Injection therapy is a major component of conservative management for spinal disorders like herniated nucleus pulposus (HNP) and spinal stenosis. The most common problem faced during the injection – transforaminal, interlaminar or caudal epidural block is delivering the drug at the exact site of lesion due to adhesions more so when there has been a previous open spinal surgery. Conventional neurolysis effect was limited because adhesiolysis and drug delivery were in the posterior epidural space. So, we report a simple neurolysis technique which can inject drugs directly to nerve roots and intervertebral discs at anterior epidural space through the caudal approach using conventional neurolysis devices.
