Clinical Evaluation of Percutaneous Caudal Epidural Adhesiolysis With the Racz Technique for Low Back Pain Due to Contained Disc Herniation.
OBJECTIVE
The authors evaluated the effectiveness of percutaneous epidural adhesiolysis (PEA) in patients with low back pain due to contained disc herniation.


METHODS
Twenty patients with low back pain due to contained disc herniation underwent PEA treatment with the Racz technique. The patients were evaluated for pain score, medication intake, significant pain relief, and complications.


RESULTS
At three days, one month, three months, and six months after PEA compared to pre-PEA evaluations, the pain scores and medication intake were significantly decreased. Significant pain relief declined from 95% at three days to 75% at six months.


CONCLUSIONS
PEA for low back pain due to contained disc herniation is a safe and effective procedure. Therefore, it may be considered as an option for treatment before invasive operations are performed.
Department of Anesthesiology and Pain Management, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Arman
A
Taheri
Department of Anesthesiology, Shariati Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Ali Reza
AR
Khajenasiri
Department of Anesthesiology and Pain Management, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Nader Ali
NA
Nazemian Yazdi
Pain Research Center, Iran University of Medical Sciences, Tehran, Iran.
Saeid
S
Safari
Department of Anesthesiology and Pain Management, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Javad
J
Sadeghi
Department of Anesthesiology and Pain Management, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Maryam
M
Hatami
Contained Disc Herniation; Decompressive Neuroplasty; Low Back Pain; Percutaneous Epidural Adhesiolysis; Racz Technique