Vertebrogenic Pain

& Intracept Procedure

What is Vertebrogenic Pain?

Vertebrogenic low back pain is a chronic condition that occurs when the vertebral endplates in the spine are damaged. These endplates are the layers of bone and cartilage at the top and bottom of each vertebra and act as the interface between the vertebra and the disc. Vertebrogenic low back pain is often caused by wear and tear over time but can also be associated with disc degeneration. When associated with a degenerative disc, it may be accompanied by tingling, numbness, and weakness. Treatments for vertebrogenic low back pain include medications, physical therapy, and basivertebral nerve ablation. Dr Weisbein will also treat patients using the ntracept® procedure.

Some symptoms of vertebrogenic low back pain include:

  • A deep, aching, or burning pain

  • Pain that worsens when bending forward, sitting for long periods, or when physically active

  • Pain that flares up, but you may feel fine for several days at a time 

  • Pain refractory to other interventions like RFA, Epidurals, SI joint injections

How does Intracept® work?

The Intracept procedure — also called basivertebral nerve ablation — is a minimally invasive treatment for people with certain types of chronic low back pain. Providers often recommend it when other treatments like medication, injections, and physical therapy don’t work.

What happens during Intracept®?

You will lie face down on an exam table. They’ll give you general anesthesia to make sure you’re comfortable before beginning the procedure. Then, your healthcare provider will:

  1. Create a small incision in your back.

  2. Use fluoroscopy to guide a thin, hollow tube (cannula) through the incision and into your vertebra.

  3. Use tiny instruments to create a channel where the basivertebral nerve enters your vertebrae.

  4. Insert a small radiofrequency probe through the channel and directly into the trunk of your basivertebral nerve.

  5. Use radiofrequency heat to ablate (damage) the basivertebral nerve.

  6. Remove the instruments and close your incision with sutures.

The Intracept procedure is an outpatient procedure that usually takes between 60 and 90 minutes to complete. Once your sedation wears off, you should be able to go home.

What happens after an Intracept® procedure?

Our office will let you know about any restrictions following your Intracept procedure. In general, it’s a good idea to rest as much as possible and avoid exercise for about 48 hours.

Typical Intracept procedure side effects include slight soreness around your incision for a few days. Some people may develop bruising and minor swelling, as well. You can usually manage these side effects with over-the-counter (OTC) pain relievers like acetaminophen (Tylenol®) or ibuprofen (Advil®). Your healthcare provider will also give you a detailed list of post-treatment instructions.

After Intracept®, you will go home the same day. Your incision site might be sore for a few days while it heals. We typically recommend you avoid vigorous activity for about two to four weeks.

As recommended by Dr. Weisbein, attend routine follow-up appointments.

Don’t live with chronic pain or give up if conservative options haven’t worked for you. Call (707) 254-7117 to schedule an appoinment with Dr. Weisbein for an expert diagnosis and customized care.