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Hypertonic Saline
Dr. Gabor Racz talks about his involvement in discovering the benefits introducing hypertonic saline in the epidural space after a lysis of adhesion procedure. He and his colleagues found this to reduce pain as the local anesthetic’s effect began to wane.
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The efficacy and safety of hypertonic saline has been well documented, as he explains, as it is not a neurolyitc. The hyperosmotic property simply disrupts the action potential (conduction) of the nerve, while neurolyitcs will damage the nerve.
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