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.
Dr. Eric D. Freeman is a top-rated, best-in-class pain management doctor. He is a nationally recognized pain relief specialist and is among the top pain care doctors in New Jersey and the country. He is an award-winning expert and contributor to prominent media outlets.
Dr. Eric D. Freeman has been recognized for his thoughtful, thorough, modern approach to treating chronic pain. He has been named a “top pain management doctor in New Jersey” and one of “America’s Top Physicians” for advanced sports injury treatments.
2500 Morris Ave.,
Suite 220
Union, NJ 07083
10 Parsonage Road
Suite 208
Edison, NJ 08837
922 Main Street
Suite 201
Paterson, NJ 07503
185 Fairfield Ave.,
Suite 2A
West Caldwell, NJ 07006
11 West 25th Street
Bayonne, NJ 07002
901 West Main Street
Freehold, NJ 07728
1255 Broad St #201B
Bloomfield, NJ 07003
445 Pleasant Valley Way
West Orange, NJ 07052