Percutaneous and endoscopic adhesiolysis

Low back and leg pain may be due to many causes including scarring in the epidural space. Scar tissue often causes irritated swollen and in$amed nerves, which can cause pain. Adhesiolysis eliminate the pain-causing e&ects of scar tissue by releasing or decompression of a nerve from scar tissue. Percutaneous adhesiolysis is a safe and e&ective procedure, while epiduroscopy is a minimally invasive technique that o&ers diagnostic and therapeutic advantages in cases of chronic low back pain and radiculopathy. The aim of this review is to describe the comparison of percutaneous and endoscopic procedures in the lysis of adhesions in epidural %brosis in terms of indications, contraindications, complications, technique, and e’cacy.