Welcome to Dr. Murali’s Pain Centre, where we specialize in delivering relief and improving the quality of life for individuals suffering from chronic pain. With a commitment to compassionate care and cutting-edge treatments, our dedicated team led by Dr. Murali is here to empower you on your journey towards a pain-free and fulfilling life.

What Is Epidurolysis ?

Epidurolysis, also known as epidural lysis of adhesions, is a medical procedure used to relieve chronic pain in the spine, particularly pain caused by the presence of scar tissue or adhesions within the epidural space. The epidural space is the area around the spinal cord and spinal nerves, which is filled with cerebrospinal fluid. Epidurolysis aims to dissolve or break down these adhesions, which can develop as a result of surgery, inflammation, or other spinal conditions. 

Indications

  • Chronic Low Back Pain

  • Failed Back Surgery Syndrome (FBSS)

  • Radiculopathy

  • Spinal Stenosis
  • Chronic Neck Pain
  • Postherpetic Neuralgia

Contra Indications

Injections are generally avoided in patients who have a systemic illness or skin infection over the puncture site, bleeding problems or coagulopathy, or an allergy to local anaesthetics or any of the drugs that will be administered.

Complications

Epidurolysis, a procedure aimed at alleviating chronic pain by addressing adhesions or scar tissue in the epidural space, carries certain potential complications. Firstly, there is a risk of infection, either at the injection site or within the epidural space itself. Additionally, bleeding may occur, particularly in individuals taking blood-thinning medications. While rare, nerve damage is a possibility during the procedure, potentially leading to neurological symptoms such as weakness or numbness. Accidental puncture of the dura mater, the outermost layer of the spinal cord’s protective coverings, may result in cerebrospinal fluid leakage and subsequent headaches. Allergic reactions to medications or substances used, such as local anesthetics or contrast dye, are also a concern.

Post Procedure

After undergoing epidurolysis, patients can expect a period of post-procedural care to ensure a smooth recovery. Typically, individuals are monitored for a short duration in a recovery area before being discharged. It’s common for patients to experience some mild discomfort or soreness at the injection site. Application of ice packs and over-the-counter pain medications may be recommended to alleviate any post-procedural pain.