Overview
Scar tissue within the epidural space may trap or tether spinal nerves preventing normal movement and blood flow. This can lead to ongoing leg pain even when other injections have failed.
Epidural lysis of adhesions aims to break down scar tissue restore nerve mobility and allow medication to reach the affected area. PRP may be added in selected cases to support healing and recovery.
Who This Treatment Helps
• Persistent leg pain after spinal surgery
• Suspected epidural scarring
• Limited response to epidural steroid injections
• Chronic nerve related leg pain
What Is Epidural Lysis of Adhesions and PRP
A specialised catheter is guided into the epidural space using imaging guidance. Scar tissue is gently disrupted and medication delivered directly to the affected nerves. PRP may be introduced to support tissue healing.
What to Expect During the Procedure
Consultant assessment and planning
Image guided catheter placement
Adhesion release
Medication and PRP delivery if appropriate
Monitoring after the procedure
After the Procedure
It is normal to experience
• Temporary discomfort
• Gradual improvement in symptoms
• Improved tolerance to activity over time
Rehabilitation is often recommended.
Benefits
• Targets scar tissue directly
• Improves nerve mobility
• May reduce chronic leg pain
• Minimally invasive
• Can improve response to other treatments
Possible Risks and Side Effects
Possible risks include
• Temporary pain increase
• Local soreness
• Infection rare
• Bleeding
• Very rare nerve irritation
Safety Note
Please inform your consultant about previous surgery medications or medical conditions. You may need someone to accompany you home depending on sedation used.
Arrange a consultation to discuss whether epidural lysis of adhesions and PRP may be suitable for managing persistent leg pain or sciatica.