Percutaneous adhesiolysis, also known as epidural lysis of adhesions, is a minimally invasive spine procedure used to treat chronic low back pain and lumbar radiculopathy that has not responded to conservative therapy. It is commonly recommended for patients with persistent nerve-related pain following spine surgery or long-standing degenerative conditions.
Lower back pain is a leading cause of disability worldwide. While many patients improve within several weeks, a subset develops chronic pain, often accompanied by radicular leg pain caused by nerve irritation or scarring.
Percutaneous adhesiolysis is a procedure designed to break down epidural adhesions—scar tissue that forms around spinal nerves in the epidural space.
Epidural scar tissue can:
By mechanically and chemically disrupting adhesions, the procedure improves nerve mobility and enhances the effectiveness of injected medications.
Percutaneous adhesiolysis is indicated for patients with:
It is particularly beneficial for patients whose symptoms persist despite physical therapy, medications, and epidural steroid injections.
Patients with epidural scarring may experience:
These symptoms often continue despite standard injection therapy due to impaired medication spread.
Percutaneous adhesiolysis is performed in an outpatient setting under fluoroscopic (live X-ray) guidance.
The procedure typically includes:
The procedure duration varies but is typically completed within one hour.
Reach out to our specialists to schedule an initial consultation. We’ll carefully review your symptoms and match you with the right expert for your specific condition.
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