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The physician uses fluoroscope to find small opening at the base of sacrum called sacral hiatus. A local anesthetic is used to numb the skin down to sacral hiatus surface. The physician place a needle into the epidural space and injected contrast solution to see scarred and painful areas using fluoroscope. Then small catheter is placed through the needle close to scarred tissue.
A mixture of anesthetic and steroid medication is injected to dissolve the scar tissue and needle and catheter are removed. Sometimes it is necessary to keep catheter on the place for more injections over next several days or to repeat the procedure a few months later to reduce scar tissue further.
RACZ Caudal Neurolysis Side Effects:
Common side effects could be compared with common injection side effects, i.e. allergic reaction, bacterial infection, bleeding in seldom cases. Steroids side effects are face, eyes, arms, legs swelling, sugar level increasing for diabetic patients.
The patient must inform the physician about pregnancy or if he/she takes blood thinning medication.
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