What are epidural adhesions?
In its natural attempt to heal from injury or surgery, the lower back may develop scar tissue and adhesions, which can encase nerve roots. These adhesions may cause irritation and inflamation, resulting in severe and chronic low back pain. Treatment of adhesions and associated inflammation can significantly reduce the pain associated with them.
How is the procedure performed?
A local anesthetic is used, and a tiny incision is made at the base of your spine near the tailbone area, away from where the injury is located. This technique prevents additional irritation to the muscles and tissues surrounding the injury site.
Your doctor introduces the NaviCath into the epidural space of your lower spine and navigates to the suspect area. The site of injury is verified, and saline may be used to wash away materials that may be contributing to your pain. Medications to reduce inflammation and pain are introduced directly onto the site of injury.
How long does the procedure take?
The procedure usually takes less than an hour. After the procedure, the entry site is covered with a small bandage, and you will be sent home after a short time in the recovery unit.
What kind of results can I expect?
Functional restoration is the goal of the procedure. While outcomes vary from one patient to another, the procedure is usually very successful, with most patients receiving significant relief from pain within 24 hours. Patients should require less medication, sleep normally, sit in chairs, and resume a regular work schedule.
What are the side effects?
As with any invasive procedure, you may experience some side effects. These can include a slight burning or tingling during the procedure, and headache during and following the procedure. Slight pain and possible drainage for a few days at the catheter insertion site are also possible. Your physician can discuss potential side effects with you in detail.
What do I need to do after the procedure?
You’ll be instructed to go home and rest. When sitting or resting, changing positions frequently may help to reduce stiffness and soreness. Your doctor will give you specific instructions.
How do I know if I am a candidate for this procedure?
While the procedure can be very effective, not everyone will benefit. Your doctor can determine your eligibility and likelihood of success after reviewing your medical history and performing a thorough physical examination.
Is this procedure covered by my insurance?
Most insurance plans, including managed care, workers’ compensation and Medicare, cover this procedure. Your doctor can help determine if your insurance will cover this procedure.
