The Intracept Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also 191 0 obj <> endobj Radiofrequency ablation, also called rhizotomy, is a nonsurgical, minimally invasive procedure that uses heat to reduce or stop the transmission of pain. All content provided in this blog, website, or any linked materials, including text, graphics, images, patient profiles, outcomes, and information, are not intended and should not be considered or used as a substitute for medical advice, diagnosis, or treatment. Research has shown that pain relief can begin within weeks and is durable. Brain; Daily wear and tear can over time cause the vertebral endplates to degenerate, resulting in pain and discomfort. Dr. Rao. Heat generated by radio waves is used to target specific nerves and temporarily interfere with their ability to transmit pain signals. The RF ablation procedure consisted of thermal ablation of the BVN using a transpedicular delivery system (Intracept System, Relievant Medsystems, Sunnyvale, CA, USA). Enter your address, zip-code, or city below: Intracept procedure (basivertebral nerve ablation) is a minimally invasive procedure that helps reduce pain symptoms for chronic low back pain sufferers. I have now been with Dr. Rao for 13 years. Find a Doctor . Within your spine, nerves branch off from your spinal cord and travel to the facet joints and sacroiliac joints. Just like the name states, the procedure uses radio waves to produce an electrical current, which then ablates, or erodes, the nerve. Peripheral nerve pain. https://www.prnewswire.com/news-releases/new-treatment-for-low-back-pain-minimally-invasive-procedure-receives-fda-clearance-300304795.html. The heat destroys that area of the nerve, stopping it from sending pain signals to your brain. UTSouthwestern, one of the nations premier academic medical centers, integrates pioneering biomedical research with exceptional clinical care and education. Yes, the requested health service or procedure is likely to be more beneficial than any standard treatment or treatments for the insured's condition or disease. So should we be nuking those nerves and likely causing faster degeneration of the disc, or should we be using treatments that might help the disc, like platelets and stem cells? First, youll lie on your stomach on a special X-ray table. Just like other parts of the body, the vertebral endplates are vulnerable to deterioration and nerve damage. The current destroys that area of the nerve, stopping it from sending pain signals to your brain. Of all of the procedures that I perform, it has delivered the most dramatic results for my patients., Southwest Spine and Pain Center,St George, UT, This is an exciting new treatment option for a type chronic low back pain that we haven't had a solution. The two look forward to monitoring outcomes and performing research on this treatment to help further the evolution of its role in their spine practice. It's minimally invasive and long-lasting, so it's a very helpful option for people experiencing chronic . According to Relievant Medsystems Inc., the cannula is inserted via minimally invasive procedure under fluoroscopic guidance through the pedicle using a transpedicular approach. Whats fascinating in RFA is that, at least in the neck, I still cant find a single study where someone has looked at this issue long-term (i.e., what happens to the neck joints of long-term-treated RFA patients). How long does the procedure take? When I first learned how to use RFA to treat chronic neck pain due to damaged facet joints in the neck, it was a pretty neat tool to have. This treatment uses radiofrequency energy to interrupt nerves from carrying pain signals from damaged discs in the spine to the brain. Then: Radiofrequency ablation takes from 15 minutes to two hours to complete, depending on the treatment location and number of treatments performed. The Intracept Procedure is a minimally invasive, outpatient procedure for patients with vertebrogenic pain. The procedure uses a small probe, which enters the space inside the bone and uses targeted energy to ablate, or "zap," the nerve, disconnecting the pain receptors that are causing the pain signals. If youve been suffering from chronic vertebrogenic pain, the Intracept procedure can be an effective treatment with many great advantages. Nearby healthy nerves are not damaged during the procedure. The Intracept Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, During my first visit he never tried to rush through my appt., he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me. RFA was a great technology for its time that helped patients in the short run and likely hurt them in the long run. This is an independent prospective, noninterventional, single arm post market data collection of the patient-reported effectiveness, ongoing safety, and satisfaction outcomes for patients treated with intraosseous basivertebral nerve ablation using the Intracept Procedure at a single study site. In an MRI, your doctor will visibly be able to see the degeneration of the vertebral endplates in the spine that is causing you pain and discomfort. The procedure involves passing radiofrequency energy through a probe to heat and kill the nerve, thus disrupting and preventing the nerve from sending any pain signals from the damaged discs in the spine to the brain. If you take aspirin or other blood-thinning medications, you may need to stop taking them for a few days before the procedure. Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group. However, not everyone who has vertebrogenic pain is automatically the perfect candidate for this treatment. This radiofrequency generator will help to ablate the basivertebral nerve (disable the nerve) This whole operation time varies according to the number of treated vertebrae and the condition of the patient. The Intracept Radiofrequency Probe is inserted into the curved path and placed . At Pain and Spine Specialists, our team of physicians and nurse practitioners are committed to giving you the most effective treatment when treating your pain. The intercept procedure is a surgery that has over two decades of scientific research on the body of the nerve and its role in pertaining to lower back pain. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. New Patient Appointment ), Completely the best care you could want the staff is so pleasant and caring and the doctors have true heart for healing, love being a patient here would give 10 stars if I could & absolutely the most caring during my procedure with Dr B. The Intracept procedure specifically treats vertebrogenic pain, which is pain caused by damage to the vertebral endplates from everyday wear and tear. I can't find the words to tell you how much he has meant to me. A maximum of four nerves can be treated at a given time. Rather than undergoing major open surgery to reduce your vertebrogenic pain, the Intracept procedure provides the same effective, long-term results with less recovery time. If conservative treatments dont provide sufficient relief, ask your doctor for a referral to a spine specialist or make an appointment for yourself with our PM&R or spine experts. In the 3 years as a patient of Dr. Rao, it is my opinion that he is a phenomenal and extraordinary doctor. Definitive clinical and/or imaging findings pointing to a specific diagnosis other than facet joint syndrome Diagnostic injections or MMB at the same level as the previously successful RFA procedure G. Sunny Sharma, M.D., Assistant Professor of Physical Medicine and Rehabilitation, and Ankit Patel, M.D., Associate Professor of Physical Medicine and Rehabilitation, who practice interventional spine and musculoskeletal medicine, began performing the procedure earlier this year. This procedure is most commonly used to treat . RFA is considered for long-term pain conditions, especially of the neck, lower back or arthritic joints that havent been successfully treated with other methods. What is Radiofrequency Ablation Radiofrequency ablation (sometimes referred to as radiofrequency neurotomy) is an outpatient procedure that uses electrical energy to create a lesion on a specific targeted nerve. Before this treatment was available, it was a challenge to provide a solid treatment option for my patients who suffered from chronic back pain from degenerative endplates, said Dr. Patel. 211 0 obj <>/Filter/FlateDecode/ID[<3D39A4B378B4194187D0973D7C813DE0><0C29354922F4C74DAC93C8F77C82A627>]/Index[191 32]/Info 190 0 R/Length 101/Prev 252053/Root 192 0 R/Size 223/Type/XRef/W[1 3 1]>>stream RFA can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints. One of those people is television host Carson Daly, who recently detailed his decades-long struggle with lower back pain in a story on the Today show. In July 2016, the US Food and Drug Administration (FDA) approved a radiofrequency ablation device* that targets the basivertebral nerve for the treatment of chronic low back pain. An electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that . 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