With the Intracept procedure, the physician makes a 3mm to 5mm incision in the low back and a radiofrequency probe is then inserted to access the center of the vertebrae at the trunk of the basivertebral nerve. Youll go home shortly after your procedure. See Radiofrequency Ablation (RFA) 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. ), 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 is a minimally invasive, outpatient pain therapy designed to relieve chronic low back pain originating in the vertebrae. This is called a Charcot joint. Daly also shared his experience undergoing a breakthrough, minimally invasive procedure called Intracept. His office is professional. Thats what it means to me to neurosurgeon there are other rhizotomy procedures besides the common facet rhizotomies i supect the distinction is important . At the end of his story, Mr. Daly mentions he had a four-month appeal process, but he said the time and effort were well worth it. Texas Spine and Scoliosis is one . After the small incision tiny instruments are inserted though the openings to perform the surgery. Daily wear and tear can over time cause the vertebral endplates to degenerate, resulting in pain and discomfort. Skip to Site Navigation I was helping my mom find a place for her arthritis pain, and I explained to them how bad it was. This is why early diagnosis and seeking appropriate treatment are essential. Once the needle has reached the intended site, your doctor will do a test to confirm its in the proper position. Radiofrequency ablation isnt new in fact its been performed for many years in pain management. I took my mom, and everyone was absolutely so sweet and kind. Nearby healthy nerves are not damaged during the procedure. Heating the nerve stops or reduces pain signals from reaching your brain. Radiofrequency ablation is often used to manage pain originating from joints (such as your knee) and oftentimes related to pain from your spine, especially your neck and lower back (lumbar area of your spine). (https://pubmed.ncbi.nlm.nih.gov/28672319/), (https://pubmed.ncbi.nlm.nih.gov/29173661/), (https://www.ncbi.nlm.nih.gov/books/NBK482387/). At Pain and Spine Specialists we are dedicated to providing the highest quality of care to our patients.We provide tailored services with each individuals comfort in mind. There are also certain risks and precautions regarding the procedure which you should be aware of before proceeding. Many surgeries for back pain involve implants, such as screws or plates, but because Intracept uses radiofrequency ablation, no devices are left in the body. No thanks for me. Within your spine, nerves branch off from your spinal cord and travel to the facet joints and sacroiliac joints. How long does the procedure take? Find a Location, Appointment The treated nerve can regrow. This includes the vertebral endplates, bilayers of cartilage and bone that separate the intervertebral disks from the adjacent vertebrae. The procedure is intended to provide relief for patients with chronic . Basically, it uses energy in the radiofrequency spectrum to heat tissue and ablate (read destroy) tissue. RFA is another minimally invasive procedure that's intended to reduce nerve-based back pain. Intracept targets the major nerve that runs through the vertebrae, known as the basivertebral nerve. Xie E, Garzon-Muvdi T, Bender M, Doshi T, Carson B, Lim M, Bettegowda C. Radiofrequency ablation is not considered a surgery. First, youll lie on your stomach on a special X-ray table. 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. You will lie face down for the procedure. We work closely with specialists in neurosurgery, orthopedic surgery, anesthesiology and other fields no matter your condition, we can connect you with the best care in one place. If youve tried several nonsurgical treatments without much success at reducing your pain, the Intracept Procedure may be the right treatment for you. 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 RFA can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints. 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). Dr. Sharma said chronic low back pain is one of the leading causes of disability. Intracept is a minimally-invasive, outpatient procedure for patients with vertebrogenic pain. For pain management, radio waves are sent through a precisely placed needle to heat an area of the nerve. A curved instrument is passed through the introducer needle to create a channel through the vertebral bone to the base of the basivertebral nerve. Candidates for the Intracept procedure must exhibit the following criteria: Chronic back pain for at least 6 months, Ineffective results after trying several nonsurgical treatment options (i.e. 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. Once the probe is positioned at the precise location of the basivertebral nerve, radiofrequency energy (heat) is emitted from the probe to effectively disable . : CD008572. Intracept, an outpatient nerve ablation procedure, can precisely target and deaden damaged and inflamed nerves in the lower back, relieving vertebrogenic pain by 50-75% or more in the weeks after treatmentand providing sustained relief for five years after a single treatment. Facet joints are pairs of small joints between the vertebrae in your spine. The Intracept Radiofrequency Probe is inserted into the curved path and placed . Radiofrequency ablation (RFA), also called radiofrequency neurotomy, uses radio waves to create a current that heats a small area of nerve tissue. In the RF ablation arm, 74 . The Intracept Intraosseous Nerve Ablation System (Intracept System) is comprised of sterile, single-use components: The Intracept Access Instruments include introducers, cannulas and stylets that provide access to the intended site of radiofrequency (RF) ablation. 5 The INTRACEPT . The Intracept Procedure is a minimally invasive treatment that helps treat chronic low back pain, specifically vertebrogenic pain. Not Immediate Results: Patients do not experience full results immediately. Your physician will use real-time fluoroscopic X-ray guidance to access the painful vertebrae with a small introducer needle. Various signs and symptoms can point to vertebrogenic pain, including: Chronic low back pain (oftentimes in the middle of the lower back), Pain that worsens with physical activity, sitting, bending, or lifting. We are excited to be able to offer this innovative treatment and help patients enjoy more pain-free days. This is one of those times in medicine when if we doctors named these devices for what they did, you as a patient would never sign up. Intraosseous radiofrequency ablation of the basivertebral nerve (e.g., Intracept)" As of 1/2019, the Intracept Manufacturer says to use the unlisted code, here. Therefore, countless clinical research studies have found that the Intracept procedure provides safe and effective results in terms of reducing patients pain symptoms. The Intracept Procedure is indicated for patients who have had chronic low back pain for at least six months, who have tried conservative care for at least six months, and whose MRI shows features consistent with Modic changes - indicating damage at the vertebral endplates has led to inflammation. 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. One-Time Treatment: This is a one-time treatment that provides long-term results; therefore, there is no need for this procedure to be repeated. New Patient Appointment If youve been suffering from chronic vertebrogenic pain, the Intracept procedure can be an effective treatment with many great advantages. 1. This lesion blocks or interrupts pain signals being sent from the targeted nerve. TheUniversityofTexasSouthwesternMedicalCenter, 5323 Harry Hines Blvd., Dallas, Texas 75390 Phone 214-648-3111, Intracept is a minimally invasive outpatient procedure that uses radiofrequency ablation to target and deaden the nerves responsible for vertebrogenic low back pain. Vertebrogenic pain oftentimes doesnt respond to traditional nonsurgical forms of treatment (i.e. The Intracept RF Probe conducts RF energy to the target location. Intracept, a radiofrequency nerve ablation, is the only FDA-approved procedure for vertebrogenic low back pain. Dr. Roa is such an amazing doctor! Patients can see dramatic, lasting improvements from this minimally invasive procedure, with little post-procedure pain and quick recovery time.. 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. Return to regular activities after a day or two of rest. If you have a favorable response to the diagnostic block, your provider may recommend RFA as a treatment to ease your pain. Heat is applied through the probe desensitizing the nerve making it unable to transmit a pain signal. In general, minimally invasive treatment methods lower the risk of infection and other complications, reduce the length of hospital stay, lessen the amount of pain experienced and shorten recovery time. . Orthopaedics and Rehab, Next Article The goals of radiofrequency ablation are to: Radiofrequency ablation is used to treat: Radiofrequency ablation uses heat produced from radio waves to target diseased tissue. Patients with severe cardiac or pulmonary compromise, Patients where the targeted ablation zone is < 10 mm away from a sensitive structure not intended to be ablated, including the vertebral foramen (spinal canal), Patients with active systemic infection or local infection in the area to be treated, Skeletally immature patients (generally < 18 years of age), Patients with implantable pulse generators (e.g., pacemakers, defibrillators) or other electronic implants, Situations where unintended tissue damage may result, based on the clinical assessment by the physician, Application with electrosurgical instruments NOT tested and specified for use with the Relievant RFG. Will do a test to confirm its in the vertebrae in your,! 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