RACZ Caudal Neurolysis

RACZ caudal neurolysis is an injection procedure most often used to treat leg and back pain caused by scar tissue resulting from a prior surgery. This scar tissue can press upon spinal nerves and send radiating pain through the legs, as well as debilitating pain in the lower back.

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.

Nevada Advanced Pain Specialists is recognized as an industry leader in pain management. We have a state-of-the-art facility in Reno, Nevada, that allows for us to offer the highest possible level of quality care of our patients.

We are committed to providing a comprehensive and multi-disciplinary approach for each individual’s pain complaints to provide the most appropriate care. Our approach includes analysis of biomechanics, joint motion, as well as skeletal, nerve and muscle tissues. Every individual is evaluated for the root cause of their pain – not just a “quick fix” approach to only provide symptomatic relief.

Your pain will be evaluated with latest diagnostic tools and technologies used by the professionals at Nevada Advanced Pain Specialists to make accurate assessments including: EMG/Nerve testing, MRIs, x-rays, bone scans, and diagnostic pain injections.


Over 90% of our facet joint injection patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Over 83% of our epidural patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Overall, 83% of our patients report a better quality of life, 60% report less pain, and 62% report improvement in their function

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