Intradiscal electrothermal therapy idet a minimally invasive procedure for patients with chronic lower back pain who have not responded to more conservative treatments, and whose pain is thought to be caused by nerve fibers that have grown from their normal location in the outer layers of a spinal disc to inside the disc. Intradiscal electrothermo therapy association of surgical. In vivo measurement of peak posterior annular and nuclear temperatures obtained during intradiscal electrothermal therapy idet in sheep. This is a minimally invasive procedure that uses controlled levels of thermal energy heat to treat damaged spinal discs the cushions between vertebrae. Intradiscal electrothermal therapy idet offered in las. A common technique with this approach is termed intradiscal electrothermal annuloplasty or intradiscal electrothermal therapy idet. This study was to evaluate the outcome of intradiscal electrothermal therapy idet and microendoscopic discectomy medinterbody. The procedure has gained widespread acceptance in the medical community as a great alternative procedure to traditional spinal surgery for the correction of contained disc herniations. Metaanalysis of the efficacy and safety of intradiscal electrothermal therapy idet. As one ages, these discs may develop cracks or breaks in the outer disc wall. Nevada advanced pain intradiscal electrothermal therapy. Electrothermal therapy is considered not medically necessary as a treatment of ligamentous laxity, ligament injury, or joint instability, including, but not limited to the shoulder, hip, knee, ankle, elbow and wrist.
It is very important to mention at the start that idet is not intended to cure every type of back pain. If youve been suffering with back pain in new york and want to know what your options are, new york pain care can help. Intradiscal electrothermal therapy idet is a minimally invasive treatment option for patients with symptomatic internal disc disruption unresponsive to conservative medical care. If your pain is chronic and difficult to treat, your doctor may consider a spinal treatment called intradiscal electrothermal therapy, or idet. Intradiscal electrothermal therapy idet is a treatment for discogenic low back pain the efficacy of which has not been rigorously tested.
To compare the efficacy of idet with that of a placebo. Intradiscal electrothermal therapy idet is a minimally invasive treatment for chronic low back pain caused by a spinal disc problem. Nucleoplasty with or without intradiscal electrothermal. Intradiscal electrothermal therapy idet nevada pain. These services may or may not be covered by all medica plans. Spinal discs function as cushions between the vertebrae in the spine.
Intradiscal electrothermal therapy has become a diverse category of invasive techniques, with many different procedural options now available. Management of discogenic lumbar pain with intradiscal. The idet procedure is usually performed on an outpatient basis. Answer intervertebral discs act as cushions between the vertebrae of your spine.
Intradiscal electrothermal therapy idet is a minimally invasive procedure performed on patients who suffer from a chronic history of discogenic back pain. Idet intradiscal electrothermal therapy acronymfinder. Intradiscal electrothermal therapy idet institute for. Management of discogenic low back pain with intradiscal. Intradiscal electrothermal therapy johns hopkins medicine.
Cervical spine idet is a popular surgical procedure that is used to treat contained herniated intervertebral spacers in the neck. One of the innovative techniques we use to treat persistent low back pain is called intradiscal electrothermal therapy idet. Intradiscal electrothermal therapy idet the topics and content presented in the animations were provided by an independent source and were not created. The tip of the catheter is positioned inside the bulging. Intradiscal electrothermal therapy idet for lower back pain. This type of persistent disc pain is thought to be caused by nerve fibers that have grown from their normal location in the outer layers of the disc, reaching into the.
Intradiscal electrothermal therapy idet idet is a recent technology that is gaining widespread acceptance for treating low back pain that is disc related. Rather than expensive and invasive spinal surgery, idet is a nonsurgical treatment that involves inserting a thin wire into the affected disk and heating it. It is performed on patients who suffer from chronic discogenic back pain. Intradiscal electrothermal therapy idet mhni migraine. Intradiskal electrothermal therapy idet is a novel, minimally invasive procedure designed to relieve back pain caused by degeneration to the discs in the lower back. Kaiser foundation health plan of washington and kaiser foundation health plan of washington options, inc. Intradiscal electrothermal therapy in the treatment of chronic low. Coverage issues guidelines and medical technology assessment recommendations are developed to determine coverage for avmed s benefits, and are published to provide a better understanding of the basis upon which coverage decisions are made. Specific selection criteria have been refined that identify patients for treatment with idet, ensuring maximal clinical benefit and appropriate use of healthcare resources. Freeman bj1, fraser rd, cain cm, hall dj, chapple dc. It is the policy of health net of california that intradiscal electrothermal therapy, percutaneous intradiscal radiofrequency thermocoagulation, and intervertebral disc biacuplasty are considered investigational for the treatment of back pain.
Intradiscal electrothermal therapy idet is a minimally invasive outpatient procedure used to treat patients with chronic low back pain that is caused by tears or small herniations of the lumbar discs. Analysis of the efficacy and safety of intradiscal. Intradiscal electrothermal therapy idet for low back. With the help of xray, a small thermal catheter is carefully guided to the disc that is producing the pain. After several trials on cadaveric and animal models, the authors concluded that the whole nucleus pulposus was reduced by 7 percent and the focal point of contact between the disc and electrode was reduced by 20 percent. Intradiscal electrothermal therapy idet for lower back pain march 2001 introduction approximately 90 percent of americans will develop lower back pain at some point in their lives. Intradiscal electrothermal therapy the spine institute. Intradiscal electrothermal therapy, also known as idet, is a minimally invasive surgical option for the treatment of symptomatic herniated discs. Electrothermal therapies and radiofrequency thermocoagulation have been proposed as minimally invasive treatment of back pain in individuals who have failed.
This type of persistent disc pain is thought to be caused by nerve fibres that have grown from their normal location in the outer layers of the disc, reaching into the disc interior. Idet involves passing a wire into a damaged painful disk and placing it against the injured portion of the disk wall. You may have pain that is difficult to manage, even if youve been diligent about making lifestyle changes, attending therapy appointments and trying various treatments that your doctor recommends. With age, or due to injury, cracks or fissures may cause fissures to develop in the wall of the intervertebral disc. Idet intradiscal electrothermal therapy virginia pain. Electrothermal therapy for joint instability is considered not medically necessary policy. The wire is then electrically heated to seal and toughen the tissue and relieve pain. Therapy a novel approach to lumbar disc degeneration and herniation. The debate surrounding idet ranges from the concept of the procedure, the technique and patient selection, to its effectiveness. Discs are tiny cushions between each vertebra in the spine.
Idet procedure performed on a bulging lumbar disc to help reduce compression on spinal nerves. Intradiscal electrothermal therapy treatment for back pain. Filled with small nerve endings and blood vessels, these fissures are a chronic source of pain in many. Evaluate the effectiveness of intradiscal electrothermal therapy in treating discogenic low back pain. Intradiscal electrothermal therapy idet for the treatment of chronic, discogenic low back pain the canadian coordinating office for health technology assessment ccohta is a nonprofit organization funded by the federal, provincial and territorial governments. Using live xray imaging fluoroscopy, a doctor inserts a hollow needle containing a flexible tube catheter and heating element into the spinal disc. Intradiscal electrothermal therapy idet houston pain. Pdf intradiscal electrothermal therapy treatment for. Disc vertebra disc before procedure damaged disc intradiscal electrothermal therapy idet this minimally invasive procedure is performed to alleviate the effects of low back pain caused by diseased or small herniations of discs. It involves threading into the painful disc a flexible wire electrode, which is used to heat the tissues of the posterior annulus fibrosus in an effort to relieve the pain. Intradiscal electrothermal therapy idet is a relatively new treatment for low back pain.
Intradiskal electrothermal therapy idet intradiskal electrothermal therapy idet is a novel, minimally invasive procedure designed to relieve back pain caused by degeneration to the discs in the lower back. Intradiscal electrothermal therapy, which is performed on an outpa. Lumbar idet intradiscal electrothermal therapy procedure. Intradiscal electrothermal therapy idet is a procedure for treatment of contained lumbar herniated discs with annular disruption. Intradiscal electrothermal therapy idet for low back pain. Intradiskal electrothermal therapy emory healthcare. Since degeneration of the intervertebral disc can be the source of severe lbp, idet has been proposed as an alternative treatment to spinal fusion for those individuals with. Intradiscal electrothermal therapy idet is a relatively new, minimally invasive treatment for spinal discrelated chronic low back pain. Intradiscal electrothermal therapy idet for treatment of chronic lumbar discogenic pain. Intradiscal electrothermal therapy, idet, performed by las vegas, summerlin, and henderson nevadas top pain doctors. The rationale for heating intervertebral discs was strongly influenced by animal and clinical investigations testing the ability of heat to stabilize joints by modifying collagen. At advanced pain consultants, we provide stateoftheart pain treatments. Intradiscal electrothermal therapy idet if you have been suffering from low back disc pain for more than six months without any relief from exercises, medication and corticosteroid injections, its time to talk to your doctor about idet.
If you are a candidate for this procedure we will discuss this option with you at you initial visit in our office. Discogenic back pain is believed to be the result of intervertebral disc degeneration. Intradiscal electrothermal therapy is a fairly new procedure that is minimally invasive. Procedure idet is a minimally invasive procedure, which uses a heated catheter in attempts to stabilize a painful disc and disable the associated nerve. Intradiscal electrothermal therapy in the treatment of.
Intradiscal electrothermal therapy idet subscription required. Intradiscal electrothermal therapy idet damage in one of your spinal discs can cause you anything from constant discomfort to chronic pain that affects your day to day life. Intradiscal electrothermal therapy idet advance pain. Idet involves the percutaneous threading of a flexible catheter into the disk under fluoroscopic guidance. Intradiscal electrothermal therapy idet is a minimally invasive spinal disc treatment to relieve chronic low back pain. Intradiscal electrothermal therapy idet page 2 of 2 disclaimer information.
Idet treats degenerative disc pain and disc pain resulting from injury. Intradiscal electrothermal therapy idet is now being performed as an alternative treatment. Intradiscal electrothermal therapy idet intradiscal electrothermal therapy idet is one type of tip. Pre assessment intradiscal electrothermal therapy idet.
Please refer to the members plan document for specific coverage information. Intradiscal electrothermal therapy, or idet, is a procedure used to treat back pain caused by the breakdown of the discs between vertebrae. Pdf intradiscal electrothermal therapy idet for the. Intradiscal electrothermal therapy idet aha coding. Intradiscal electrothermal therapy idet what is it. Intradiscal electrothermal therapy idet, a minimallyinvasive technique performed in the outpatient setting, offers an intermediate intervention between conservative care and surgery. Intradiscal electrothermal therapy idet is a treatment devised to relieve the pain of internal disc disruption. Intradiscal electrothermal annuloplasty idea or intradiscal electrothermal therapy idet, as it is known commercially, is a new and minimally invasive technique for the treatment of discogenic low back pain. Intradiscal electrothermal therapy idet, also known as intradiscal electrothermal annuloplasty, is a technique designed to thermocoagulate and destroy nerves in the intravertebral disc of individuals presumed to have discogenic low back pain. This type of persistent disc pain is thought to be caused by nerve fibers that have grown from their normal location in the outer layers of the disc, reaching into the disc interior.
Once it is properly positioned, the catheter is heated, raising the temperature. A minimum 2year clinical outcome study article pdf available in pain physician 64. Intradiscal electrothermic therapy idet is a relatively new, minimally invasive treatment for spinal discrelated chronic low back pain. Intradiscal electrothermal therapy idet metro health. Intradiscal electrothermal therapy idet nyc low back.
Although intradiscal electrothermal idet therapy may be appealing because it is an outpatient procedure and may be lower in direct medical costs initially, the available data do not support using it out side controlled clinical trial at this time. Electrothermal catheter is inserted through the needle. Intradiscal electrothermal therapy for discogenic low back pain inesss. Healthdayfor patients with discogenic low back pain, intradiscal electrothermal therapy idet is an effective and costeffective treatment alternative to circumferential lumbar fusion with. Intradiscal electrothermal therapy idet request pdf.
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