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Our 6 Most Common Procedures

What is Facet Joint Syndrome?

Facet Syndrome, one of the most common causes of back pain, is a condition that effects the articular surface of joint either side vertebra and the inferior articular process of the vertebra above it.

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What is an Epidural steroid Injection?

An epidural steroid injection is a spinal procedure in which a steroid and usually an anaesthetic are injected in the spinal region called the epidural space. The epidural space is a specific zone where the nerves leave the spinal column. The nerves, spinal fluid, and spinal cord are enclosed within a membrane sack called the dura. This “space” can become narrowed due to disc herniation / prolapse, bone overgrowth and general spinal degenerative changes.

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What is a peripheral Nerve Injection?

A peripheral nerve block is an injection of local anaesthetic & steroid around a nerve that supplies a particular region / muscle. Peripheral nerves supply sensation to a small, defined area of the skin and the underlying tissue. Sometimes these nerve are well formed structures (e.g. Median nerve at the wrist) other times they are less formed and a group of fibres maybe involved (e.g. trans-abdominal plexus block) capture.

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What is an Epidurolysis (RACZ) Procedure?

Epidurolysis, also known as the RACZ Procedure is a technique used to dissolve some of the scar tissue from around entrapped nerves in the epidural space of spine. There are number of ways that this can be undertaken.

Regenerative Pain Medicine

A small volume of platelet rich plasma (PRP) can contain a high concentration of growth factors and cytokines. PRP has a dual role to firstly create a healing environment and secondly reduce inflammation.

By using PRP it can reduce peripheral nerves supply sensation to a small, defined area of the skin and the underlying tissue including tendons and ligaments

Ultrasound guidance or X-ray can be used to increase the accuracy of this injection in order to treat the painful area.

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Epidural Lysis of Adhesions

Epimed International has developed a line of catheters to be used specifically in this epidural space to direct medications to the inflamed nerve. Epimed catheters are made with a flexible rounded tip designed to be safely navigated through sensitive tissues.

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Preparing for your Day Procedure

You may have a light breakfast / lunch (i.e. tea/coffee & sandwich up to 2 hours before arrival).

Continue to take all your medication, including analgesics/pain medication.

Please contact the office (021 235 5500) immediately if:

We advise that you wear comfortable clothes, as you may be wearing a gown during the procedure.

We advise that you leave valuables such as jewellery and watches at home, and do not bring large sums of money with you.

Please ensure that a responsible adult can escort you home, this is for your safety.



On the day of the Procedure

Please go to the main reception and you will be brought to the Pain Management Unit where you will be admitted.

The exact nature of the procedure shall be explained in advance and you will be asked for your consent to have this procedure performed.

Some procedures have specific complications/side effects/outcomes and these will be explained to you.

You will be given specific instructions about after care and follow up depending on the exact procedure you need

You will be monitored after the procedure for a short period before you will be allowed home.

A responsible adult must escort all patients home. You are firmly advised not to drive your car to the hospital, as you will not be insured to drive home after the procedure. Patients must be collected and an estimated time is best arranged on the day of the procedure.

On average you should expect to be in the hospital for 3-4 hours. We will endeavour you keep your stay as short as possible.

A follow up plan shall be arranged with you.