In an RACZ caudal neurolysis procedure, you will be lying face down, typically on a pillow or cushion to arch your back and provide comfort and support. Your doctor will first inject an anesthetic into the sacral hiatus, which is an opening in the sacrum, a triangular bone at the base of your spine that’s connected to your tailbone. Next, the doctor will inject a contrast solution into the affected area so that it appears clearly on an x-ray machine called a fluoroscope. Then a catheter is inserted, allowing your doctor to inject a steroid/anesthetic medication that soothes the painful area and dissolves the problematic scar tissue. Your doctor may inject other medications into the area in successive shots, or even ask you to go through the procedure again in a few months’ time for further treatment.
Please note the contents contained in this Patient Fact Sheet are not intended as a substitute for your own independent health professional’s advice, diagnosis or treatment. At Metro Pain Group, we assess every patient’s condition individually. As leaders in pain intervention, we aim to provide advanced, innovative, and evidence-based treatments tailored to suit each patient. As such, recommended treatments and their outcomes will vary from patient to patient. If you would like to find out whether our treatments are suitable for your specific condition, please speak to one of our doctors at the time of your consultation.