After successfully completing surgery on the lumbar disc, one likely result is sustained pain or the recurrence of the pain after some time has passed. In this case, even an MRI won’t find it.
The symptoms occur due to causes such as postoperative neural inflammation and adhesions around the nerve. At this time, the patient has already undergone surgery, and the pain arises ironically while receiving pain relief injections or while taking painkillers as a temporary treatment. Lumbar Epidural Neuroplasty is needed for patients who want the last non-surgical therapy before spinal surgery or in the case where surgery is not an option for the patient because of complications with the liver, lungs, blood pressure ordiabetes, as well as for the patients who had surgery previously.
Epidural Neuroplasty was developed by Gabor Rachz, professor at the University of Texas, in the U.S. During the procedure, a special catheter with needle (the diameter is 1 mm and the length is 40-50cm) is inserted into the affected area through the tailbone and the area is visualized using the C-Arm device, a real-time imaging device. Then, the catheter is extended to the region where the disc or adhesion has put pressure on the nerve. By using the tip of the catheter, the adhesion region is loosened. Further, by inserting enzymes to inhibit the adhesion and anti-inflammatory drugs, the inflammation, edema and adhesions around the nerve are treated.
All epidural neuroplasties in the hospital are done by skilled staff in state-of-the-art operating rooms maintained under the same standards as those in university hospitals such as a constant temperature, monitored levels of humidity and extremely clean and sanitary conditions in the rooms and throughout the hospital
Under local anesthesia, guiding needle is inserted into the side of the tailbone in order to ensure the insertion of a special catheter. After injecting a contrast agent, the special catheter is injected to the treatment area (the area that is the cause of the pain). At this time, because there are no blockages from the tailbone to spinal canal, it can be naturally inserted. Then, through the special catheter, the cause of the pain is removed and in the region with the pressed nerve, the spinal canal is widened. By administering anti-adhesion agents, the swelling and inflammation of the nerve is alleviated, and loosening of the adhesion around the nerve is done to allow smoother movement of the nerve.