Intradiscal electrothermal therapy (IDET) is a minimally invasive treatment for patients suffering from disc problems that purpose persistent lower back pain. The abnormal growth of nerve fibers in the disc can result in chronic pain and weakening of the disc.
Common causes of disc herniation and associated disc pain are degenerative disc disease and traumatic injury, consisting of a fall. It is estimated that discogenic pain is accountable for over one third of all instances of back pain, therefore, an effective, non-invasive treatment alternative is critical. Intradiscal electrothermal therapy removes the extra nerve fibers and strengthens the disc by using a heat treatment of the affected area.
Patients undergo a discography of the spinal disc to determine the specific trouble and whether intradiscal electrothermal remedy is the high-quality option. Discography is a MRI system to decide the severity of herniation or degeneration of the disc. The discs provide a cushion among vertebrae and can turn out to be damaged because of injury or degeneration.
How is the treatment performed?
The entire procedure of IDET usually takes less than an hour. To prepare for intradiscal electrothermal therapy, the affected person is located face-down and the pores and skin at the back near the site of treatment is sterilized.
A sedative and local anesthetic are then administered. The catheter for this treatment is combined with a small heating element. The catheter and heating element, guided by means of fluoroscopic imaging, is inserted next to the outer layer (annulus fibrosus) of the causative disc. The heating element is then warmed to 194°F to smash the excess nerve fibers and strengthen the disc by means of thickening the collagen fibers that it is composed of.
Physical therapy is used to aid restoration of IDET patients. During the first few months after intradiscal electrothermal therapy, light exercise including stretching and on foot is recommended. Strenuous activities along with walking should be prevented for the duration of the recovery period of numerous months until the patient is cleared by their doctor.
Complications of IDET
Despite the relative safety of this procedure, the patient must be aware of side consequence and complications. Although complications from intradiscal electrothermal treatment are rare, they encompass bleeding, infection, disc damage, and nerve damage.
Results of IDET
Intradiscal electrothermal therapy for patients suffering from chronic back pain has been the subject of several studies. A study published in Spine Journal in 2010, suggested that, in patients suffering from discogenic pain, 86% experienced pain alleviation within one week following the procedure. This study isn’t alone in these findings. Intradiscal electrothermal therapy has been decided to be secure and powerful in several research and follow-up investigations.
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