Clinical Evaluation of Percutaneous Caudal Epidural Adhesiolysis With the Racz Technique for Low Back Pain Due to Contained Disc Herniation

Arman Taheri; Ali Reza Khajenasiri; Nader Ali Nazemian Yazdi; Saeid Safari; Javad Sadeghi; Maryam Hatami

doi:10.5812/aapm.26749

Clinical Evaluation of Percutaneous Caudal Epidural Adhesiolysis With the Racz Technique for Low Back Pain Due to Contained Disc Herniation

Anesth Pain Med. 2016 Apr 27;6(3):e26749. doi: 10.5812/aapm.26749. eCollection 2016 Jun.

Authors

Arman Taheri¹, Ali Reza Khajenasiri², Nader Ali Nazemian Yazdi¹, Saeid Safari³, Javad Sadeghi¹, Maryam Hatami¹

Affiliations

¹ Department of Anesthesiology and Pain Management, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
² Department of Anesthesiology, Shariati Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
³ Pain Research Center, Iran University of Medical Sciences, Tehran, Iran.

Abstract

Objectives: The authors evaluated the effectiveness of percutaneous epidural adhesiolysis (PEA) in patients with low back pain due to contained disc herniation.

Patients and methods: Twenty patients with low back pain due to contained disc herniation underwent PEA treatment with the Racz technique. The patients were evaluated for pain score, medication intake, significant pain relief, and complications.

Results: At three days, one month, three months, and six months after PEA compared to pre-PEA evaluations, the pain scores and medication intake were significantly decreased. Significant pain relief declined from 95% at three days to 75% at six months.

Conclusions: PEA for low back pain due to contained disc herniation is a safe and effective procedure. Therefore, it may be considered as an option for treatment before invasive operations are performed.

Keywords: Contained Disc Herniation; Decompressive Neuroplasty; Low Back Pain; Percutaneous Epidural Adhesiolysis; Racz Technique.