The Intracept Procedure
What is the Intracept Procedure?
The Intracept Procedure is a minimally invasive treatment designed to relieve chronic low back pain caused by vertebrogenic pain, which originates from damaged vertebral endplates within the spine. During the procedure, a specialized probe is inserted into the vertebra under fluoroscopic guidance to target and ablate the basivertebral nerve, the nerve responsible for transmitting pain signals from the affected vertebrae. By interrupting these pain signals, the Intracept Procedure can provide long-lasting pain relief and improved function for patients who have not responded to conservative treatments such as physical therapy, medications, or injections. The procedure is typically performed on an outpatient basis and requires minimal recovery time.
Learn More: https://www.intracept.com/the-intracept-procedure.html
- Preparation: The patient is positioned comfortably on the procedure table, typically lying face down, and the treatment area is cleaned and sterilized. Sedation or anesthesia is administered for comfort.
- Imaging Guidance: Using fluoroscopy (real-time X-ray imaging), the physician identifies the targeted vertebrae associated with the patient’s chronic low back pain.
- Small Incision: A small incision is made in the skin to allow access to the vertebra.
- Cannula Placement: A specialized hollow tube (cannula) is guided through the vertebral bone toward the basivertebral nerve inside the vertebral body.
- Probe Insertion: A radiofrequency probe is inserted through the cannula and positioned near the basivertebral nerve.
- Nerve Ablation: Radiofrequency energy is delivered through the probe to heat and ablate the basivertebral nerve, interrupting the pain signals being sent to the brain.
- Completion: The instruments are removed, and the small incision is bandaged. Patients are monitored briefly before being discharged home, typically the same day.
- Long-Lasting Pain Relief: Targets the basivertebral nerve to reduce chronic vertebrogenic low back pain at its source
- Minimally Invasive: Performed through a small incision with minimal disruption to surrounding tissues
- Improved Function and Mobility: Helps patients return to daily activities with less pain and discomfort
- Reduced Dependence on Medications: May decrease the need for opioids or other long-term pain medications
- Outpatient Procedure: Typically performed without the need for an overnight hospital stay
- Minimal Recovery Time: Most patients resume normal activities relatively quickly compared to traditional spine surgery
- Alternative to Surgery: Provides an option for patients who have not responded to conservative treatments but want to avoid major spinal surgery
The Intracept Procedure is specifically designed for patients with chronic low back pain linked to vertebral endplate changes identified on MRI.
- Infection: A small risk of infection at the incision or treatment site
- Bleeding or Bruising: Minor bleeding or bruising may occur around the insertion area
- Temporary Increased Pain: Some patients may experience soreness or a temporary flare-up of back pain after the procedure
- Nerve Irritation or Injury: Rarely, nearby nerves may become irritated or injured during the procedure
- Allergic Reaction: Possible reaction to medications, anesthesia, or contrast dye used during the procedure
- Fracture or Bone Injury: Although uncommon, there is a slight risk of injury to the vertebra during instrument placement
- Incomplete Pain Relief: Some patients may not experience significant improvement in symptoms
Most complications are uncommon, and the procedure is generally considered safe when performed by an experienced spine specialist.
After the Intracept Procedure, patients should follow certain activity restrictions to support healing and reduce the risk of complications:
Avoid Heavy Lifting: Do not lift heavy objects, typically anything over 10–15 pounds, for several days or as directed by your physician.
Limit Bending and Twisting: Avoid excessive bending, twisting, or strenuous spinal movements during the initial recovery period.
Avoid Intense Exercise: Refrain from high-impact activities, vigorous exercise, or sports until cleared by your provider.
Do Not Drive Immediately: Avoid driving for at least 24 hours if sedation or anesthesia was used during the procedure.
Avoid Soaking the Incision Site: Do not use hot tubs, swimming pools, or take baths until the incision site has healed. Showering is usually allowed after a short period.
Limit Prolonged Sitting: Avoid sitting for long periods without breaks, especially during the first few days after the procedure.
Follow Post-Procedure Instructions: Adhere closely to your physician’s recovery guidelines, medications, and follow-up appointments.
Most patients are able to gradually return to normal daily activities within a few days, with continued improvement over the following weeks and months.
