Idet Treatment For Back Pain

Intradiscal electrothermal therapy (IDET) is relatively new, minimally invasive procedure developed to treat chronic low back pain due to a spinal disc problem. It may be advisable for people who have had chronic disc-related low back pain at least 3 to 6 months. It can be used to treat: • Small • disc herniation on the disk Tears • mild disc degeneration is limited to one or two levelsDegeneration believe discExperts some cases of persistent disc pain can be caused by nerve fibers that have migrated their normal place in the outer layers of the disc inside. Disc degeneration with age or injury is characterized by the breakdown of the tough outer layers of the disc, allowing the development of cracks in their walls. Full of blood vessels and nerves are small, these cracks can become a source of chronic pain in many patients. DiscIf injury has been a back injury, which compresses the intervertebral discs, causing it to bulge or hernia, the material in its center stand, stimulating pain sensors within the disc. This disc nucleus material is irritating and adds to the pain. Before making a IDET procedure, a discography must be completed to clearly identify the problem. IDET is not recommended for: • severe degeneration disc • Spinal Stenosis • spinal instability and spondylolisthesis the discogram is the primary diagnostic tool, but an MRI (Magnetic Resonance Imaging) can also be done. With a discography, put a needle into the affected disc and a small amount of dye is injected. This provides information on the disk structure and source of pain. It is important that an accurate diagnosis is made and the disc identified as the source of pain. IDET is not recommended for symptoms of pain due to problems with the structures of the spine as nerve roots or spinal joints. It is important that the disk itself be identified as the main source of pain. Before surgery (preoperative) One week before surgery, the following should do: • Stop taking NSAIDs (nonsteroidal antiinflammatory drugs), aspirin and aspirin compounds. • Continue taking any prescribed heart, blood pressure or diabetes medications. • Be sure to alert your doctor if you: or taking blood thinners or have a history of bleeding Disordered allergic to iodine (can not tolerate or shellfish allergic to IVP) or having any disease, elevated temperature or signs of infection • Do not eat the day of the procedure. • Your doctor may allow a small amount of soup, broth or juice. Be sure to ask. • Arrange to have someone drive you home. • The Procedure An IV will be started and given a mild sedative. • You will be placed in the X-ray table and local anesthesia. • The doctor inserts a hollow needle into the disc. The process will be visualized on fluoroscopy. • An electrothermal catheter or heating wire is inserted through the needle and placed on the disk. • The wire or catheter is slowly heated to about 194 ° F for 15 minutes. This heat causes the walls of the disc to thicken and heal small tears, as it destroys the nerve endings. • An antibiotic can be administered intravenously or directly into the disc to prevent any infection. • The needle is removed and a dressing applied to his back. • You will be observed in a recovery area until you are ready to go home. After surgery • Pain may be more evident after the procedure, which lasts 2 to 3 days. • Physical therapy is prescribed. • Restrict the bending and lifting during recovery and avoid sitting for long periods of time. • A lumbar support may be prescribed for up to 8 weeks. • Walking and spreads easily recommended. • Activities such as swimming, running or tennis should not be resumed for at least 6 months. This is the least invasive spine surgery. Risks are rare but possible complications include: • The weakening of the spine • Disco • Infection • Nerve damage can remain damagePain Disco until 3 months after the procedure. There have been no large long-term studies to evaluate the efficacy of IDET.