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. UTSouthwestern, one of the nations premier academic medical centers, integrates pioneering biomedical research with exceptional clinical care and education. If youve been suffering from vertebrogenic pain, you may be a good candidate for the Intracept procedure. The Intracept Procedure is also contraindicated in patients who are skeletally immature which generally means individuals under the age of 18 are not candidates. 191 0 obj <> endobj "This procedure has the potential to provide relief to a large group of patients for whom there is no well . The Intracept RF Probe conducts RF energy to the target location. I took my mom, and everyone was absolutely so sweet and kind. physical therapy, injections, oral medications). Patients can see dramatic, lasting improvements from this minimally invasive procedure, with little post-procedure pain and quick recovery time.. Relievant Medsystems, Inc. Corporate Headquarters7201 Metro Blvd #300Edina, MN 55439650-368-1000, Development and Operations 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. 222 0 obj <>stream Well follow up two to four weeks after the procedure to make sure the procedure site has healed and to see how youre feeling. They offer so many different areas of assistance to those with issues from nutrition to spinal surgeryand much more. The expanding role of chronic pain interventions in multimodal perioperative pain management: a narrative review. A radiofrequency probe is inserted and placed at the nerve, which is ablated using a radiofrequency generator. This procedure is specifically for patients with vertebrogenic low back pain which is diagnosed by a physician with clinical history, exam, and MRI. endstream endobj startxref 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. 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. A curved cannula is employed to create a channel to the trunk of the basivertebral nerve. 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 This is called a Charcot joint. Once the needle has reached the intended site, your doctor will do a test to confirm its in the proper position. Intracept, also known as basivertebral nerve ablation, is a procedure for patients with chronic low back pain who have not responded to conservative treatments or who have not had long lasting results. 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. Background: Radiofrequency (RF) denervation, an invasive treatment for chronic low back pain (CLBP), is used most often for pain suspected to arise from facet joints, sacroiliac (SI) joints or discs. You may feel some temporary numbness where the needle entered your skin. or 817-882-2400, 5323 Harry Hines Blvd. The Intracept procedure takes about an hour, and you will be monitored while the sedation wears off. What is radiofrequency ablation? Radiofrequency ablation, also known as radiofrequency neurotomy, is a procedure that uses radio waves to heat up damaged nerve tissue. Unlike other treatment methods, the Intracept procedure uses radiofrequency energy to interrupt nerves from carrying pain signals from damaged discs in the lower back to the brain. Copyright Regenexx 2023. The heat destroys that area of the nerve, stopping it from sending pain signals to your brain. Everything is connected to it. The better comparison for Intracept would probably be Osteocool/thermal RFA of tumor in the body. From there, radiofrequency energy will be delivered and will burn and kill the nerve. The probe uses radiofrequency. 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. However, with all of the new platelet and stem-cell-based options for the spine, it seems like this new RFA disc treatment has arrived very late to the party. After your radiofrequency ablation procedure: Your provider may have also recommended physical therapy to regain strength and flexibility. We also offer a wide range of other treatments to help better manage your pain symptoms so you can get back to living a normal, healthy lifestyle. 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. Youll remain aware so you can answer your providers questions during the procedure. 5 The INTRACEPT . 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. 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. It's minimally invasive and long-lasting, so it's a very helpful option for people experiencing chronic . Short Recovery Time: This is an outpatient procedure where most patients experience a full recovery within 1 to 2 weeks post-procedure. The test consists of inserting a microelectrode through the hollow needle. If you choose the Intracept Procedure, Dr. Fanaee uses a cannula, or a tiny hollow needle, to create a channel to your basivertebral nerve. In clinical studies, patients reported continued pain relief and functional improvement for longer than six years after treatment. 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. Return to regular activities after a day or two of rest. Dr. Rao makes you feel very comfortable at all times. However, as with any injection procedure, there is always a chance of developing side effects or other complications. Not a Treatment for All Back Pain Sufferers: This treatment is not effective at treating all back pain issues. In a few steps, see if you may benefit from the procedure, and connect with an Intracept-trained physician near you. Radiofrequency ablation isnt new in fact its been performed for many years in pain management. 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. 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. The current destroys that area of the nerve, stopping it from sending pain signals to your brain. My colleague, Ankit Patel, M.D., and I are two of a small pool of physicians in the Metroplex who offer the Intracept procedure, and more of our colleagues in the UT Southwestern Spine Center are starting to use the technology. 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!!! After transitioning from a pain and spine doctor in Columbia, MD.. 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. 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. Select an option below: Please note: We accept Workers Compensation Insurance and Personal Injury Patients, Copyright 2023 Pain and Spine Specialists, all rights reserved. Always friendly, courteous, and efficient service. 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. Thats what it means to me to neurosurgeon there are other rhizotomy procedures besides the common facet rhizotomies i supect the distinction is important . Almost no steroid injections were necessary in the year following the ablation. The procedure takes approximately 30-60 minutes to perform. Radiofrequency ablation (RFA) uses heat to destroy tissue. Please always consult with a professional and certified healthcare provider to discuss if a treatment is right for you. The Intracept procedure is a minimally invasive outpatient procedure that can take anywhere from 40 to 80 minutes to complete. Radiofrequency Ablation. This is an outpatient procedure performed under anesthesia. I could treat my patients neck pain once and they would get one to two years of relief. Not to mention, providing patients with long-term pain relief for many years post-procedure. I was helping my mom find a place for her arthritis pain, and I explained to them how bad it was. I can tell you that in my own patient population, I saw these joints get worse over time, but thats just my observation. Rather than ignoring your pain hoping it will go away on its own or modifying your life around your pain, there are various nonsurgical and surgical treatment options available to help better manage your pain symptoms. Radiofrequency ablation is not considered a surgery. Following a small incision, instruments and Xray guidance is used to reach the basivertebral nerve. RFA was a great technology for its time that helped patients in the short run and likely hurt them in the long run. Sacroiliac joints are found near the bottom of your spine, right above your tailbone. Within your spine, nerves branch off from your spinal cord and travel to the facet joints and sacroiliac joints. 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