RACZ Caudal Neurolysis
Overview
This injection, generally performed as an outpatient procedure under local anesthesia, relieves low back and leg pain most often caused by scarring from a prior back surgery. The procedure is performed with the patient lying face down with a cushion placed under the stomach.
Anesthetic Injected
The physician locates the small opening at the base of the sacrum (called the sacral hiatus) and injects a local anesthetic that numbs the skin and all the tissue down to the surface of the sacral hiatus.
Needle Inserted
The physician then guides the needle through the anesthetized track and into the epidural space.
Contrast Solution Injected
A contrast solution is injected, allowing the physician to see the scarred and painful areas on an X-ray device called a fluoroscope.
Catheter Inserted
A small, flexible catheter is fed through the needle and positioned at the location of scarring.
Medication Injected
A steroid-anesthetics mix is injected through the catheter and around the scarring, bathing the painful area in medication and dissolving the scar tissue.
End of Procedure
The needle and catheter are removed. In some cases, it may be necessary to keep the catheter in place to allow for more injections over the next few days. It also may be necessary to repeat the procedure a few months later to reduce scar tissue further.
What Our Patients are Saying
Dr. Muhammad was professional, knowledgeable and seemed to genuinely care about finding a solution to my pain problem.
Dr. Rasheed has been a wonderful doctor so far. He’s very professional and confident. He has had a ton if ideas for us to try, which is completely different from my last pain mgt. doc. So far, he’s been everything I could have asked in a pain mgt. doctor.
I love Dr. Abdelfattah! He is an amazing doctor. He has an excellent beside manner, and her Is very interested and concerned about his patients, and their diagnosis, and he is able to empathize with his patients. He is very skilled at preforming minimally invasive procedures that can really reduce pain. He is NOT a pill mill, but he is NOT scared to prescribe what the patient may need to be comfortable and to reduce pain. As far as I can tell the Pain Management Clinic is in full compliance with the State medical board’s guidelines on Pain Management Clinics. I would send anyone who is seeking relief from their pain to him because he is going to do his very best to find out what is causing the pain, and the best way to treat it. Truly an AWESOME doctor!!! I nominate him as a TOP DOCTOR!!! Being a healthcare professional I know a good physician when I see one and this one is it!!!!
Staff was amazing, tell you what they think and give you options and really wants to know the underlined cause before they do anything. I think that’s awesome and will recommend to anyone!!!
Everyone was so nice. Dr. Zhao explained things to me in a way I could understand everything. She had a smile on her face the whole time. It was like she was happy to see me. I really liked how the appointment turned out.
Dr. Syed listens to me & gives me hope for conquering this constant pain of neuropathy. He is open to new methods of treating my constant pain.
Super place, super doctors. Took the time to explain everything to me.