Let’s Get to It: What the Intracept Procedure Involves
The Intracept Procedure is a minimally invasive, outpatient procedure for patients with vertebrogenic pain. 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. The procedure is implant-free, preserving future treatment options for other spine conditions.
What is Vertebrogenic Pain?
Vertebrogenic pain is a distinct type of chronic low back pain caused by damage to vertebral endplates, the tissue that covers the top and the bottom of each vertebral body and separates it from the disc. Disc degeneration, and the wear and tear that occurs with everyday living, produces stresses on the endplates that damage them, leading to inflammation and vertebrogenic pain. The basivertebral nerve (BVN), found within the vertebrae, carries pain signals from the inflamed endplates to the brain.
Normal Disc
Degeneration
Endplate Damage
Inflammation
How Do Patients Describe Vertebrogenic Pain?
The disc and endplate are both part of the anterior spinal column and produce similar low back pain symptoms. However, endplate pain is associated with distinctive changes on routine MRI called Modic changes. Patients who find relief from the Intracept Procedure often describe pain in the middle of their low back that is made worse by physical activity, prolonged sitting, and bending forward or with bending and lifting.
How is Vertebrogenic Pain Treated?
The basivertebral nerve (BVN) enters the bone at the back of the vertebral body (the bones in your spine) and “branches” to the endplates (that are located at the top and the bottom of each vertebral body). When endplates are damaged, these nerve endings increase in number and “pick up” pain signals that are then sent to the brain through the BVN. The Intracept® Procedure relieves vertebrogenic pain by heating the basivertebral nerve (BVN) with a radiofrequency probe to stop it from sending pain signals to the brain.
How Does the Intracept® Procedure Work?
The Intracept Procedure is a minimally invasive, implant free procedure that preserves the overall structure of the spine. The Intracept Procedure is a same-day, outpatient procedure. Patients are under anesthesia, and the procedure generally lasts an hour. The procedure is FDA-cleared and is proven in multiple studies to be safe, effective, and durable.
STEP 1
Access the Pedicle
Under fluoroscopic guidance, the Intracept® Introducer Cannula Assembly is advanced through the pedicle.
STEP 2
Create the Channel
The Intracept® Curved Cannula Assembly is used to create a channel to the trunk of the basivertebral nerve.
STEP 3
Place the RF Probe
The Intracept® RF Probe is inserted into the curved path and placed at the trunk of the basivertebral nerve.
STEP 4
Ablate the BVN
The Intracept® RF Generator is used to deliver radiofrequency energy that ablates the basivertebral nerve.