Adhesiolysis


Breaking down scar tissue.

Adhesions


Scar tissue.

Dura or Dural Sac


The sac which contains the nerves from the spine ( the spinal cord) and fluid (cerebrospinal fluid).

Dural Leak


A leak of the cerebrospinal fluid (the fluid around the spinal cord) out of the dural sac.

Epidural space


The area of the spinal canal between the dural sac (which contains fluid and the spinal cord) and the bones.

Epiduroscopy


Passing a small fibreoptic scope into the epidural space and observing the presence of scar tissue, fat, nerves etc.

Epidurogram


Injection of dye which can be seen under X-ray into the epidural space.

Foramina


The holes either side of the spinal canal through which the nerves to the legs exit from the spinal canal.

Foraminal Stenosis


Narrowing of the Foramina (The holes either side of the spinal canal through which the nerves to the legs exit from the spinal canal).

Foraminostomy


Dilating the Foramina using the epiduroscope. The Foramina are the holes either side of the spinal canal through which the nerves to the legs exit from the spinal canal.

Inflammation


Redness, swelling and pain in an area.

Nerve Root


The beginning of the nerves which eventually form the sciatic nerve down the leg.

Pathological Findings


Abnormalities seen in the spinal canal. For example: scar tissue, inflammation, swollen nerves, engorged blood vessels.

Radiculopathy


See 'Sciatica'.

Sacro-Coccygeal Membrane


The very bottom of the spine, near the coccyx where the epiduroscope can be introduced.

Sciatica


Pain down the leg in a distribution which suggests it is due to inflammation or irritation of a nerve.

Through the scope, adhesions (scar tissue) can be visualized, nerve roots can be inspected and inflammation identified.