(732) 906-9600
The Epidural Lysis of Adhesions, also called Racz procedure, is performed to remove excessive scarring in the epidural space. The epidural space is a thin area between the inside of the spine column and the protective layers around the spinal cord. The epidural space contains fat tissue for padding as well as blood vessels and nerve roots. The epidural space runs the entire length of the spine. Scar tissue or adhesions are not in themselves painful, but they may restrict the natural movement of nerves causing tension, compression, inflammation, and pain. Patients who have had previous spinal surgery or have disc damage that is inoperable resulting in scarring or adhesions may benefit from this procedure.
The office is wonderful . Everyone treats you with respect and are very warm and caring. We have worked together to come up with an individualized plan that keeps me moving. I love Dr Ceraula and his entire staff.
The patient will be given conscious sedation through an IV (intravenous needle) inserted in their arm/hand on his/her admission to the facility where the procedure will be performed. The patient will then be escorted to the surgical suite with the nurse and asked to lay on their stomach for the procedure. The physician will perform the procedure with a special X-ray machine, called the fluoroscope, to accurately visualize the anatomy. Contrast dye will be injected to see the restrictive location or scarring area in the patient’s epidural space, which may be causing the pain. A Racz catheter will be guided with X-ray to the scarred area. A special medication called hyaluronidase is then injected, and along with the mechanical forces of the Racz catheter,the scarring will be broken up. Finally, a mixture of steroids and local anesthetics will be injected to decreased the inflammation and provide pain relief after the removal of adhesions. It may take up to 2-4 weeks to feel the benefit of this procedure.
My wife and I have been patients of Dr. Freeman for a few years, he has helped us both, with many treatments, that has kept us from needing surgery, and kept our pain at a much lower level. Also he always takes his time and explains all treatments that are to be done. VERY PROFESSIONAL. We also must add that is staff is always very pleasant and always treat you with courtesy. Very well run office.
At Redefine Healthcare, our specialists are board-certified, highly educated, and rigorously trained in various fields, including pain management, neurosurgery, orthopedic spine surgery, chiropractic care, physical therapy, occupational therapy, psychiatry, and podiatry. Many of our doctors have earned the prestigious Castle Connolly Top Doctors recognition from their peers. We prioritize listening to your concerns, identifying the root cause of your pain, and determining the most effective treatment plan to provide quick relief and prevent future conditions. With advanced non-surgical pain rehabilitation, our New Jersey centers in Union, Edison, and Paterson offer top-tier care for severe and chronic pain.

Orthopedics
Orthopedics
Spine Surgery
Orthopedics
Orthopedics • Spine Surgery
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Chiropractic • Mental Health • Orthopedics • Pain Management • Physical Therapy • Spine Surgery • Surgery Center • Vascular
Orthopedics
Orthopedics • Pain Management • Physical Therapy
3100 Hingston Ave, Suite 104
Egg Harbor Township, NJ 08234
Spine Surgery
Urgent Care
Pain Management
Pain Management • Spine Surgery
Pain Management
Pain Management • Spine Surgery
Pain Management • Spine Surgery • Surgery Center
Pain Management
Orthopedics
Spine Surgery
Mental Health • Pain Management • Spine Surgery
Orthopedics • Pain Management • Physical Therapy
Spine Surgery
Chiropractic • Pain Management • Spine Surgery
Pain Management
Orthopedics • Pain Management • Physical Therapy
Orthopedics • Pain Management • Physical Therapy
Pain Management • Physical Therapy
Pain Management
Pain Management
Orthopedics
Pain Management
Pain Management
Pain Management • Spine Surgery
Orthopedics
Pain Management • Spine Surgery
Orthopedics
Pain Management
Orthopedics
80 Route 4, Suite 100
Paramus, NJ 07652
Chiropractic • Pain Management • Physical Therapy
Pain Management
Orthopedics • Pain Management • Physical Therapy • Vascular
Orthopedics
Orthopedics
Pain Management • Spine Surgery
1131 Broad St., Suite 104 Building A
Shrewsbury, NJ 07702
Orthopedics • Pain Management
Pain Management
Orthopedics
Pain Management
Orthopedics • Pain Management • Spine Surgery
Mental Health • Pain Management • Spine Surgery
521 County Route 515, Suite 3
Vernon, NJ 07462
Pain Management
Pain Management • Spine Surgery
Pain Management
Pain Management • Spine Surgery
Pain Management • Spine Surgery
Pain Management
Pain Management
Orthopedics • Pain Management
Urgent Care
Pain Management