Chronic lower back and leg pain can become especially difficult when symptoms continue despite physical therapy, medications, injections, or even previous spine surgery. For carefully selected patients, the Racz Caudal Epidural Procedure may offer another interventional option when inflammation or epidural scar tissue is contributing to persistent pain. This minimally invasive technique is designed to access the epidural space through the sacral opening and deliver treatment closer to the affected area. Understanding how the procedure works, who may benefit, and what recovery involves can help patients make informed decisions about chronic pain care. What Is a Racz Caudal Epidural Procedure? The Racz Caudal Epidural Procedure is a form of percutaneous epidural adhesiolysis, sometimes called epidural neuroplasty. It uses a specialized catheter introduced through the sacral hiatus, an opening near the base of the spine. The goal is to improve access to areas within the epidural space wh...