TOP Doctors for Epidural Catheter Therapy

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The epidural catheter method has been one of the standard methods of pain therapy for more than 25 years. The main areas of application are an intervertebral disc herniation or a herniated disc associated with nerve constriction (nerve compression). The epidural catheter method can also serve well for pain and neurological phenomena as a result of scar tissue following an intervertebral disk operation (postnucleotomy syndrome). As a rule, we do not recommend treatment with this procedure until conservative measures have failed to improve significantly. Critical to the success of therapy are both an exact diagnosis and the long-standing experience and specific expertise of the surgeon.

The aim of the epidural catheter method is a spatial relief of the compressed nerve roots directly at the site of the pain, so as to relieve inflammation and pain quickly and effectively. For this purpose, a flexible epidural catheter under X-ray control injected anti-inflammatory, analgesic and scar-releasing substances (saline, local anesthetic and cortisone).

Under local anesthesia in the tailbone area, a probe is first advanced into the spinal canal, with which the intervertebral disc damage is assessed under X-ray contrast imaging. Next, a thin catheter is introduced under visual control, over which then the introduction of the drugs takes place. The procedure lasts no longer than 30 minutes. The patient can get up after about an hour. The catheter remains under a sterile bandage for approximately 48 hours so that the injections can be repeated several times at intervals of eight to twelve hours each. In this way, the swelling is removed and the troubled nerve root relieved, without causing tissue damage or bleeding. Thereafter, the catheter is pulled.


  • In 80 percent of cases, this minimally invasive procedure can be used to avoid "open" intervertebral disk surgery, whereby treatment success is usually permanent.
  • General anesthesia is not required to perform the epidural catheter method, thus avoiding the associated risks.
  • Only a short hospital stay (usually three days) is necessary.
  • No special aftertreatment is required.
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Epidural Catheter Therapy 2020-03-11 Epidural Catheter Therapy
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