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Caudal Adhesionolysis

Caudal Adhesionolysis is a method of epidural injection that can alleviate pain by breaking up scar tissue to free entrapped nerves. This procedure entails accessing the spinal canal through the sacral hiatus (the triangular bone made up of five fused vertebrae and forming the posterior section of the pelvis) with a needle. Once the needle tip is confirmed to be in the caudal space utilizing radio-opaque dye, a catheter is inserted and directed under fluoroscopy. The dye is also used to look for "filling defects" which indicate the presence of epidural adhesions.

Medications such as hypertonic saline and/or local anesthetic and steroid are injected during the procedure to treat pain from epidural adhesions (which have been shown to be a cause of lower back pain). The insertion of the catheter can cause a mechanical disruption of the adhesions as well, which serves to lesson pain. Caudal Adhesionolysis can also be performed with a small scope in place of the catheter that may aid in the detection of epidural adhesions. - view animation

 

   

 

 
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