure most often used to treat leg and back pain caused by scar tissue resulting from a prior surgery. This scar tissue can press upon spinal nerves and send radiating pain through the legs, as well as cause debilitating pain in the lower back.

How does it work?

In a RACZ caudal neurolysis procedure, you will be lying face down, typically on a pillow or cushion to arch your back and provide comfort and support. Your physician will first inject an anesthetic into the sacral hiatus, which is an opening in the sacrum, a triangular bone at the base of your spine that’s connected to your tailbone. Next, your physician will inject a contrast solution into the affected area so that it appears clearly on an x-ray machine called a fluoroscope. Then a catheter is inserted, allowing your physician to inject a steroid/anesthetic medication that soothes the painful area and dissolves the problematic scar tissue. Your physician may inject other medications into the area in successive shots, and could ask you to go through the procedure again in a few months.

What can I expect after the procedure?

The side effects of a RACZ caudal neurolysis procedure are similar to those of other injection treatments and can include allergic reaction, infection, swelling and bleeding in rare cases. However, this procedure often can clear up scar tissue from a previous surgery and prevent it from compressing spinal nerves, relieving the associated pain.

If RACZ caudal neurolysis has failed to ease the pain from scar tissue impinging on a nerve – often a symptom of failed back surgery syndrome (FBSS) – or if you’re experiencing neck or back pain due to bone spurs, a prolapsed disc, spondylolisthesis or any of a variety of degenerative disc diseases, contact Laser Spine Institute today. We’ll be glad to inform you about our minimally invasive outpatient procedures that can help you find relief from neck and back pain.