Intracept Basivertebral Nerve Ablation
About Basivertebral Nerve Ablation
Basivertebral Nerve Ablation (intraosseous basivertebral nerve ablation) is a minimally invasive procedure that is indicated for Vertebrogenic Pain. This is a safe and effective treatment method that allows you to most accurately relieve chronic low back pain and avoid Spine Surgery. Basivertebral Nerve Ablation for Chronic Discogenic Back Pain is often performed. The Sinuvertebral Nerve Treatment procedure has no age restrictions and is highly effective.
Doctors at NJ Medical Center reported that they can use Basivertebral Nerve Ablation (BNA) to treat patients with vertebrogenic chronic lumbodynia and for the treatment of chronic Lumbar Degenerative Disease, among other treatment options.
Nerve Ablation
Efficiency of intracept procedure for damage to vertebral endplates. Doctors' reports
Depending on your condition and your symptoms of back pain, Intracept basivertacle ablation may be effective in reducing the vertebrogenic low back pain. BI-vertebral nerve ablation can reduce back pain caused due to vertebral endplate nerve disease. Patients with low back problems often cannot get relief from other conservative treatment like medicine or physical therapy. The new pain minimization treatment for spinal nerve has demonstrated high patient well-being.
A majority of patients reported 75% to 100% pain reduction at five years after the Basivertebral Nerve Ablation intracept procedure.
The cumulative data among multiple studies on Basivertebral Nerve Ablation intracept procedure demonstrated consistent, reproducible, clinically meaningful, and statistically significant improvement in reducing pain, opioid utilization reduction and improving function in patients with diagnostic evidence of vertebral pain.
Evidence for Basivertebral nerve Ablation for sinuvertebral nerve treatment
Basivertebral nerve ablation (BVNA) can be performed to treat chronic lower back pain resulting from a vertebral-endocrine-mediated disease that is phenotypically identified through vertebral End Plate Damage (vertebral body endplate low), often called Modic Change.
The radiofrequency ablation method is based on a minimally invasive treatment intracept procedure that eliminates a common source of vertebrogenic pain arising from damaged human lumbar vertebra (vertebral endplate damage).
Deep within the spine, the basivertebral nerve transmits pain sensations from the vertebral endplates, vertebral body marrow, and disc cartilage.
Pain originating from the structures within the vertebrae, like the endplates, marrow, and disc cartilage, is carried by the basivertebral nerve.
Introduction: background and Pathophysiology of Vertebrogenic Pain
Degenerative disc disease (DD) is a major cause of vertebrogenic back pain in some patients. The advent of histologic, immunological and radiologic evidence has elucidated an underlying mechanism underlying the vertebral endplates that cause vertebrogeneous pain. Endplates serve a salient function by dispersion of adjacent intradiscal pressures to minimize intervertebral discs bulging.
It is important to consider that the Basivertebral Nerve, which runs between the vertebrae, plays a key role in the formation of Chronic Low Back Pain. Scientists have found that heating the Basivertebral Nerve using radiofrequency can reduce its sensitivity and prevent the transmission of pain signals to the brain. To date, this intracept procedure is the most effective Pain Medicine method for Intervertebral Discogenic Pain.
Intracept technology. Promising results in a series of Pain Med clinical trials
Intracept technology received approval in 2016 and has since proven its clinical efficacy in the treatment of chronic inflammation in the posterior vertebral body wall. In clinical trials involving 48 patients, 69% of them reported a 50% reduction in pain, and 38% of patient reported outcomes complete patient satisfaction one year after the intracept procedure.
The fact is that the basivertebral nerve differs from other nerves in that it does not show the ability to restore its ability to transmit the vertebral signal, which explains the low relapse rate. At the NJ Medical Center, patients have already begun to be treated using the new technology.
Is Intracept procedure the same as other nerve ablation treatment intervention? While the Intracept radiofrequency energy targets a nerve in the vertebral body and uses radiofrequency energy, or heat, to basivertebral nerve ablation, the Intracept Procedure targets the basivertebral nerve within the vertebral body and ablates the basivertebral nerve for the relief of chronic low back pain.
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Intracept procedure vs. Spine Surgery. When it's possible?
Basivertebral nerve ablation (BVNA) can be performed to treat chronic lower back pain resulting from a vertebral-endocrine-mediated disease that is phenotypically identified through vertebral End Plate Damage (vertebral body endplate low), often called Modic Change.
The radiofrequency ablation method is based on a minimally invasive treatment intracept procedure that eliminates a common source of vertebrogenic pain arising from damaged human lumbar vertebra (vertebral endplate damage).
Deep within the spine, the basivertebral nerve transmits pain sensations from the vertebral endplates, vertebral body marrow, and disc cartilage.
Pain originating from the structures within the vertebrae, like the endplates, marrow, and disc cartilage, is carried by the basivertebral nerve.
Radiofrequency energy in eur spine pain management: features of the procedure
In order to dispel unnecessary fears, below we consider the features of the intracept procedure, find out patient reported outcomes and talk about the consequences.
Radiofrequency intraosseous basivertebral nerve ablation is performed in two modes: continuous and pulsed.
In the first case, heat flows through the electrical conductor to the basivertebral nerve and cauterizes the fibers (exposure area 0.7 cm). The duration of current supply is no more than 1–1.5 minutes. (heating is carried out to 70–90 °C).
Pulse basivertebral nerve ablation is used to treat basivertebral nerve (a cause of vertebrogenic pain). It is carried out using alternating current. During RFA of the vertebral body, the neurosurgeon alternates the effects of current (20 ms) and pause (480 ms). The exposure temperature does not exceed 42 °C.
The duration of the intracept procedure. The result after the procedure
The entire basivertebral nerve ablation intracept procedure takes about an hour.
As a result, the transmission of the vertebral endplate signal to the intervertebral discs, the spinal cord and further to the brain (that is, the pain generator) is interrupted, providing spine and pain management.
Procedural eur spine j Technique. What is important to know about the technique of the basivertebral nerve ablation procedure
Head trauma can have lasting impacts on both physical and mental well-being.
Headache symptoms vary from common tension-type headaches to more intense cluster headaches.
Blood vessels and the central nervous system trigger headaches and neurological symptoms.
Pain signals from head injury act like unseen reminders of the past. Mixing with frequent headaches, they create a language requiring attention and care.
Anatomy and Physiology
Basivertebral nerve is one of the most common causes of chronic low back pain. However, basivertebral nerve ablation is a relatively new technology for the treatment of chronic pain and chronic low spine problems.
Before the invention of this intracept procedure, other pain management methods were used to treat vertebrogenic low back pain: surgical intervention, physical therapy and other conservative treatment techniques.
Fortunately, modern pain management has more effective and safe minimally invasive methods. The use of radiofrequency energy for the treatment of chronic spine complications gave the following advantages:
no bleeding risk;
prevention of metastatic disease;
pain reduction measured even in patients with vertebral compression fracture.
The psychological state of the patient also has a significant impact on spine j chronic low back pain. Our clinical findings showed that the intracept procedure is perceived by patients with chronic lower back pain much better than conservative care.
According to outcomes, minimally invasive requires minimal reg anesth pain med, and pain management is achieved much faster.
Algorithmic
Algorithmic Approach to Vertebrogenic Pain with BVN Ablation intracept procedure
The diagnosis of vertebrogenic chronic lower back pain has to be determined mainly by history and physical exams of the disc degeneration. Because pain is multidimensional, it is critical that the patient is identified by algorithms using a variety of different pain med treatments. Most treatment failures are caused by poor treatment choices rather than conservative care or physical therapy itself. The underlying etiology is largely caused by a posterior, mid or posterior column.
Based on research from the NJ Medical Center and on the algorithmic diagnosis of each patient, it is possible to draw conclusions about the promising effectiveness of intracept procedure in each specific case.
In particular, a multicenter study of 225 patients with chronic axial low back pain showed sustained clinical benefits on both the Oswestry Disability Index (ODI) and the Visual Analog Scale (VAS).
Indications and contraindications for the procedure for patients with chronic low back pain
Indications for Intracept Procedure:
- facet syndrome
- occipital neuralgia
- dizziness, headaches
- lack of effect of drug treatment.
Contraceptions for Intracept Procedure:
- diseases of the heart and circulatory system
- a spinal infection
- infectious pathologies in acute form
- spinal cord injury
- evere form of anemia
- severe osteoporosis
- severe cardiac or pulmonary compromise
- the presence of an implantable pulse generator or other electronic implant
- skeletal immaturity
- pregnancy
Stages of the Intracept Procedure
stage 1: prepare
comprehensive medical examination;
consultation with a specialist and setting a date for the procedure;
general tests;
general recommendations of a specialist (depending on the patient’s condition and the progress of his treatment).
stage 2: the procedure
The patient assumes a horizontal position on his stomach. He is given local anesthesia.
A special needle is inserted into the projection of a nerve root (or several). All manipulations are performed using X-ray navigation.
The affected area is burned out (at a temperature of 80 ͦC) and the needle is withdrawn.
The puncture site is covered with a sterile bandage.
stage 3: recovery
The patient is transferred to the ward, and after 2-3 hours he can return home.
It is recommended to refrain from bending and climbing stairs (in the first 2 days after ablation);
The procedure removes symptoms, and exercise therapy, massages and other rehabilitation measures are indicated to eliminate the root cause.
Follow-up visit to a specialist in 1-2 weeks; restriction of physical activity and heavy work for several months after the procedure.
Nerve Ablation
Technique or Treatment
BVN ablations are performed at an outpatient facility under medical guidance of a qualified physician or surgical technician. It has technical similarities with vertebral endplates augmentation since it uses a transpedicular approach although a extrapedicular approach has been described, but also with lumbar radiofrequency ablation. Initially it involves placing the patient in a prone position under general anesthetic with continuous cardiac and oximetry pulses and blood pressure monitoring.
The probe is connected to a radiofrequency generator, and radiofrequency energy is used to create approximately a 1 cm spherical lesion (85 degrees C for 15 minutes) at the BVN terminus.
Upon completion, the radiofrequency probe and the introducer cannula are removed, and the subcutaneous tissue and skin are closed in a standard sterile fashion with a pressure dressing and skin glue or steri-strips. Sutures or staples are usually not necessary.
Patients are transferred to a post-anesthesia care unit (PACU) for monitoring.
The Overlooked Cause of Chronic Low Back Pain
Chronic pain is often mistaken for degenerative disc disease and it causes a recurrent headache. Your pain is a result of vertebral disc disease. Continue reading.
Key Benefits of Basivertebral Nerve Ablation: Summary
It is carried out under constant monitoring of an X-ray machine.
Does not require a long hospital stay.
Relieves pain instantly.
An effective and safe alternative to surgery.
Conclusion
Using clear criteria for selecting patients, it can be argued that this method is effective in the treatment of chronic low back pain syndrome associated with Modic I, II type changes according to MRI. Long-term (up to 12 months or more) remission of pain syndrome can be achieved.
Frequently Asked Questions
When is surgical intervention in vertebral endplates necessary?
Depending on the cause, there are two types of chronic pain that require surgery:
chronic pain associated with a herniated disc, spinal canal stenosis, spondylolisthesis, as well as fractures and various spinal injuries involving a nerve;
chronic pain caused by degenerative diseases of the intervertebral discs, which are associated with the natural processes of wear and tear of the discs with age.
How is Intracept basivertebral nerve ablation done?
Intravacept basivertebral nerve ablation is minimally invasive treatment and relatively simple spine surgery without implants (interventional spine procedures).
Basivertebral nerve ablation is performed after a deep physical exam, under ultrasound supervision, without an incision, using a needle and curved cannula assembly.
The basivertebral nerve radiofrequency ablation technique involves inserting a small radiofrequency probe into the affected basivertebral nerve bvn of the patient under anesth pain med and using radiofrequency abscission to heat the basivertebral nerve.
Spine surg procedures are performed by positioning the radiofrequency probe on a spinal nerve and using radio frequency to re-energize the nerve ends. The power reaches only a tiny part of brain nerves transferring signals of pain into the brain.
This prevents the transmission of the vertebral endplate signal to the intervertebral discs, spinal cord and further to the brain (i.e. pain generator), providing pain management.
How do I know if Intracept is the right treatment for my low back pain?
To make a decision about treating your treatment of chronic lumbar degenerative disease with basivertebral nerve ablation (intracept procedure), you must know all the features of this intracept procedure. You can also compare the pros and cons of int j spine surg, as well as the possible consequences of degenerative disc disease and vertebrogenic back pain. In this case, you will be confident that your choice is correct.
Also be sure to neurosurgically perform such procedures from a hospital or outpatient surgery center. Only professional pain management will provide you with confident pain contraction with full clinical competence.
To be as confident as possible, ask for information about treatment options and also inquire about the results of clinical trials. Ideally, you will be provided with patient satisfaction data from your clinic.
How can I find out if I am a candidate for Intracept?
We currently provide evaluations for the Intracept procedure for patients. We can even take MRI results for you by telephone for your medical condition.
Please make the appointment by email or phone so the scheduler will contact you within 3 days. Contact us now for a free evaluation. A patient is normally able to have an assessment in a few hours, and teleconsulting is often sooner for the evaluation.
What are the benefits of Intracept?
Basivertebral nerves are unique because they are not regenerated like other nerves. Since it cannot grow back and transmit pain signals again, the Intracept procedure will not be repeated. The company said the pain was reduced 75% – 95% after the intraceptive procedure. In fact a study done using Intracept revealed that basivertebral nerves are at risk of leg pain. Rarely do severe injuries to the nerves occur.
What other pain relief procedures are available to treat lower back pain?
When you suffer from chronic lower back pain and are unable to recover through treatment or exercise, you can try other methods to relieve the symptoms. Neurosurgeon One also provides other pain-reducing treatments that relieve lower back pain such as epidural spinal injections and radiofrequency ablation.
What is the Oswestry Disability Index (ODI) and why is it important during intracept procedures?
Patients with vertebrogenic pain due to disc degeneration should be aware of the so-called Disability Index.
This is a special Questionnaire for assessing the severity of back pain eur spine j, developed in Oswestry, UK.
Patients answer the questionnaire on their own, based on their pain signals. The questionnaire contains 10 topics regarding the intensity of vertebrogenic pain, ability to lift heavy objects, ability to care for oneself, ability to walk, ability to sit, sexual function, ability to stand, social life, quality of sleep and ability to travel.
Each question is rated on a scale from 0 to 5, from least to most severe vertebrogenic pain. Zero means no disability, and 100 means the maximum possible disability depending on how much is pain reported.
0%–20%: minimal disability
21%–40%: moderate disability
41%-60%: severe disability
61%-80%: severe back pain
81%-100%: These patients are either bedridden or have exaggerated vertebrogenic pain.
This study is one of the criteria for deciding whether to undergo spinal surgery or a minimally invasive intracept procedure.
