Adhesiolysis is a method of removing or dividing adhesions to provide therapeutic pain relief. This treatment, which Dr. Rodriguez and his team offer at the Pain Relief Center in Plano, is an evidence-based method for longterm pain relief. 

Adhesions are bands of scar tissue. These adhesions form as part of the body’s natural repair mechanism in response to any tissue disturbance. Examples of tissue disturbance that can result in adhesions are:

  • Surgery
  • Infections
  • Pathologies Like Endometriosis
  • Radiation
  • Trauma


Adhesions can appear as thin, avascular sheets of tissue, similar to plastic wrap. They can also be thick, vascular fibrous bands of tissue. These are the more severe adhesions and are more difficult to remove. 


In certain areas, the presence of adhesions can be painful and uncomfortable. They can interrupt normal anatomy and organ function.


For example, in patients who have had low-back surgery, adhesions can form in the epidural space. The adhesions can entrap nerves in this space. In cases like these, epidural steroid injections may not work, because the adhesions prevent the medication from spreading. 


In some cases, adhesions can form without any trauma, but usually, there is some injury to the tissue. Adhesions can bind your organs together and even cause life-threatening injuries like bowel obstruction. 

Adhesiolysis is a minimally invasive procedure that dissolves or completely decreases inflammation resulting from an adhesion. It takes the form of an injection.

As we mentioned earlier, patients suffering from adhesions aren’t always eligible for regular epidural injections. Dr. Rodriguez will administer an adhesiolysis injection through the sacral hiatus. This is a small opening above the tailbone. 

Like all surgical procedures, there are potential risks when patients undergo adhesiolysis. These risks include:

  • Bleeding
  • Allergic Reaction
  • Instances of Discomfort


During the procedure, your Pain Relief Center team will use X-ray guidance. This minimizes the risk to you and also minimizes your recovery time.


Adhesiolysis has been a viable procedure for abdominal pain due to adhesions for nearly twenty years. In that time, there have been numerous advancements in laparoscopic surgery that make adhesiolysis the preferred treatment for adhesions.

Here's how adhesiolysis works: You will be laying on your stomach for the procedure. Dr. Rodriguez will administer a local anesthetic to numb the area above your tailbone. 

With X-ray guidance, Dr. Rodriguez will guide a needle into your epidural space. He will place a soft, flexible catheter called a Racz catheter through the needle. Under X-ray guidance, Dr. Rodriguez can advance the Racz catheter further into the epidural space. 

To further guide the procedure, there will be contrast dye in the injection as well as the necessary medications. The presence of the contrast dye will ensure the medication spreads properly.  

The medications in this injection will decrease inflammation and break up the adhesions. Once Dr. Rodriguez removes the needle, he will apply a sterile dressing to the area.

Recovery from adhesiolysis is relatively simple. Complete recovery takes between one and two weeks.


The most critical step on the path to recovery is finding a pain management doctor who can address your pain management needs successfully. The Pain Relief Center and its five specialized institutes are dedicated to meeting any and all of a patient’s needs. Located in the Dallas-Fort Worth area, Dr. Rodriguez and his friendly staff will help you along the path to recovery.

Our new center in Dallas is part of a nationwide development by Pain Relief Centers, geared to providing individualized and comprehensive healing and pain management services with unprecedented levels of compassion, care, and comfort for each patient.

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