Interventional procedure
For chronic radicular pain and epidural fibrosis · Racz technique
Check availabilityThe procedure
Peridural neuroplasty (also known as the Racz technique) is a minimally invasive procedure designed to treat chronic radicular pain caused by fibrosis or epidural adhesions. Through a special catheter guided by fluoroscopy, the peridural space is accessed to physically release adhesions and apply anti-inflammatory and enzymatic medications directly to the affected area.
Indications
The process
Under fluoroscopic guidance, a flexible catheter is introduced through the sacral hiatus into the peridural space. A epidurography is performed to identify adhesions and filling defect areas. A solution of hyaluronidase, corticosteroid, and hypertonic saline is then injected to dissolve adhesions and reduce inflammation. The procedure can be performed over 1 or 3 days (standard protocol), and is outpatient.
Advantages
Maximum precision
Fluoroscopic or ultrasound guidance to place the agent exactly where needed
Multiple agents
Corticosteroid, hyaluronic acid, PRP, or ozone according to diagnosis
No surgery
Minimally invasive outpatient procedure
Facilitated rehabilitation
Allows starting physiotherapy with less pain
In the first consultation we evaluate if you are a candidate and design the appropriate plan for your case.
Book appointmentFrequently asked questions
For osteoarthritis, series of 3 are generally performed. For acute inflammation, 1 may be sufficient.
Corticosteroid acts on acute inflammation. Hyaluronic acid lubricates and protects cartilage, ideal for chronic osteoarthritis.
Studies show that blind injections have a position error rate of up to 40% in the knee and higher in the hip. Guidance ensures the medication reaches where it should.
Local anesthesia is applied first. Discomfort is minimal and the procedure takes only a few minutes.
Conditions treated with this procedure