What is vertebrogenic pain?
Between each vertebra and disc is a thin layer called the endplate. With wear and tear, endplates can be damaged, and the basivertebral nerve inside the vertebral body can begin sending pain signals. People with this type of pain often describe a deep, central low back ache that may be worse with sitting, bending, or physical activity.
Who may be a candidate?
Intracept is generally considered for adults who:
- Have had chronic low back pain for at least six months
- Have tried at least six months of conservative care (such as physical therapy, medications, or chiropractic care) without enough relief
- Have specific changes on MRI at the lower lumbar levels (called Modic type 1 or type 2 changes) that suggest the pain is vertebrogenic
Your provider will review your MRI and history to see whether your pain pattern fits.
What happens during the procedure
- It is performed as an outpatient procedure with anesthesia or sedation.
- Through a small incision, the physician uses X-ray guidance to pass a thin instrument into the vertebral body.
- A radiofrequency probe is positioned near the basivertebral nerve and uses heat to stop the nerve from transmitting pain signals.
- No implant is left in the body. Most people go home the same day.
Recovery
Expect some soreness at the treatment site for a few days. Your provider will give you instructions about activity and when to resume your normal routine. Results vary, and Intracept is not appropriate for every type of back pain.
Insurance
Coverage for Intracept depends on your plan. Our office can help you check coverage before scheduling.
Preparing for a procedure
- Tell us about every medication you take, especially blood thinners (for example warfarin, apixaban, clopidogrel, or daily aspirin). Do not stop a blood thinner on your own — we will coordinate with the doctor who prescribes it.
- Let us know if you have diabetes, an allergy to contrast dye, iodine, latex, or local anesthetics, or if you may be pregnant.
- If you will receive sedation, plan on having an adult drive you home.
- Call us if you develop a fever or infection before your procedure date.
Risks
All procedures carry some risk. Depending on the treatment, possible risks can include soreness or bruising where the needle was placed, bleeding, infection, a temporary rise in pain, allergic reaction to a medication, and, rarely, nerve injury. If a steroid is used, some people notice short-term flushing, trouble sleeping, or higher blood sugar. Your provider will go over the specific risks, benefits, and alternatives for your situation before you decide.
Exercises you can do at home
Staying active is an important part of most pain treatment plans. See our low back (lumbar) exercises for gentle stretches and strengthening options in lying, seated, and standing positions. Please ask your provider before starting, especially after a procedure.
This page is for general education and is not a substitute for an evaluation by a medical professional. Results vary, and no treatment works for everyone. Your provider will discuss whether this option is appropriate for you, along with its benefits, risks, and alternatives. Insurance coverage varies by plan — please call to verify.