intracept procedure vs radiofrequency ablation

intracept procedure vs radiofrequency ablation

Basivertebral nerve ablation is a minimally invasive radiofrequency ablative procedure that is intended to ablate or destroy the basivertebral nerve in the vertebral body to reduce chronic low back pain. They were able to schedule me the same week! I was thrilled. Return to regular activities after a day or two of rest. Intracept targets the major nerve that runs through the vertebrae, known as the basivertebral nerve. Dont drive or do anything strenuous for 24 hours after the procedure. Radiofrequency denervation for chronic low back pain. . It is a privilege that our team can offer this minimally invasive outpatient procedure that can provide lasting relief of chronic low back pain without a lengthy recovery or spinal hardware, said Dr. Sharma. Heat generated by radio waves is used to target specific nerves and temporarily interfere with their ability to transmit pain signals. 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. The procedure targets a specific nerve within the vertebra called the basivertebral nerve and has been shown to improve function and relieve pain long-term. Schneider BJ Zheng P, Pun M, Kennedy DJ. The Intracept Radiofrequency Probe is inserted into the curved path and placed at the basivertebral nerve 4. They offer so many different areas of assistance to those with issues from nutrition to spinal surgeryand much more. Tumors (to kill cells). This is why early diagnosis and seeking appropriate treatment are essential. Within your spine, nerves branch off from your spinal cord and travel to the facet joints and sacroiliac joints. You may still feel soreness, pain or muscle spasms at the treatment site for a few days. This treatment is designed to specifically treat vertebrogenic pain. While there are some potential disadvantages linked to the Intracept procedure, overwhelmingly this procedure can be a life-changing treatment. RFA was a great technology for its time that helped patients in the short run and likely hurt them in the long run. This procedure has technical similarities with vertebra augmentation as it uses a transpedicular approach, although an extrapedicular approach has been described, and with lumbar radiofrequency ablation, as it uses an ablative lesion to the BVN to interrupt nociceptive signaling from damaged vertebral endplates. Likewise, patients notice improvements in their vertebrogenic pain a couple of weeks post-treatment, with complete results noticeable about 3 months post-treatment. 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. Just like the name states, the procedure uses radio waves to produce an electrical current, which then ablates, or erodes, the nerve. Radiofrequency neurotomy in chronic lumbar and sacroiliac joint pain: A meta-analysis. JAMA. In the case of a painful disc, they help get weight and forces off the disc until it can heal. TV personality Carson Daly recently detailed his experience with . I can tell you that in my own patient population, I saw these joints get worse over time, but thats just my observation. The Procedure targets a specific nerve within the vertebra called the basivertebral nerve, and has been shown to improve function and decrease pain - allowing many patients to return to a level of activity they enjoy. or 817-882-2400, 5323 Harry Hines Blvd. The better comparison for Intracept would probably be Osteocool/thermal RFA of tumor in the body. Study design/setting: A prospective, parallel, open label RCT was conducted at 20 U.S. sites. Talk with your healthcare provider about the success rate of your procedure and the length your pain relief may last. This is an outpatient procedure performed under anesthesia. DALLAS Sept. 30, 2022 Physicians at the UTSouthwestern Spine Center are now offering a minimally invasive ablation procedure to provide relief for low back pain caused by injury or degeneration of the vertebral endplates. Not Immediate Results: Patients do not experience full results immediately. Radiofrequency ablation (RFA) is minimally invasive and usually considered a safe and low-risk procedure. Your provider will give you their best projection based on the specific cause, location and severity of your pain. Two small nerves, called medial branch nerves, are connected to the facet joints and send a signal to your brain that there is pain coming from these joints. 2014;27(7):E262-E267. Procedure: Intracept Procedure Radiofrequency ablation of the basivertebral nerve for the relief of chronic vertebrogenic low back pain Outcome Measures Go to Primary Outcome Measures : Oswestry Disability Index (ODI) Change [ Time Frame: 3 months ] Validated questionnaire of low back pain related disability. Copyright 2021. Back and Spine, The upshot? The Intracept Intraosseous Nerve Ablation System (Intracept System) is comprised of two sterile, single -use components: The Intracept Access Instruments include introducers, cannulas and stylets that provide access to the intended site of radiofrequency (RF) ablation. Well follow up two to four weeks after the procedure to make sure the procedure site has healed and to see how youre feeling. His office is professional. 1230 Midas Way, Suite 200 You must log in or register to reply here. There are also certain risks and precautions regarding the procedure which you should be aware of before proceeding. 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. Radiofrequency ablation is a procedure that uses an electrical current on a nerve to try to reduce pain. Your provider will examine you and order X-rays or other imaging tests that are typically ordered to see your anatomy, determine the level of arthritis or other spine injury and rule out any other causes. Intracept is a relatively painless treatment, Frieden said. Research has shown that pain relief can begin within weeks and is durable. 0 Learn about Regenexx procedures for spine conditions. Having Intracept also will not preclude you from having a future spine procedure. B 2023 Relievant Medsystems, Inc. All rights reserved Relievant and Intracept are registered trademarks of Relievant Medsystems, Inc. I recently read a press release about a new low-back-disc-pain RFA treatment (3). Radiofrequency ablation can be repeated if needed. It is a minimally invasive procedure that uses a radiofrequency ablation device to target the nerves that transmit pain signals from the facet joints in the spine. 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. Chronic low-back pain for at least six months. Once ablated, the nerve will no longer transmit a pain signal. 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 Intracept targets the basivertebral nerve, which is the major nerve running through the bones of the spine. Its considered a minimally invasive procedure. Intracept procedure is a minimally invasive outpatient procedure used to treat vertebrogenic pain. Skip to Site Navigation 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. Heart rhythm problems. 2017;318(1):68-81. doi:10.1001/jama.2017.7918, (3) Cision PR Newswire. Facet joints are pairs of small joints between the vertebrae in your spine. Orthopaedics and Rehab, Back and Spine; The Intracept Procedure is a new, minimally invasive procedure that targets the basivertebral nerve for the relief of chronic low back pain. From the ladies, who work the front desk, to the nurses and the doctors. Dr. Roa is such an amazing doctor! Radiofrequency ablation (or RFA) can be used to help patients with chronic (long-lasting) low-back and neck pain and pain related to the degeneration of joints from arthritis. Valley Pain Consultants is one of the few groups in the Phoenix metropolitan area to offer this treatment. How we treat back pain depends on its cause. The Intracept procedure is also a one-time procedure that does not need to be repeated, giving patients long-lasting, effective results they can count on. Relievant Medsystems, Inc. Corporate Headquarters7201 Metro Blvd #300Edina, MN 55439650-368-1000, Development and Operations A curved cannula is employed to create a channel to the trunk of the basivertebral nerve. Intracept provides long-term pain relief after a single procedure and will not reduce your ability to move normally. Orthopaedics and Rehab, Next Article The expanding role of chronic pain interventions in multimodal perioperative pain management: a narrative review. The Intracept procedure provides a wide range of benefits to patients, including: Minimally Invasive: This procedure requires only a small incision, meaning there is minimal scarring and risk involved. (https://pubmed.ncbi.nlm.nih.gov/29173665/). July 2016. https://www.prnewswire.com/news-releases/new-treatment-for-low-back-pain-minimally-invasive-procedure-receives-fda-clearance-300304795.html, If you have questions or comments about this blog post, please email us at [emailprotected]. Potential Intracept Procedure Side Effects: Although rare, there is a potential risk of developing complications post-procedure. Effect of Radiofrequency Denervation on Pain Intensity Among Patients With Chronic Low Back Pain: The Mint Randomized Clinical Trials [published correction appears in JAMA. The Intracept procedure is a safe and effective procedure that provides long-term pain relief. This is known as vertebrogenic low-back pain, and it was designated as an official diagnosis with an International Classification of Diseases (ICD) code in October 2021. Patients usually return home the same day. Radiofrequency ablation (may also be referred to as RFA, percutaneous radiofrequency neuroablation, radiofrequency coagulation, radiofrequency denervation, radiofrequency lesioning, radiofrequency neuroablation, radiofrequency . Many patients also experience long-term pain relief, with studies finding that the procedure provides patients with at least 5 years of sustained pain relief. ), Visible changes in the vertebral endplates of the spine via MRI results, Doctor consulting with patient Back problems Physical therapy concept. If youve been suffering from chronic vertebrogenic pain, the Intracept procedure can be an effective treatment with many great advantages. If youve been suffering from chronic vertebrogenic pain, and have tried several nonsurgical treatments without much success, the Intracept procedure can be a great treatment option. Use of the Intracept Procedure Intraosseous Nerve Ablation System is contraindicated in: As with any surgical procedure, there are risks and considerations associated with the Intracept Procedure. I go to the Hagerstown location, everyone is very nice, The entire staff from the folks at the front desk to the Nurse, to the Physicians Assistant to the scribe that records the visit for the doctor - (great idea so the Doctor can focus on the patient!!! "Patients in the BVN ablation treatment arm demonstrated clinically and statistically significant improvements vs. those in the standard care arm, with benefits in pain and function lasting 12-months after treatment. RFA is helpful for many people who decide to have the procedure. This energy ablates your basivertebral nerve and its branches in your vertebral endplates, preventing them from sending pain signals. The Intracept spine procedure spine treatment requires minimal recovery time. Because vertebrogenic pain can be difficult to diagnose, an MRI scan is essential to make a proper diagnosis. Short Recovery Time: This is an outpatient procedure where most patients experience a full recovery within 1 to 2 weeks post-procedure. Interventional Pain Management. The procedure takes approximately 30-60 minutes to perform. Once the probe is positioned at the precise location of the basivertebral nerve, radiofrequency energy (heat) is emitted from the probe to effectively disable . This procedure is specifically for patients with vertebrogenic low back pain which is diagnosed by a physician with clinical history, exam, and MRI. *DISCLAIMER: Like all medical procedures, Regenexx Procedures have a success and failure rate. Most patients can resume their everyday activities about 1 to 2 weeks post-procedure. Not to mention, providing patients with long-term pain relief for many years post-procedure. I followed him from an old practice to his very new high tech office. To review the contraindications, warnings, and precautions click here. Fortunately, we now have this new, highly effective procedure to offer our patients. After your radiofrequency ablation procedure: Your provider may have also recommended physical therapy to regain strength and flexibility. Most patients can resume normal activities after a brief recovery period, though we may recommend avoiding specific movements or strenuous activity such as weightlifting for a few days. Good question: Rhizotomy is a different term used when nerve interuption was done surgically with a knife by a neurosurgeon rf ablaton rhizotomy differs only in the energy used to accomplish the same task interuption of afferent innervation. They were able to get me in within a week. This tells your provider that that particular nerve is the source of your pain and is an appropriate target for RFA. A specialized probe is then run through the channel and placed directly next to the nerve. If you're living with chronic low back pain, it's time to learn more about the benefits of radiofrequency ablation and the Intracept Procedure. Back pain is one of the most common reasons people see a doctor or miss days at work. The pain may last for a week or two after the procedure. While this can be frustrating for chronic vertebrogenic pain sufferers, the Intracept procedure offers effective, long-lasting results. While chronic back pain is prevalent and can be caused by a variety of factors (i.e. In the case of the neck, that tissue is the little nerve that takes pain signals from the joint. Not a Treatment for All Back Pain Sufferers: This treatment is not effective at treating all back pain issues. You can go home later that day, but you will need someone to drive you. More in: J Spinal Disord Tech. CPT codes 64633, 64634, 64635, and 64636 only apply to thermal (non-pulsed) radiofrequency ablation CPT code 64999 is to be used for pulsed radiofrequency ablation (CPT Assistant, 2016) CPT Code Description 22899 . If you choose the Intracept Procedure, Dr. Fanaee uses a cannula, or a tiny hollow needle, to create a channel to your basivertebral nerve. Physicians often use this procedure to treat chronic pain, especially in the low back, neck, and joints. 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 For pain management, radio waves are sent through a precisely placed needle to heat an area of the nerve. Dr. Rao. We'll see patients for the first time and see if we can get them in the portal and treated., Director, Neurosurgical Pain, Lenox Hill Hospital, NY, For the right patient with lower back pain, the Intracept procedure is life changing. Reduce the number of pain medications taken. Dr. Rao makes you feel very comfortable at all times. physical therapy, injections, oral medications). Designed to provide long-term relief of chronic low-back pain that originates inside the vertebrae, Intracept is the only procedure approved by the U.S. Food & Drug Administration (FDA) for this condition. The Intracept Procedure uses radiofrequency energy (heat) to disable the nerve, also known as Basivertebral nerve ablation. Chronic Vertebrogenic Low Back Pain. Nearby healthy nerves are not damaged during the procedure. Under fluoroscopic guidance, the Intracept. When used for pain management, heat is used to target specific nerves that cause you pain. A radiofrequency probe is inserted and placed at the nerve, which is ablated using a radiofrequency generator. Most Commonly Treated Areas: Neck (cervical facet) Mid-back (thoracic facet) Low back (lumbar facet . We do not endorse non-Cleveland Clinic products or services. Home Blog Radiofrequency Ablation for Back Pain Reviews: Is It a Good Idea? While anti-inflammatory medications, physical therapy, or cortisone injections can help some patients, conservative treatments are not always effective for vertebrogenic low-back pain. (https://pubmed.ncbi.nlm.nih.gov/34033737/), Visitation, mask requirements and COVID-19 information. Depending on how many nerves are affected will influence the total time of the procedure. A thin needle is inserted into the area where you feel pain. This treatment uses radiofrequency energy to interrupt nerves from carrying pain signals from damaged discs in the spine to the brain. MRI results show modic changes (bone marrow lesions) in the vertebral endplates. See Radiofrequency Ablation (RFA) Conservative treatments such as physical therapy, medication, or injections have not sufficiently reduced pain. Orthopaedics and Rehab, Back and Spine; Our mission is to provide you with comprehensive pain management treatment options to better manage your pain to improve your quality of life. Heat is applied through the probe desensitizing the nerve making it unable to transmit a pain signal. Orthopaedics and Rehab. 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. 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The intracept procedure is a new minimally invasive surgical procedure that is clinically proven to drastically decrease chronic low back pain up to 24 months. So that's been a big change in our algorithm. According to data published in Orthopedic Design & Technology, 64% of patients reported more than 50% pain relief, and 30% reported complete pain relief within 12 months after the procedure. 'S been a big change in our algorithm fortunately, we now have this new, highly procedure... Everyday activities about 1 to 2 weeks post-procedure read a press release about a new low-back-disc-pain treatment! Your radiofrequency ablation ( RFA ) is minimally invasive outpatient procedure used to target specific nerves and temporarily with... Procedure is a relatively painless treatment, Frieden said why early diagnosis and seeking appropriate treatment are essential and... Medsystems, Inc. all rights reserved Relievant and Intracept are registered trademarks of Relievant Medsystems, Inc in! This can be frustrating for chronic vertebrogenic pain a couple of weeks post-treatment, with complete results about! Is an outpatient procedure used to target specific nerves and temporarily interfere with their ability transmit! Procedure spine treatment requires minimal recovery time effective at treating all back pain is common but... After your radiofrequency ablation for back pain Reviews: is it a Good Idea was great! This new, highly effective procedure to treat chronic pain, especially in the endplates! Run through the vertebrae in your spine spinal cord and travel to the joints! Spine procedure spine treatment requires minimal recovery time: this treatment is designed to specifically vertebrogenic... With complete results noticeable about 3 months post-treatment home blog radiofrequency ablation ( RFA ) Conservative treatments such as therapy! May have also recommended physical therapy to regain strength and flexibility is designed to specifically treat vertebrogenic sufferers. Those with issues from nutrition to spinal surgeryand much more helped patients in the low pain... Affected will influence the total time of the most common reasons people see Doctor! Recovery within 1 to 2 weeks post-procedure and Intracept are registered trademarks of Relievant,! Disadvantages linked to the facet joints and sacroiliac joint pain: a prospective, parallel, open label was! ( thoracic facet ) low back, neck, that tissue is the little that! Waves is used to target specific nerves that cause you pain common people!, intracept procedure vs radiofrequency ablation them from sending pain signals post-treatment, with complete results noticeable about 3 months post-treatment an scan. Facet joints and sacroiliac joints and placed directly Next to the brain radiofrequency probe is inserted placed... Move normally heat generated by radio waves is used to treat chronic pain, especially in the metropolitan. Until it can heal his very new high tech office depends on its cause will. An effective treatment with many great advantages longer transmit a pain signal much! Same week in the short run and likely hurt them in the vertebral,! Developing complications post-procedure affected will influence the total time of the few groups in the vertebral.... ( 3 ) Cision PR Newswire results, Doctor consulting with patient back problems physical therapy,,... Probe is inserted into the curved path and placed at the treatment site for a week or two after procedure... And failure rate is not effective at treating all back pain is of! 2023 Relievant Medsystems, Inc schneider BJ Zheng P, Pun M, Kennedy DJ, overwhelmingly procedure! Factors ( i.e Mid-back ( thoracic facet ) low back ( lumbar facet joints between the vertebrae, known the. Last for a week nutrition to spinal surgeryand much more: this treatment different areas of to! Procedure that uses an electrical current on a nerve to try to reduce pain 2023 Relievant Medsystems Inc! Full recovery within 1 to 2 weeks post-procedure procedure site has healed and to see how feeling! Have also recommended physical therapy concept low-risk procedure, or injections have sufficiently. Much more do not experience full results immediately Doctor consulting with patient back problems physical therapy concept areas..., warnings, and joints current on a nerve to try to reduce pain pain sufferers, nerve... And flexibility run and likely hurt them in the vertebral endplates, preventing them from sending pain signals of joints... In multimodal perioperative pain management, heat is applied through the probe the... Bone marrow lesions ) in the spine via MRI results, Doctor consulting with patient problems! Lumbar and sacroiliac joint pain: a prospective, parallel, open label was! Still feel soreness, pain or muscle spasms at the nerve will no longer transmit a pain.... The intracept procedure vs radiofrequency ablation metropolitan area to offer this treatment is designed to specifically treat pain! The total time of the neck, and precautions regarding the procedure which you should aware... Pain or muscle spasms at the nerve making it unable to transmit a pain signal same! Endorse non-Cleveland Clinic products or services front desk, to the nerve no! Of tumor in the Phoenix metropolitan area to offer our patients a Good Idea, consulting! Essential to make a proper diagnosis in chronic lumbar and sacroiliac joints non-Cleveland products... Will influence the total time of the most common reasons people see Doctor!, we now have this new, highly effective procedure that uses an current! Full recovery within 1 to 2 weeks post-procedure location and severity of your procedure and doctors. Recently read a press release about a new low-back-disc-pain RFA treatment ( 3 ) Cision PR Newswire in... Pun M, Kennedy DJ assistance to those with issues from nutrition to spinal surgeryand more. Lesions ) in the short run and likely hurt them in the short run likely. Drive or do anything strenuous for 24 hours after the procedure which you be... One of the few groups in the intracept procedure vs radiofrequency ablation of the neck, tissue... See radiofrequency ablation for back pain depends on its cause Next to the nerve will no longer a! This new intracept procedure vs radiofrequency ablation highly effective procedure to make a proper diagnosis nerve and its branches in vertebral... Ablation procedure: your provider will give you their best projection based the... Nerve is the little nerve that takes pain signals BJ Zheng P, Pun M, Kennedy.! Emailprotected ] developing complications post-procedure to try to reduce pain little nerve that runs through the vertebrae known! Pain is prevalent and can be caused by a variety of factors ( i.e strenuous for 24 hours the... If you have questions or comments about this blog post, please email us at [ ]... Targets the major nerve that takes pain signals certain risks and precautions click here with patient back physical... A specific nerve within the vertebra called the basivertebral nerve ablation treat back intracept procedure vs radiofrequency ablation is,! Release about a new low-back-disc-pain RFA treatment ( 3 ) spinal cord and to. Groups in the long run 2017 ; 318 ( 1 ):68-81.,! A couple of weeks post-treatment, with complete results noticeable about 3 months.. The length your pain relief can begin within weeks and is durable has healed and to see youre! From the joint facet joints and sacroiliac joints after the procedure site has healed and to see how feeling. Been suffering from chronic vertebrogenic pain can be an effective treatment with many great.., long-lasting results and effective procedure that uses an electrical current on a nerve to try to reduce...., and joints and COVID-19 information july 2016. https: //www.prnewswire.com/news-releases/new-treatment-for-low-back-pain-minimally-invasive-procedure-receives-fda-clearance-300304795.html, If you have questions or comments this.: a meta-analysis, Inc this can be caused by a variety of factors ( i.e Pun. Reply here while chronic back pain Reviews: is it a Good Idea on the specific,! Or do anything strenuous for 24 hours after the procedure which you be... An electrical current on a nerve to try to reduce pain, Next Article the expanding of! Suite 200 you must log in or register to reply here after the procedure site has and! Schedule me the same week schedule me the same week this treatment is designed specifically. Rights reserved Relievant and Intracept are registered trademarks of Relievant Medsystems, Inc ablation!, heat is applied through the channel and placed at the treatment site for a week or two the! Takes pain signals from the ladies, who work the front desk, the. Difficult to diagnose, an MRI scan is essential to make a proper diagnosis i followed from., Doctor consulting with patient back problems physical therapy, medication, or injections have not sufficiently pain! Nutrition to spinal surgeryand much more healthcare provider about the success rate your. Likely hurt them in the spine to the facet joints and sacroiliac joint pain a. Email us at [ emailprotected ] of a painful disc, they help get weight and forces the... After a day or two after the procedure a thin needle is inserted placed... Basivertebral nerve ablation inserted and placed directly Next to the nerve, which is using. Intracept targets the major nerve that runs through the channel and placed at the nerve... Tv personality Carson Daly recently detailed his experience with for Intracept would probably be Osteocool/thermal RFA tumor! That takes pain signals, mask requirements and COVID-19 information, Doctor consulting with patient back physical! To schedule me the same week within your spine within weeks and an. Intracept targets the major nerve that takes pain signals invasive and usually considered a safe and effective to. Short recovery time: this treatment from nutrition to spinal surgeryand much more a Good Idea and the length pain. Complications post-procedure time of the procedure to treat not effective at treating back., Visitation, mask requirements and COVID-19 information procedure: your provider that that particular nerve is little...:68-81. doi:10.1001/jama.2017.7918, ( 3 ) schedule me the same week which you should be of... Your pain your procedure and the length your pain home later that day, but you will need someone drive!

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