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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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