Spine Procedure Clinic

A Procedure May Be Considered If You Have These Back and Leg Symptoms

Recurring back pain and leg numbness that's delaying your return to daily life
Improvement after injection treatment that relapses again within a short time
MRI findings showing spinal stenosis, disc herniation, or inflammation around the nerve
Pain that's difficult to manage, even though surgery isn't necessarily required yet
A wish to first explore minimally invasive procedure options because of the burden of surgery
A Procedure May Be Considered If You Have These Back and Leg Symptoms

Main Procedure

Spine procedures are selected only when needed, based on the location of pain together with imaging findings.

How Epidural Neuroplasty Is Performed

  1. 01

    Reviewing Imaging and Symptom Location

    Pre-procedure assessment

    Based on MRI and examination findings, the nerve area causing the pain is identified.

  2. 02

    Approaching the Lesion With a Catheter

    Minimally invasive

    A catheter is inserted through the tailbone and guided close to the lesion, with contrast dye used to confirm its position.

  3. 03

    Releasing Adhesions and Delivering Medication

    Recovery plan

    Medication is delivered to reduce adhesions and inflammation around the nerve, followed by guidance on rehabilitation and lifestyle management.

Catheter insertion through the tailbone

Catheter insertion through the tailbone

This shows the catheter being inserted through the tailbone and guided to the lesion.

Confirming catheter position and contrast flow

Confirming catheter position and contrast flow

X-ray is used to confirm the catheter tip's position and check whether the contrast dye flows toward the front of the spinal canal.

Foraminal contrast imaging and balloon dilation

Foraminal contrast imaging and balloon dilation

After confirming where the contrast dye exits at the L4 nerve root foramen, balloon dilation is used to widen the foramen.

Epidural Neuroplasty Outcome Statistics

These statistics reflect the 3-6 month outcomes of 34 patients treated directly by the director.

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Average procedure time
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Reported satisfaction
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Reported symptom recurrence

The original source reported an average follow-up period of about 1.5 months, and noted that about 14% of cases required additional injection treatment.

Epidural neuroplasty is not a cure-all substitute for surgery - it's a minimally invasive procedure chosen when the indications are appropriate.

Frequently Asked Questions

QWho is epidural neuroplasty suitable for?
It's considered for patients with recurring back pain or leg numbness, when injection treatment alone doesn't provide lasting relief, or when a non-surgical option needs to be explored before surgery.
QIs the procedure alone enough?
Even after pain decreases, the back has often been in a chronically weakened state, so continuing exercise therapy and lifestyle management alongside the procedure helps reduce the chance of recurrence.
QIs this needed for every case of disc herniation?
No. It's selected only when needed, based on symptoms, imaging findings, and response to prior treatment together. If your condition requires surgery, surgical treatment may be recommended first.

Do not put off persistent pain. Have it checked.

Our staff can guide you during clinic hours. Call us if you have questions before your visit.

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