Epidural fibrosis is the productionóNo excessive scar tissue, which is near the raíz of a nerve. It's likeún observe it lateréI know of a surgeryíto of vertebral column. Epidural fibrosis develops as scar tissue adheres to the raíz of the nerve during the months after surgeryía.
Postoperative significant epidural fibrosis and aracnoiditis adhesive, are the causesácommon sísurgery syndromeía failed back afteréI know of a surgeryíto the spine. Although the úlatest research shows that it can occur both in surgeryísuccessful back ace, as in failed.
The risk of developing epidural fibrosis is greater in patients with surgicalíace back más complicated
At the end of a surgeryíto the back, it úlast one isás anticipating is another problem. Unfortunately, the biggestíto the surgeriesíthus carries the risk of complications, from causing pain, including other sípostoperative symptoms, among them the scarringón at the surgical siteía.
Index
Diagnostico
The diagnosisóepidural fibrosis can be confused fáeasily with arachnoiditis. Nevertheless, epidural fibrosis affects the layer máexternal s of the méspinal game (the dura), while arachnoiditis goes to a layer más deep in the arachnoid membrane.
Su médoctor can order an MRIéa tomograph is tickingícomputerized to diagnose any epidural fibrosis you may have. Many times, to scarsón cannot be seen with this type of diagnostic testóstico for imágenes.
The problem is that, many times, they have the síntomas, but the magn resonanceéethics is negative. In this case, an epiduroscopy is needed (introduce usón of a fiber óbird and grassés of a catéter adjustable).
In the epiduroscopy test, an endoscope is inserted into the áaffected area, so that the surgeon can directly observe what isá happening in the raínerve z. Así, the specialist can determine if the origin of the pain is due to fibrosis or due to a herniated disc.
Causes of epidural fibrosis
Epidural fibrosis is caused as a consequence of surgery.íto the back. The inflammationómay not be the cause of the formationóno scar tissue, and this can lead to clumpingón of spinal nerves, an affectionón very painful and difficultíeasy to treat.
Usually occurs after surgeryíace back like laminectomía O discectomía. These procedures areáno designñused to relieve pressureón over the raíz spinal nerve.
Then, when the méspinal surgeon doctor works nearbyías del áevil from evilíz nervous (excising fragments or spurs óseos), Eastá creating wounds directly in the area. And for any wound, to scarsón is the body's natural response.
The development of epidural fibrosis can be compared to the scab that forms on the skin afterés of an injuryón. Scab and epidural fibrosis are healing processes.óno natural. For scarringón epidural occurs between 6 and 12 weeks laterés of the surgeryía.
Síntomas de la fibrosis epidural
The signs of the presence of epidural fibrosis is pain that variesíto moderate to severe in the áarea of the back, which may increase in the weeks or months following surgeryía. Although the statesítics reveal that only the 20 percent of patients actually get worse.
Treatment for epidural fibrosis
Control pain and inflammationón are the primary targets for treatment for epidural fibrosis. Physical therapy may be considered to maintain movement. Keeping the joints in constant motion can help limit the formationóno scar tissue. SpecíStrengthening exercises should be performed, stretching and core exercises.
The MéDoctors recommend medications depending on the severity of pain and inflammation.ón. Antioxidants and vitamins may be prescribed to reduce inflammation.ón near the raíz nerve associated with pain. Epidural steroid injections can sometimes be considered.
Spinal endoscopy is another treatment that the mécan dico suggest. AND, as we explained previously, a fiber is inserted óoptics that allows your méI say visualize the área. If the scars areán within reach of a láto be, you can choose this méall.
Surgery is not recommendedía to remove excess scar tissue around the raíz nervous. This is because a new operationón in the scar can produce más scars. One study reports that, usually, this new interventionón only has a rate of ésuccess of 30 al 35 percent.
Although surgery is not recommendedía para la fibrosis epidural, there are surgical treatmentsúthat are percutaneous adhesiolysisánea and spinal endoscopy.
La adhesiolisis percutáit does not apply, not just epidural fibrosis, spaghettién is used for other causes of sísurgery syndromeíto the failed back. Steroid medications are often injected in the procedure, by means of a catéhave inserted in the áaffected area. The break mecháonly one of the scars significantly decreases the síntomas.
