Epidural adhesiolysis, also called the Racz procedure, is designed to help relieve chronic pain by breaking down scar tissue (adhesions) that may cause nerve pain in the spine. Scar tissue can develop after back surgery or from conditions like spinal stenosis, and this procedure aims to free nerves stuck by these adhesions, which can reduce pain and increase mobility.

During the procedure, a flexible tube, or catheter, is gently threaded into the area with scar tissue under imaging guidance, often using X-ray (fluoroscopy). A combination of saline solution, an enzyme, and sometimes steroids is used to dissolve and break down the scar tissue. This helps to relieve inflammation and pain.

This procedure can help reduce symptoms like: - Lingering pain after back surgeries. - Sciatica or pain that travels down the legs. - Pain related to compressed nerves.

For some people, this treatment can provide significant relief when other methods like physical therapy, or more basic steroid injections, haven't worked well. Alternatives to consider include physical therapy for chronic pain management, spinal cord stimulation for persistent symptoms, or, in more severe cases, surgical solutions like spinal decompression.

There are minimal risks involved, but they do include possible infection, minor bleeding, or very rare instances of nerve damage. Patients usually need to stop taking certain blood thinners before the procedure to reduce bleeding risks. The process involves a brief period of sedation and is minimally invasive, allowing for a recovery period that typically involves just a short observation time.

Most patients notice improvement in their symptoms within a few days, and this improvement can last for a considerable time, sometimes up to a year, enhancing quality of life and reducing the need for pain medications.