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.
19 East 27th Street
Bayonne, NJ 07002
Orthopedics
1400 Route 70 East
Cherry Hill, NJ 08034
Orthopedics • Spine Surgery
855 Valley Road
Clifton, NJ 07013
Orthopedics
935 River Road
Edgewater, NJ 07020
Orthopedics
10 Parsonage Road, Suite 208
Edison, NJ 08837
Chiropractic • Mental Health • Orthopedics • Pain Management • Physical Therapy • Spine Surgery • Surgery Center
1907 Oak Tree Road, Suite 201
Edison, NJ 08820
Orthopedics
3100 Hingston Ave, Suite 104
Egg Harbor Township, NJ 08234
Orthopedics • Spine Surgery
1000 W Main Street, Suite 201
Freehold, NJ 07728
Pain Management
408 Chris Guapp Drive, Suite 250
Galloway, NJ 08205
Pain Management • Spine Surgery
415 Chris Gaupp Drive
Galloway, NJ 08205
Pain Management
146 NJ-17, Suite 2
Hackensack, NJ 07601
Pain Management • Spine Surgery • Surgery Center
2 University Plaza Drive, Suite 500
Hackensack, NJ 07601
Pain Management
807 N Haddon Avenue, Suite 1
Haddonfield, NJ 08033
Pain Management
2271 Highway 33, Suite 103
Hamilton, NJ 08690
Mental Health • Pain Management • Spine Surgery
Orthopedics • Pain Management • Physical Therapy
3535 Quakerbridge Rd, Suite 200
Hamilton, NJ 08619
Orthopedics • Spine Surgery
3540 JFK Blvd
Jersey City, NJ 07307
Chiropractic • Pain Management • Spine Surgery
Orthopedics • Pain Management • Physical Therapy
1801 New Road
Linwood, NJ 08221
Pain Management
Orthopedics
1 Bay Avenue, 2nd Floor, Suite 1
Montclair, NJ 07042
Pain Management
4000 Church Road
Mount Laurel, NJ 08054
Pain Management • Spine Surgery
15000 Midlantic Drive, Suite 102
Mount Laurel, NJ 08052
Pain Management
266-272 Chestnut Street
Newark, NJ 07105
Orthopedics
157 High St.
Newton, NJ 07860
Pain Management • Spine Surgery
11 Ridge Road
North Arlington, NJ 07031
Orthopedics
85 South Jefferson
Orange, NJ 07050
Orthopedics
922 Main Street, Suite 201
Paterson, NJ 07503
Chiropractic • Pain Management • Physical Therapy
390 N Broadway, Suite 500
Pennsville, NJ 08070
Pain Management
Orthopedics • Pain Management • Physical Therapy
1814 E 2nd Street
Scotch Plains, NJ 07076
Orthopedics
55 Meadowlands Parkway, Suite 2
Secaucus, NJ 07094
Orthopedics
102 Heritage Valley Drive, Suite C
Sewell, NJ 08080
Pain Management • Spine Surgery
111 Dean Drive, Suite 1
Tenafly, NJ 07670
Pain Management
860 Route 168, Ste 104
Turnersville, NJ 08012
Orthopedics • Pain Management • Spine Surgery
2500 Morris Avenue, Suite 220
Union, NJ 07083
Mental Health • Pain Management • Spine Surgery
2004 Bayshore Road
Villas, NJ 08251
Pain Management
415 W Landis Ave Suite 101-B
Vineland, NJ 08360
Pain Management • Spine Surgery
2466 Chestnut Avenue, Suite 2
Vineland, NJ 08361
Pain Management
1001 Laurel Oak Road, Suite A2
Voorhees, NJ 08043
Pain Management • Spine Surgery
1985 State Highway 34, Suite 6A
Wall, NJ 07719
Pain Management • Spine Surgery
329 Greentree Road
Sewell, NJ 08080
Pain Management
204 Grove Avenue, Suite G
West Deptford, NJ 08086
Pain Management
445 Pleasant Valley Way
West Orange, NJ 07052
Orthopedics • Pain Management
979 N Black Horse Pike
Williamstown, NJ 08094
Pain Management
Orthopedics • Pain Management • Physical Therapy
70 Hatfield Lane, Suite 201
Goshen, NY 10924
Pain Management • Spine Surgery