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Epidural Neurolysis

Epidural Neurolysis is an injection (or series of injections) into the spine, as a therapy for chronic back pain. The injection is designed to break up adhesions that have formed from years of injury. Although not covered by some insurance carriers who have deemed this “experimental”, Dr. Magaziner has had success with this procedure.

Epidural Neurolysis For Back Pain

Back pain is a complex problem. Many times, chronic back pain is due to a buildup of scar tissue either from injury, disc herniation, or previous back surgery. Epidural Neurolysis helps to breakup with scar tissue which is some cases can help patients who have chronic back pain or sciatica avoid spinal surgery.

This injection treatment has the potential to provide immediate and significant long-term relief of chronic pain and discomfort in the lumbar spine, without the need for spinal surgery.


The Procedure

With this procedure, Dr. Magaziner uses the RACZ Catheter which was developed in 1982 by a Texas anesthesiologist and pain specialist Prof. Dr. Gabor Racz. With the help of this device, a tube is guided into the epidural space and on to the site of the pain, without the patient feeling any discomfort. A mixture of anti-inflammatory and anesthetizing medication is injected into this space. This provides gentle sedation, pain relief, reduces swelling and relieves painful pressure on the sciatic nerve.

A natural enzyme contained in the solution dissolves painful scar tissue and agglutinations (adhesions) around the spine. Dr. Magaziner monitors the exact location of the probe via X-ray control throughout the operation. The procedure takes between 30 and 60 minutes. Dr. Magaziner performs this procedure at a one time procedure but sometimes the injection will be repeated after a few months, if more scar tissue needs to be dissolved.

Epidural Neurolysis, offers immediate pain relief, without the risks of open, microsurgical spinal surgery. A key benefit of this approach is the absence of soft tissue trauma: Epidural Neurolysis saves patients from surgical soft tissue trauma in the sensitive vicinity of the spinal cord.

Epidural Neurolysis is effective in relieving lower back pain and radiating sciatic pain.

Individual results may vary from patient to patient. For more information on Epidural Injections, please contact our North Brunswick office.

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