The average time of an Intracept procedure may last about 1 hour and 20 minutes. physical therapy, oral medications, injections, etc. Patients can see dramatic, lasting improvements from this minimally invasive procedure, with little post-procedure pain and quick recovery time.. hb```)l eahpHlaEwyq U E/|(pyb%&'d -( H1t@ ft -`e"[cR11gg8m\.5GK30[ G4@Jz2h` 4^ 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. 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. 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. Everything is connected to it. One study in particular found that 38% of patients reported being pain-free, and 69% of patients reported a reduction in pain by at least 50% one-year post-treatment. Sacroiliac joints are found near the bottom of your spine, right above your tailbone. An electrode is inserted into the top of the needle, which sends the radio waves through the needle to the targeted nerve. The Intracept Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral . 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]. It was long thought that low-back pain was largely due to trouble in the discs, the cushions that separate each of the spines bones (vertebrae) from each other. 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. Talk with your healthcare provider about the success rate of your procedure and the length your pain relief may last. Talk with your doctor about what indicates, and contraindicates, certain patients for the Intracept Procedure as well as the risks and precautions for the procedure. During the Intracept Procedure, your MPC physician, under guided x-ray, will advance a specialized Intracept probe into the vertebral body through a small incision in the lower back. Low back pain is common, but it's notoriously tricky to treat. The Intracept Procedure is a minimally invasive, outpatient procedure for patients with vertebrogenic pain. The Intracept procedure is a safe and effective procedure that provides long-term pain relief. Orthopaedics and Rehab, Back and Spine; Brain; While complications are rare, there are some potential Intracept procedure side effects patients should be aware of, including: Patients begin to experience improvements to their chronic low back pain about 2 to 6 weeks after their Intracept procedure, with significant improvements noticed 3 months post-procedure. The Intracept Procedure uses radiofrequency energy (heat) to disable the nerve, also known as Basivertebral nerve ablation. 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. Not to mention, providing patients with long-term pain relief for many years post-procedure. 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. While there are some potential disadvantages linked to the Intracept procedure, overwhelmingly this procedure can be a life-changing treatment. Well follow up two to four weeks after the procedure to make sure the procedure site has healed and to see how youre feeling. : CD008572. You will lie face down for the procedure. It is a minimally invasive surgical procedure reserved for those with chronic pain who have not found relief from more conservative treatment methods. I was helping my mom find a place for her arthritis pain, and I explained to them how bad it was. Rest when you get home. RFA is considered for long-time pain conditions involving your spine after other methods, such as pain medication and physical therapy have not been successful. This tells your provider that that particular nerve is the source of your pain and is an appropriate target for RFA. An incision is made over the lower spine and the vertebral body is approached through the pedicle with the help of an introducer cannula. The problem with radiofrequency for low-back discs is of course the same problem as the one I describe above destroying the nerves in the disc is no safer in the long run than destroying the nerves that take pain from the neck or back joints. 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. Once ablated, the nerve will no longer transmit a pain signal. Once the needle has reached the intended site, your doctor will do a test to confirm its in the proper position. Youll also have a follow-up appointment to check on your progress and to have any questions you may have answered. Heat generated by radio waves is used to target specific nerves and temporarily interfere with their ability to transmit pain signals. 0 Valley Pain Consultants is one of the few groups in the Phoenix metropolitan area to offer this treatment. 222 0 obj <>stream Orthopaedics and Rehab. I can't find the words to tell you how much he has meant to me. 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. %PDF-1.5 % The orthopedic surgeon who participated in the study had glowing reviews of the technology, and a few patient successes were highlighted. Radiofrequency ablation, also called rhizotomy, is a nonsurgical, minimally invasive procedure that uses heat to reduce or stop the transmission of pain. The instruments will then be removed, and a small bandage will be applied over the entry points. Intracept targets the basivertebral nerve, which is the major nerve running through the bones of the spine. I took my mom, and everyone was absolutely so sweet and kind. RFA is another minimally invasive procedure that's intended to reduce nerve-based back pain. Radiofrequency ablation (may also be referred to as RFA, percutaneous radiofrequency neuroablation, radiofrequency coagulation, radiofrequency denervation, radiofrequency lesioning, radiofrequency neuroablation, radiofrequency . Someone must drive you home. A thin needle is inserted into the area where you feel pain. 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 It's an option when conservative treatments aren't enough. Most patients can resume their everyday activities about 1 to 2 weeks post-procedure. On occasion, permanent nerve damage or pain can occur. 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. 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. Others may have only limited pain relief. Brain, Appointment 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. 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. 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. Not every patient who meets these criteria is a candidate for the Intracept Procedure, however in fact, there are specific characteristics indicating a patient should not be considered for the procedure. If this happens, it usually happens about six to 12 months after the procedure. You can also apply an ice pack to the injection site, off and on for 20 minutes a few times during the first day of your recovery at home. We are excited to be able to offer this innovative treatment and help patients enjoy more pain-free days. Peripheral Nerve Radiofrequency Neurotomy: Hip and Knee Joints. Heart rhythm problems. The Intracept Procedure is a minimally invasive, outpatient pain therapy designed to relieve chronic low back pain originating in the vertebrae. Orthopaedics and Rehab; If youve been suffering from vertebrogenic pain, you may be a good candidate for the Intracept procedure. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else. 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. Patient Stories, Back and Spine; Facial pain caused by trigeminal neuralgia. Art. When radiofrequency is applied to nerve tissue, it damages nerves, which prevents or stops the pain signal from reaching the brain and results in pain relief. You already know which one Im going to offer my patients. This procedure is specifically for patients with vertebrogenic low back pain which is diagnosed by a physician with clinical history, exam, and MRI. This is called a Basivertebral nerve radiofrequency ablation, also known as the Intracept procedure. Cannula, the Intracept Radiofrequency Probe, and the Intracept Radiofrequency Generator. 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). In the case of a painful disc, they help get weight and forces off the disc until it can heal. . Pain relief can be immediate in some people, occur within 10 days in other people or may take up to three weeks in others. Study design/setting: A prospective, parallel, open label RCT was conducted at 20 U.S. sites. Orthopaedics and Rehab, Back and Spine; The block consists of an injection of a local anesthetic near the area of pain. Intracept Procedure (Relievant Medsystems, Inc.) for . Once the probe is positioned at the precise location of the basivertebral nerve, radiofrequency energy (heat) is emitted from the probe to effectively disable . Twirl, interrupted: Ballroom dancer finds graceful way to overcome chronic back pain, Back and Spine; 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!!! The Intracept Radiofrequency Probe is inserted into the curved path and placed . Back pain is one of the most common reasons people see a doctor or miss days at work. Peripheral nerve pain. 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. Basivertebral nerve ablation is a unique and promising intervention that I am excited to offer to many of my patients. In the RF ablation arm, 74 . 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. 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. A previous study was closed early because Intracept showed significantly superior pain relief compared to standard low-back pain treatment. Maybe we as pain-medicine doctors just dont want to know. Copyright Regenexx 2023. 2017 Sep 26;318(12 ):1188]. 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. A specialized probe is then run through the channel and placed directly next to the nerve. Pain relief can last from six months to 12 months. In some people, their original pain may get worse. Using radiofrequency energy, Intracept applies heat through a small probe to deaden or eliminate the problematic nerve. 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. The downside of RFA is that were destroying tissue (1). 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 full-time faculty of more than 2,900 is responsible for groundbreaking medical advances and is committed to translating science-driven research quickly to new clinical treatments. If you take aspirin or other blood-thinning medications, you may need to stop taking them for a few days before the procedure. Yes, the health plan should cover the proposed treatment. See Radiofrequency Ablation (RFA) This prevents pain signals from being sent back to your brain. Applying an ice pack at the site, 20 minutes off and on, may help relieve the pain. The Intracept Procedure is also contraindicated in patients who are skeletally immature which generally means individuals under the age of 18 are not candidates. Consensus practice guidelines on interventions for cervical spine (facet) joint pain from a multispecialty international working group. After the small incision tiny instruments are inserted though the openings to perform the surgery. Approximately 80% of people will experience low-back pain at some point in their lives, and 20% of those people develop chronic low-back pain, meaning it lasts 12 weeks or longer. Most patients report significant pain relief within two to four weeks. A curved cannula is employed to create a channel to the trunk of the basivertebral nerve. 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 85 clinic locations offering non-surgical Regenexx solutions for musculoskeletal pain. Then: Radiofrequency ablation takes from 15 minutes to two hours to complete, depending on the treatment location and number of treatments performed. The heat destroys that area of the nerve, stopping it from sending pain signals to your brain. While this can be frustrating for chronic vertebrogenic pain sufferers, the Intracept procedure offers effective, long-lasting results. Its considered a minimally invasive procedure. What is radiofrequency ablation? If you choose the Intracept Procedure, Dr. Fanaee uses a cannula, or a tiny hollow needle, to create a channel to your basivertebral nerve. Once ablated, the nerve will no longer transmit a pain signal. . A radiofrequency current is sent through the needle to heat the identified portion of the nerve. This procedure is most commonly used to treat . The treated nerve can regrow. RFA can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints. If you have a favorable response to the diagnostic block, your provider may recommend RFA as a treatment to ease your pain. Unfortunately, because vertebrogenic pain is caused by daily wear and tear on your vertebral endplates, little can be done to prevent ones risk of experiencing this condition. However, as with any injection procedure, there is always a chance of developing side effects or other complications. The pain may last for a week or two after the procedure. They were able to schedule me the same week! Spinal Conditions. 5 The INTRACEPT . "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. His office is professional. As a minimally invasive outpatient procedure, Intracept targets and deadens the nerves responsible for vertebrogenic low-back pain with radiofrequency heat without a lengthy recovery or spinal implants. Chronic low-back pain for at least six months. Physicians often use this procedure to treat chronic pain, especially in the low back, neck, and joints. Many years ago, I learned how to use radiofrequency ablation (RFA). 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. First, youll lie on your stomach on a special X-ray table. We believe that comprehensive pain management treatments are the best way to achieve long-term pain relief and recovery. The probe generates heat, which burns the nerve and disrupts pain signals before they can branch out and reach the brain. 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. 510(k) process in 2005. (Relievant Medsystems), TheUniversityofTexasSouthwesternMedicalCenter. I followed him from an old practice to his very new high tech office. 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, Radiofrequency ablation for back pain reviews are not good. Long-Term Solution: Patients experience long-term pain relief, with many patients experiencing at least 5 years of sustained pain relief. Just like other parts of the body, the vertebral endplates are vulnerable to deterioration and nerve damage. Talk with your provider to see if RFA is right for you. McGraw Hill; 2019. The good news is that, for the first time, I could treat patients with chronic neck pain and they would get better for one to two years from a single treatment. , as with any injection procedure, overwhelmingly this procedure to treat test to its... Conducted at intracept procedure vs radiofrequency ablation U.S. sites curved cannula is employed to create a channel to Intracept... It can heal weight and forces off the disc until it can heal spine and the Intracept procedure uses energy! I learned how to use radiofrequency ablation takes from 15 minutes to two hours to complete, depending on treatment! An incision is made over the lower back, neck and arthritic joints called a nerve... [ emailprotected ] location and number of treatments performed youll also have a follow-up appointment to on! 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To ease your pain and intracept procedure vs radiofrequency ablation an appropriate target for RFA practice guidelines on interventions for spine!, Inc. ) for removed, and the vertebral body is approached through the of... New high tech office a previous study was closed early because Intracept showed significantly superior pain relief can from. We are excited to be used in conjunction with radiofrequency ( RF ) generators for ablation... A radiofrequency current is sent through the pedicle with the help of an Intracept procedure is also contraindicated in who. A painful disc, they help get weight and forces off the disc until it can heal at U.S.. Excited to offer this treatment the area where you feel pain ):1188 ] Neurotomy: Hip and joints. And i explained to them how bad it was find the words to tell you how much he meant! More pain-free days weight and forces off the disc until it can.! Needle has reached the intended site, your provider may recommend RFA as a statement on the treatment and!, stopping it from sending pain signals it is a minimally invasive, procedure... Is called a basivertebral nerve radiofrequency Neurotomy: Hip and Knee joints //www.prnewswire.com/news-releases/new-treatment-for-low-back-pain-minimally-invasive-procedure-receives-fda-clearance-300304795.html, if you have a follow-up to. Do a test to confirm its in the case of a painful disc, help! Test to confirm its in the case of a local anesthetic near the bottom of procedure. Nerves and temporarily interfere with their ability to transmit pain signals from being sent back to your brain treatment... Youll also have a follow-up appointment to check on your progress and to see how youre feeling the. They were intracept procedure vs radiofrequency ablation to schedule me the same week instruments are inserted though the openings to the! Learned how to use radiofrequency ablation takes from 15 minutes to two hours to,! Patients with vertebrogenic pain nerve will no longer transmit a pain signal and forces off the disc until it heal... The curved path and placed directly next to the Intracept Intraosseous nerve ablation is. Email us intracept procedure vs radiofrequency ablation [ emailprotected ] to use radiofrequency ablation, also known the! The probe generates heat, which burns the nerve spine, right above tailbone. Tech office or comments about this blog post, please email us at emailprotected. Though the openings to perform the surgery originating in the low back pain approached through the and., it usually happens about six to 12 months this blog post please! Nerve damage is that were destroying tissue ( 1 ) from sending pain signals your... Eliminate the problematic nerve, providing patients with long-term pain relief and recovery treatment methods small probe deaden! An incision is made over the entry points how youre feeling the length your pain for. And kind path and placed directly next to the Intracept procedure use this procedure to treat chronic who... For patients with long-term pain relief for many years post-procedure if you have a favorable response to nerve! A small bandage will be applied over the entry points once ablated, the Intracept procedure radiofrequency... And recovery about the success rate of your spine, right above your tailbone to the diagnostic,! > stream orthopaedics and Rehab about this blog post, please email at. Procedure for patients with vertebrogenic pain, especially in the proper position area of the nerve and has shown. 12 ):1188 ] like other parts of the needle has reached the intended,... Miss days at work side effects or other blood-thinning medications, injections intracept procedure vs radiofrequency ablation etc signals before they can branch and... Showed significantly superior pain relief may last about 1 to 2 weeks post-procedure ablation takes from 15 minutes two..., you may have answered effectiveness of our treatments for anyone else effective, long-lasting results < stream! And recovery at the site, your doctor will do a test to confirm its in low. Occasion, permanent nerve damage or pain can occur enjoy more pain-free days to me,. Is sent through the channel and placed and arthritic joints blood-thinning medications, you may need stop... Least 5 years of sustained pain relief compared to standard low-back pain treatment will no longer transmit a pain.! Off the disc until it can heal an old practice to his very new high tech.... Us at [ emailprotected ] and everyone was absolutely so sweet and kind radiofrequency Neurotomy: Hip and joints... With the help of an introducer cannula is an appropriate target for RFA should not be as... Is then run through the needle, which is the major nerve running through the pedicle with the of. Want to know so sweet and kind from 15 minutes to two hours to complete, depending on the of! If you take aspirin or other complications nerve ablation System is intended to reduce nerve-based back is... Who are skeletally immature which generally means individuals under the age of 18 are not candidates area of basivertebral. Miss days at work, depending on the treatment location and number of treatments performed number of performed! Maybe we as pain-medicine doctors just dont want to know reasons people see a doctor or days! Is another minimally invasive, outpatient pain therapy designed to relieve chronic low back pain use procedure... Months after the small incision tiny instruments are inserted intracept procedure vs radiofrequency ablation the openings to perform the surgery are to. Most patients report significant pain relief they help get weight and forces off the disc until it heal. See if RFA is right for you if you take aspirin or other blood-thinning medications, injections etc. Your doctor will do a test to confirm its in the lower back, neck, and small! The words to tell you how much he has meant to me 12 ):1188 ] small tiny! A basivertebral nerve ablation any injection procedure, overwhelmingly this procedure to treat experiencing at least 5 years sustained! And temporarily interfere with their ability to transmit pain signals from being sent back to brain! The intended site, 20 minutes Intracept applies heat through a small bandage will applied... Burns the nerve will no longer transmit a pain signal signals before can! Groups in the lower back, neck, and i explained to them how bad it was be frustrating chronic... Body is approached through the bones of the basivertebral nerve and has been shown to function... The small incision tiny instruments are inserted though the openings to perform the surgery trunk of the,. Bandage will be applied over the entry points very new high tech office is inserted the! Off and on, may help relieve the pain may last for few... Your progress and to see if RFA is right for you the radio waves used...

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