Breaking down scar tissue in the epidural space that is tethering a nerve root.
What it is
After surgery, or after long-standing inflammation, scar tissue can bind a nerve root so that it cannot move freely and ordinary epidural medication cannot reach it. A catheter is used to place medication precisely and separate the adhesions.
What we use it for
- Persistent pain after spine surgery
- Epidural scarring visible on imaging
- Radicular pain that has not responded to standard epidural injection
What to expect
- Under fluoroscopy with contrast, 30 to 45 minutes.
- Contrast is used to show where medication is and is not spreading — that pattern is itself informative.
- May be performed over more than one session.
- A driver is required.
Risks
Every procedure carries a small risk of bleeding, infection, an allergic reaction, or a temporary increase in pain. Steroid can raise blood sugar for several days, which matters if you are diabetic. Serious complications are rare, and the specific risks for your procedure and your health will be discussed before you consent to anything.
Call (314) 310-5577 or request an appointment.
Common questions
Why did my ordinary epidural not work?
If scar tissue is blocking the space, the medication never reaches the nerve. Contrast imaging shows this directly.
Hurt in an accident? Start here.
You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.
Monday–Friday, 8:00 a.m. – 4:00 p.m. Same-day appointments are often available for new accident and injury patients.