Spine & Orthopedic Pain Centers

Epidural Lysis of Adhesions

Epidural lysis of adhesions is also called decompressive neuroplasty, percutaneous adhesiolysis or the Racz procedure, named after the surgeon who invented it.

It loosens up scar tissue (adhesions) to alleviate pain and help the spread of pain medication in the epidural space. It is a minimally invasive procedure and done on an outpatient basis.



What Causes Adhesions in the Epidural Space?

Epidural adhesions are scar tissue formed in the epidural space surrounding the spinal cord’s outermost layer, called the dura mater. Epidural adhesions are often caused by leakage of cerebrospinal fluid (CSF) into the lumbar spine’s epidural space following spine surgery or from a bulging disc. Disc material can also leak into the epidural space following a tear and cause an inflammatory response that causes scar tissue to form. This procedure can also treat radicular pain and spinal stenosis. Scar tissue entraps the nerves that leave the spinal cord to supply other regions of the body. Adhesions can bring about persistent back or leg pain. Physicians can break up the scar tissue both mechanically and chemically with the use of a special catheter and combination of medications. An enzyme, hyaluronidase is sometimes used to dissolve the adhesions.

"Great staff and Dr Johal very caring Dr."
Richard T.
“Dr. Johal has always been attentive to my health problem and I was greatly impressed when he was in my operation.”
Ana J.
"Dr. Johal gave me my life back! Can’t say enough good thing about him or his practice. My wife is now also seeing him for her neck pain!"
John M.
"Amazing doctor. Very like-able personality and will provide excellent care to all his patients."
Omar E.
"Compassionate Care ...with understanding and equality .."
Dustin S.
“I like Dr. Johal he understands your pain he’s a good doctor and I don’t say that about a lot of doctors.”
Gloria P.
Reach out for a comprehensive evaluation
Call To Book Now
- OR -