RACZ procedure is used to dissolve some of the scar tissue from around entrapped nerves in the epidural space so that medications can reach the affected areas.
How is it done?
To numb and break down the adhesions, a local anesthetic is given. A special needle and catheter are inserted into the affected area. A specialized x-ray (fluoroscopy) is used to confirm placement. Medication is then used.
Immediately after the injection you may feel your legs slightly heavy and may be numb. Local anesthetic wears off in a few hours. The steroid generally starts working in about 5-7 days.
How long will it take?
Twenty to forty minutes plus recovery
Following the procedure.
Most often you can go home in about 30-60 min. You will need someone to drive you home and care for you for the first 12 hours after your procedure. Written instructions will be sent home with you.
The day of your procedure.
You are expected to arrive on time for your procedure. Bring a responsible adult driver with you because you will be receiving medications and this could impair your ability to drive. Please take your regularly scheduled blood pressure and heart medications with a sip of water as you normally would.
After you arrive, you will be asked to sign in and complete any paperwork as needed. You will then be taken to the PreOp area. At this time, a nurse will ask you some questions and have you sign your consent forms. It is imperative that you, the patient, inform the nurse of any changes in your history and/or physical, such as a recent flu or have any health problems that might affect your procedure. Inform the staff if you are allergic to betadine.
Types of Procedures include:
Caudal Epidural Steroid Injection with or without Fluoroscopy
Cervical Epidural Steroid Injection with or without Fluoroscopy
Lumbar Epidural Steroid Injection with or without Fluoroscopy
Thoracic Epidural Steroid Injection with or without Fluoroscopy