Intracept® Procedure (Relievant)

Treating Chronic Low Back Pain with the Intracept® Procedure

The Intracept procedure is an ultra-minimally invasive outpatient procedure developed to help patients with chronic low back pain due to vertebrogenic pain. This procedure targets the basivertebral nerve located within the vertebral body, which, once ablated, has been shown to provide long-term pain relief and improve physical function. 

The procedure is performed through less than a ¼-inch incision preserving low back muscles. The procedure also has a very short recovery and fast return to work and physical activity. This procedure has more rapid recovery times than minimally invasive spine surgeries.

Chronic Low Back Pain Versus Vertebrogenic Pain: What is the Difference?

  • Chronic low back pain – persists for twelve weeks or longer after an initial injury or the underlying cause of acute low back pain has been treated. Twenty percent of people suffering from acute low back pain will develop chronic low back pain with symptoms persisting for one year. Chronic low back pain can be caused by several different pain generators located in the lumbar spine. 
  • Vertebrogenic pain is a specific type of chronic low back pain caused by degenerative changes in the vertebral endplates, where the disc meets the vertebral body. The pain generator causing vertebrogenic pain is the basivertebral nerve. The wear and tear of everyday life can lead to degenerative disc changes, causing stress and damage to the endplates leading to inflammation and vertebrogenic pain. 

Chronic low back pain usually stems from degenerative changes in the facet joints, vertebral bodies, or spinal discs. In addition, the pain can be caused by:

Muscle, tendons, ligaments, vertebral body, and spinal discs

Wear and tear to the intervertebral disc, spondylosis, arthritis, and inflammatory disease.

Nerve compression, inflammation, and injuries caused by one or more conditions, such as spinal stenosis, sciatica, and infections, to name a few.

How is Vertebrogenic Pain Diagnosed?

Each surgeon has an algorithm they follow when seeking a diagnosis for chronic low back pain. Before moving to interventional surgical treatment, patients must be experiencing chronic low back pain for six months and have failed conservative care efforts for six months. To confirm that a patient has vertebrogenic pain, physicians use an MRI image to look for specific changes that occur with endplate degeneration and inflammation, called Modic Type 1 or 2 changes.  

Spinal bone spurs

How is the Intracept® Procedure Performed?

Intracept is an ultra-minimally invasive outpatient procedure that treats vertebrogenic pain. The procedure targets a nerve inside the vertebral body called the basivertebral nerve (BVN).

Here is how the procedure is performed:

Through a less than ¼ inch incision, an Intercept Introducer Cannula is guided under fluoroscopic X-ray through the pedicle of the targeted vertebral body.

The Intercept Curved Cannula Assembly is inserted to create a pathway to the trunk of the basivertebral nerve.

The Intercept RF Probe is inserted into the channel at the trunk of the basivertebral nerve.

The Intracept® RF Generator delivers radiofrequency energy that ablates the basivertebral nerve.

What are the Advantages of the Intracept® Procedure?

Intracept is the only procedure that treats vertebrogenic low back pain. There are many advantages of the procedure over more invasive spine surgery.

  • Ultra-minimally Invasive
  • Implant-free
  • Long-term pain relief
  • Brief recovery/outpatient procedure
  • Proven safety profile
  • Preserves low back muscles
Dr Abrams explaining spine x-ray Dr. Abrams laughing

Contact DISC to see if you’re a candidate for the Intracept® procedure.

Patients with chronic low back pain that have not responded to at least 6 months of conservative care and an MRI that shows changes at L3 through S1 should make an appointment with DISC spine surgeons to determine if this is the best procedure for your care. For more information or to schedule an appointment, contact us today.

ENJOY LIFE AGAIN!

Our spine health blog features up-to-date spine education and expert spine tips from our spine specialists here at DISC.

6 Exercises to Improve Your Posture
November 13, 2023

6 Exercises to Improve Your Posture

Kinesics is the expression of your body language. It’s the shrug of your shoulders, the quick wink to a friend, the unconscious puzzlement of your eyebrows when you can’t quite place a face. Your body evolves as you take on characteristics that define who you are. Your work and exercise routine will also have an […]

All About C5 and C6 Treatments
November 8, 2023

All About C5 and C6 Treatments

Each vertebra plays a role in supporting the body’s structure and facilitating movement. In this article, we will look at the cervical vertebrae, which comprise the upper portion of the spine. Specifically, the fifth (C5) and sixth (C6) vertebrae, as they hold special significance.  C5, the fifth cervical vertebra, finds its position just below C4 […]

treatment options for annular tears
November 7, 2023

Treatment Options for Annular Tears

An annular tear is a discogenic condition that impacts the spine, causing lower back pain. Natural wear and tear, sports injuries, improper lifting and repetitive motions are the most common causes of annular tears, as the injury results from the fibers that make up the intervertebral disc breaking or separating.  While these tears can occur […]

What Is Foraminal Disc Protrusion?
November 3, 2023

What Is Foraminal Disc Protrusion?

Foraminal disc protrusion, which is one way that contributes to foraminal stenosis, is a spinal condition that occurs when a disc in the spine extends beyond its normal boundaries and presses on the nerve roots within the foraminal canal. This canal is a passageway through which nerve roots exit the spinal cord and travel to […]

Everything You Need To Know About Restless Leg Syndrome
October 18, 2023

Everything You Need To Know About Restless Leg Syndrome

Do you ever have trouble sleeping because your legs and feet feel itchy, tingly or cramped? You may be experiencing restless legs syndrome (RLS), a condition that affects up to 10% of people in the United States. RLS usually happens at night or when a person has to sit still for a long time.  Depending on its […]

tiny cameras are now taking center stage in spinal surgery
September 18, 2023

How Tiny Cameras are Now Taking Center Stage in Spinal Surgery

Dealing with back pain caused by disc degeneration and herniation has long been a challenge. For years, surgeons have been using various techniques to address these issues, with the operating microscope being a crucial tool. However, a game-changing evolution is happening in spinal surgery thanks to a device that’s been around for a while — […]

M6-C Artificial Cervical DISC Two-Level IDE Clinical Study
September 15, 2023

M6™-C Artificial Cervical Disc Two-Level IDE Clinical Study

A Guide to Awake Spine Surgery
September 7, 2023

A Guide to Awake Spine Surgery

Having surgery while awake can sound a little odd, but in the field of spine surgery, it’s been happening for a few decades now. This unique method of surgery offers some exceptional benefits, helping people enjoy less recovery time and supporting surgeons in more accurate, safer procedures. Let’s explore awake spine surgery and how to […]

Myelopathy: Causes, Diagnosis and Treatment
August 19, 2023

Myelopathy: Causes, Diagnosis and Treatment

Spinal injuries can wreak havoc on your life, impacting your organs, motor functions or senses. They must be handled with prompt medical attention to prevent lasting damage. Speak with your doctor if you notice any peculiar symptoms, such as those caused by myelopathy. Myelopathy is a common spinal cord condition that can limit a person’s […]

March 6, 2023

DISC Surgeons Named 2023 Top Docs

Congratulations to DISC’s surgeons, Christopher Yeung, Justin Field, and Nima Salari, for being chosen as Phoenix Magazine’s TOP DOCTOR in 2023.

January 16, 2023

Join Dr. Nima Salari at Amplify Surgical’s 2nd Annual Endoscopic Spine Symposium

Register today for Amplify Surgical’s 2nd Annual Endoscopic Spine Symposium, featuring dualPortal™ and dualX® System on March 4, 2023. 

December 22, 2022

Dr. Chris Yeung Featured on AZ Physicians

Congratulations to Dr. Yeung for being featured on the front cover of Maricopa County Medical Society’s “Arizona Physician” Winter 2022 magazine!

September 2, 2022

Spine Care for Baseball Players Podcast with Dr. Chris Yeung

Dr. Chris Yeung was interviewed by Arizona Physician Magazine – a publication that provides information for physicians across Arizona.

April 11, 2022

DISC Surgeons take Phoenix – Top Doc Award in 2022

Dr. Salari received the most votes in the Orthopedic Surgery of the Spine category. Dr. Yeung received the award for the 10th consecutive year.

January 7, 2022

Dr. Chris Yeung Panelist at UCI Health Webinar

DISC surgeon Dr. Chris Yeung participates as a panelist in UCI Health Comprehensive Spine Center Webinar Series on January 14th, 2022.

November 22, 2021

DISC surgeons participate in M.O.R.E. Spine Learning Center

DISC surgeons Dr. Salari and Dr. Wang participated as instructors in a recent M.O.R.E. Education Spine Program in Phoenix, Arizona on November 19-20, 2021. The M.O.R.E. Spine Learning Center offers surgeons the opportunity to attend cadaver labs, meet experienced surgeons and discuss the clinical, technical and economic aspects of new spine treatment technologies.

September 22, 2021

Join Dr. Chris Yeung at an Endoscopic Workshop at NASS

Begin or advance your Endoscopic skills at NASS on September 29th, 2021. Elliquence is dedicated to ensuring the best education for doctors and physicians on the Endoscopic Spine and MIS procedures using didactic and cadaveric hands-on instruction.

Spine Surgeon Spotlight - Dr. Nima Salari
September 14, 2021

Dr. Nima Salari Listed On Becker’s “50 Spine Surgeons To Know”

We are proud to announce that Dr. Nima Salari has been named to Becker’s Spine Review “50 Spine Surgeons To Know.” Written by Carly Behm | August 26th, 2021 Nima Salari, MD. Desert Institute for Spine Care (Phoenix). Dr. Salari was reportedly the first spine surgeon to implant Amplify Surgical’s 12-degree hyperlordotic DualX interbody cage. His specialties include pathologic conditions of the spine and minimally invasive surgery.