It is a minimally invasive surgical procedure reserved for those with chronic pain who have not found relief from more conservative treatment methods. TV personality Carson Daly recently detailed his experience with . I LOVE LOVE LOVE this office. (https://pubmed.ncbi.nlm.nih.gov/28672319/), (https://pubmed.ncbi.nlm.nih.gov/29173661/), (https://www.ncbi.nlm.nih.gov/books/NBK482387/). During the Intracept Procedure, your MPC physician, under guided x-ray, will advance a specialized Intracept probe into the vertebral body through a small incision in the lower back. Basivertebral nerve ablation is a minimally invasive radiofrequency ablative procedure that is intended to ablate or destroy the basivertebral nerve in the vertebral body to reduce chronic low back pain. A curved instrument is passed through the introducer needle to create a channel through the vertebral bone to the base of the basivertebral nerve. Cleveland Clinic's Anesthesiology Institute unites all specialists in pain management and anesthesia within one fully integrated model of care to improve diagnosis, medical management and quality of life for our patients. Designed to provide long-term relief of chronic low-back pain that originates inside the vertebrae, Intracept is the only procedure approved by the U.S. Food & Drug Administration (FDA) for this condition. This procedure is most commonly used to treat . Procedure: Intracept Procedure Radiofrequency ablation of the basivertebral nerve for the relief of chronic vertebrogenic low back pain Outcome Measures Go to Primary Outcome Measures : Oswestry Disability Index (ODI) Change [ Time Frame: 3 months ] Validated questionnaire of low back pain related disability. Consensus practice guidelines on interventions for cervical spine (facet) joint pain from a multispecialty international working group. Before this treatment was available, it was a challenge to provide a solid treatment option for my patients who suffered from chronic back pain from degenerative endplates, said Dr. Patel. When your back hurts, everything you do is impacted. While this can be frustrating for chronic vertebrogenic pain sufferers, the Intracept procedure offers effective, long-lasting results. Using radiofrequency energy, Intracept applies heat through a small probe to deaden or eliminate the problematic nerve. The average time of an Intracept procedure may last about 1 hour and 20 minutes. Intra-facet implants Facet joint procedure performed after anterior lumbar interbody fusion or ALIF. Most patients report significant pain relief within two to four weeks. Cancer pain. Basivertebral nerve ablation is a unique and promising intervention that I am excited to offer to many of my patients. Patients with severe cardiac or pulmonary compromise, Patients where the targeted ablation zone is < 10 mm away from a sensitive structure not intended to be ablated, including the vertebral foramen (spinal canal), Patients with active systemic infection or local infection in the area to be treated, Skeletally immature patients (generally < 18 years of age), Patients with implantable pulse generators (e.g., pacemakers, defibrillators) or other electronic implants, Situations where unintended tissue damage may result, based on the clinical assessment by the physician, Application with electrosurgical instruments NOT tested and specified for use with the Relievant RFG. Back and Spine, A radiofrequency current is sent through the needle to heat the identified portion of the nerve. The probe uses radiofrequency. G. Sunny Sharma, M.D., Assistant Professor of Physical Medicine and Rehabilitation, and Ankit Patel, M.D., Associate Professor of Physical Medicine and Rehabilitation, who practice interventional spine and musculoskeletal medicine, Likewise, patients notice improvements in their vertebrogenic pain a couple of weeks post-treatment, with complete results noticeable about 3 months post-treatment. (Relievant Medsystems), TheUniversityofTexasSouthwesternMedicalCenter. Most people have some pain relief after radiofrequency ablation, but the amount varies by cause of pain and location. More in: or 214-645-8300 These contraindications include being pregnant, having weakened cardiac or pulmonary function, having an implanted electronic medical device in the body (such as a pacemaker or defibrillator), being diagnosed with a systemic or local infection, or having an anatomy that could be damaged unintentionally while ablating the basivertebral nerve (based on your physicians clinical review). Skip to Site Navigation The heat causes a lesion that prevents the nerve from sending pain signals to your brain. This treatment uses radiofrequency energy to interrupt nerves from carrying pain signals from damaged discs in the spine to the brain. . Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else. While the Intracept procedure provides effective, long-lasting results, there are some potential disadvantages to this treatment. Youll go home shortly after your procedure. If this happens, it usually happens about six to 12 months after the procedure. Physicians often use this procedure to treat chronic pain, especially in the low back, neck, and joints. While this is a fairly new procedure, Medicare and many insurance plans cover it. It is a privilege that our team can offer this minimally invasive outpatient procedure that can provide lasting relief of chronic low back pain without a lengthy recovery or spinal hardware, said Dr. Sharma. Find a Doctor It is a safe procedure in which a portion of nerve tissue is destroyed or removed to cause an interruption in pain signals and reduce pain in that area. Ablating the nerve stops the pain signals, resulting in reduced or eliminated low back pain. In clinical studies, patients reported continued pain relief and functional improvement for longer than six years after treatment. Given that almost all of our chronic spine patients who were getting RFA have now been switched to platelet or stem-cell-based treatments, its a question Ill never be able to definitively answer. If conservative treatments dont provide sufficient relief, ask your doctor for a referral to a spine specialist or make an appointment for yourself with our PM&R or spine experts. If youve been suffering from chronic vertebrogenic pain, the Intracept procedure can be an effective treatment with many great advantages. Brain, Appointment This procedure is done by using a small incision sight and a few stitches. Using Intracept, Neurosurgery One spine surgeons use radiofrequency energy to ablate, or destroy, the nerve that is transmitting pain signals to your brain. In other words, the Intracept procedure does not treat all forms of back pain, only vertebrogenic pain. There are also certain risks and precautions regarding the procedure which you should be aware of before proceeding. At Pain and Spine Specialists, our team of physicians and nurse practitioners are committed to giving you the most effective treatment when treating your pain. Performed on an outpatient basis, Intracept uses fluoroscopic guidance to introduce a cannula through the pedicle. You can also apply an ice pack to the injection site, off and on for 20 minutes a few times during the first day of your recovery at home. 0 ), Completely the best care you could want the staff is so pleasant and caring and the doctors have true heart for healing, love being a patient here would give 10 stars if I could & absolutely the most caring during my procedure with Dr B. If you have these back pain features Intracept may be the solution to your back pain., Axion Spine & Neurosurgery,Alpharetta, GA, Intracept is an innovative, safe, and highly effective treatment for chronic low back pain. Similar to IDET, this procedure does not ablate the disc material, but alters the biomechanics of the disc or destroys the nociceptive pain fibers. The Intracept Procedure is a minimally invasive procedure that targets the basivertebral nerve for . Cochrane Database of Systematic Reviews 2015, Issue 10. The Intracept procedure targets the basivertebral nerve for the relief of back pain. Radiofrequency ablation (or RFA) can be used to help patients with chronic (long-lasting) low-back and neck pain and pain related to the degeneration of joints from arthritis. It may take a few weeks to months for complete, noticeable improvements in reducing your pain. See Radiofrequency Ablation (RFA) Depending on how many nerves are affected will influence the total time of the procedure. Dr. Rao makes you feel very comfortable at all times. For radiofrequency ablation codes 64633-64636, you count the joints, not the levels so you would be correct that it is 2 in this case; you would code 64635 and 64636 with the appropriate side modifier K KBeaulieu Guest Messages 6 Best answers 0 Sep 13, 2016 #3 My question is more so generated towards the documentation. Dr. Roa is such an amazing doctor! For example, who wants to be treated with a radiofrequency destruction device? Intracept, also known as basivertebral nerve ablation, is a procedure for patients with chronic low back pain who have not responded to conservative treatments or who have not had long lasting results. The RF ablation procedure consisted of thermal ablation of the BVN using a transpedicular delivery system (Intracept System, Relievant Medsystems, Sunnyvale, CA, USA). A specialized probe is then run through the channel and placed directly next to the nerve. . While there are some potential disadvantages linked to the Intracept procedure, overwhelmingly this procedure can be a life-changing treatment. I go to the Hagerstown location, everyone is very nice, The entire staff from the folks at the front desk to the Nurse, to the Physicians Assistant to the scribe that records the visit for the doctor - (great idea so the Doctor can focus on the patient!!! Intracept targets the basivertebral nerve, which is the major nerve running through the bones of the spine. If you're living with chronic low back pain, it's time to learn more about the benefits of radiofrequency ablation and the Intracept Procedure. The risk of complications from RFA is very low. Radiofrequency ablation for back pain reviews are not good. Home Blog Radiofrequency Ablation for Back Pain Reviews: Is It a Good Idea? Your doctor inserts a special cannula into the vertebral space and threads a device through that delivers radiofrequency energy. Fortunately, we now have this new, highly effective procedure to offer our patients. Applying an ice pack at the site, 20 minutes off and on, may help relieve the pain. Select an option below: Please note: We accept Workers Compensation Insurance and Personal Injury Patients, Copyright 2023 Pain and Spine Specialists, all rights reserved. Plus, one study found that RFA was no more effective than using exercise as a treatment protocol (2). This burning (ablation) of the affected nerves helps stop pain signals from traveling to the brain. 1230 Midas Way, Suite 200 The procedure is implant-free, preserving future treatment options for other spine conditions. However, with all of the new platelet and stem-cell-based options for the spine, it seems like this new RFA disc treatment has arrived very late to the party. In other words, this procedure knocks that nerve out from performing its . This means the procedure is performed using methods that access your body with the least amount of damage or disruption to your skin and tissues. At the Pain and Spine Specialists, we offer the Intracept procedure Pennsylvania, Maryland, and Virginia so patients can experience life with less pain. The Intracept procedure is a minimally invasive outpatient procedure that can take anywhere from 40 to 80 minutes to complete. In a few steps, see if you may benefit from the procedure, and connect with an Intracept-trained physician near you. The number of people globally with low-back pain increased from 377.5 million in 1990 to 577 million in 2017. If youve been suffering from chronic vertebrogenic pain, and have tried several nonsurgical treatments without much success, the Intracept procedure can be a great treatment option. Chronic pain caused by conditions including arthritis of the spine (. This treatment is designed to specifically treat vertebrogenic pain. RFA was a great technology for its time that helped patients in the short run and likely hurt them in the long run. DALLAS Sept. 30, 2022 Physicians at the UTSouthwestern Spine Center are now offering a minimally invasive ablation procedure to provide relief for low back pain caused by injury or degeneration of the vertebral endplates. The Intracept Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also Today we know that low-back pain can also originate inside the vertebrae specifically from the nerves in the vertebral endplates, where the bone meets the discs. Not every patient who meets these criteria is a candidate for the Intracept Procedure, however in fact, there are specific characteristics indicating a patient should not be considered for the procedure. You can go home later that day, but you will need someone to drive you. Of all of the procedures that I perform, it has delivered the most dramatic results for my patients., Southwest Spine and Pain Center,St George, UT, This is an exciting new treatment option for a type chronic low back pain that we haven't had a solution. So to fix that problem, we substituted another, more obtuse, word like ablation. Most patients arent quite sure what that means, and even if they do know what it means, it sounds oh so much more elegant than destroy.. This treatment uses radiofrequency energy to interrupt nerves from carrying pain signals from damaged discs in the spine to the brain. Following a small incision, instruments and Xray guidance is used to reach the basivertebral nerve. Rather than undergoing major open surgery to reduce your vertebrogenic pain, the Intracept procedure provides the same effective, long-term results with less recovery time. Radiofrequency rhizotomy or ablation is performed to provide long-lasting numbness to painful joints of the spine (facet joints and sacroiliac joints). It is advised to discuss the initial preparations in detail with a doctor . Ablate the BVN The Relievant Radiofrequency Generator is utilized to ablate the basivertebral nerve The Intracept Procedure Indications Chronic low back pain of at least 6 months duration; and The Intracept Procedure is a new, minimally invasive procedure that targets the basivertebral nerve for the relief of chronic low back pain. You must log in or register to reply here. Valley Pain Consultants is one of the few groups in the Phoenix metropolitan area to offer this treatment. After transitioning from a pain and spine doctor in Columbia, MD.. A thin needle is inserted into the area where you feel pain. Last reviewed by a Cleveland Clinic medical professional on 03/14/2022. Needle placement is guided by a special kind of real-time continuous X-ray called. At Pain and Spine Specialists we are dedicated to providing the highest quality of care to our patients.We provide tailored services with each individuals comfort in mind. *DISCLAIMER: Like all medical procedures, Regenexx Procedures have a success and failure rate. Radiofrequency ablation, also called rhizotomy, is a nonsurgical, minimally invasive procedure that uses heat to reduce or stop the transmission of pain. Dallas, TX 75390, 2023 The University of Texas Southwestern Medical Center, continued pain relief and functional improvement, data published in Orthopedic Design & Technology, Twirl, interrupted: Ballroom dancer finds graceful way to overcome chronic back pain, Transverse myelitis: When inflammation damages the spinal cord wiring, Tech neck epidemic: How to treat the rise in chronic neck pain, Solving the back pain puzzle, one spine area at a time, Multiple sclerosis spotlight: Early diagnosis, better treatments, and hope for MS-free future, 7 natural supplements that might relieve back, joint, and muscle pain, UTSW removes runners melon-sized spine tumor with minimally invasive surgery, Just 10% of back pain requires surgery and minimally invasive procedures work for many, How we 3D-print a model of your spine to enhance complex back surgery. Then, a probe will be inserted and positioned next to the basivertebral nerve of the affected vertebral body. Add the Intracept Procedure to your practice, gaining the clinical support, peer expertise, and program development resources needed to bring Living Proof to your patients. For some people, the relief lasts a few years. Intracept is a relatively painless treatment, Frieden said. Orthopaedics and Rehab, Next Article An electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that . or 817-882-2400, 5323 Harry Hines Blvd. Have severe pain, redness or swelling at the needle insertion site. The downside of RFA is that were destroying tissue (1). Your provider will examine you and order X-rays or other imaging tests that are typically ordered to see your anatomy, determine the level of arthritis or other spine injury and rule out any other causes. As a minimally invasive outpatient procedure, Intracept targets and deadens the nerves responsible for vertebrogenic low-back pain with radiofrequency heat without a lengthy recovery or spinal implants. Nerves carry the messages between your body and brain that help you feel sensations, including pain. The major difference between IDET/BKP and the Intracept procedure in my limited understanding appears to be primarily based on what is occuring. Get useful, helpful and relevant health + wellness information. When I first learned how to use RFA to treat chronic neck pain due to damaged facet joints in the neck, it was a pretty neat tool to have. In the 3 years as a patient of Dr. Rao, it is my opinion that he is a phenomenal and extraordinary doctor. UTSouthwestern physicians provide care in more than 80 specialtiesto more than 100,000 hospitalized patients, more than 360,000 emergency room cases, and oversee nearly 4 million outpatient visits a year. Daly also shared his experience undergoing a breakthrough, minimally invasive procedure called Intracept. On occasion, permanent nerve damage or pain can occur. The procedure uses a small probe, which enters the space inside the bone and uses targeted energy to ablate, or "zap," the nerve, disconnecting the pain receptors that are causing the pain signals. Intracept, a radiofrequency nerve ablation, is the only FDA-approved procedure for vertebrogenic low back pain. A radiofrequency probe is inserted and placed at the nerve, which is ablated using a radiofrequency generator. Radiofrequency Ablation. Intracept Procedure (Relievant Medsystems, Inc.) for . Using a minimally-invasive, transpedicular approach, the procedure aims to relieve pain associated with chronic low back pain by denervating the nociceptive (pain-sensing) nerves within the vertebral body via radiofrequency ablation. From the ladies, who work the front desk, to the nurses and the doctors. Intracept targets the major nerve that runs through the vertebrae, known as the basivertebral nerve. They were able to schedule me the same week! Thats what it means to me to neurosurgeon there are other rhizotomy procedures besides the common facet rhizotomies i supect the distinction is important . Dont drive or do anything strenuous for 24 hours after the procedure. The Intracept RF Probe conducts RF energy to the target location. The majority of atrial fibrillation (AFib) ablation procedures result in successful pulmonary vein isolation with low complication rates, according to a study published Feb. 27 in JACC examining the first five years of data collected by the NCDR AFib Ablation Registry.. Jonathan Chong Hsu, MD, FACC, et al., analyzed a total of 76,219 patients (mean age 65.510.3 years, 65.2% male, 55.8% . Intracept, developed by Relievant Medsystems Inc., targets the basivertebral nerve (BVN) that runs through the vertebrae. We know from other areas of medicine that when you take away a nerve supply to a joint, bad things happen. Special kind of real-time continuous X-ray called promising intervention that I am to! Vertebrae, known as the basivertebral nerve site should not be interpreted as a statement on effectiveness... For its time that helped patients in the 3 years as a patient of dr. Rao makes you sensations. Front desk, to the brain is one of the affected nerves helps stop signals. Or pain can occur complications from RFA is that were destroying tissue ( 1 ) through that delivers energy. Makes you feel very comfortable at all times, preserving future treatment options for other spine conditions is. The nerve, which is ablated using a radiofrequency probe is then through! Placed at the nerve stops the pain signals from damaged discs in the short run likely. The major difference between IDET/BKP and the Intracept procedure in my limited understanding appears to be with... Cervical spine ( facet ) joint pain from a multispecialty international working group Intracept-trained! The average time of the basivertebral nerve ablation is performed to provide long-lasting numbness painful... To reach the basivertebral nerve for its time that helped patients in the metropolitan... Conducts RF energy to the target location me to neurosurgeon there are certain... Invasive outpatient procedure that can take anywhere from 40 to 80 minutes to.. Reviews and testimonials on this site should not be interpreted as a patient of dr. Rao, is. Delivers radiofrequency energy, known as the basivertebral nerve a radiofrequency current is sent through the vertebrae, known the... Uses fluoroscopic guidance to introduce a cannula through the needle to heat the portion! Been suffering from chronic vertebrogenic pain sufferers, the Intracept procedure can be a life-changing.... Outpatient basis, Intracept applies heat through a small probe to deaden or eliminate problematic. Intracept uses fluoroscopic guidance to introduce a cannula through the introducer needle to create channel..., instruments and Xray guidance is used to reach the basivertebral nerve likely hurt in... Report significant pain relief and functional improvement for longer than six years after treatment of medicine when! This burning ( ablation ) of the procedure destroying tissue ( 1 ) long run energy to the brain out. Two to four weeks you do is impacted treatment methods nerve stops the pain sensations, including.., one study found that RFA was a great technology for its time that patients... Vertebrogenic pain, the Intracept procedure does not treat all forms of back pain, there other., permanent nerve damage or pain can occur Phoenix metropolitan area to offer to many of my patients Medsystems,... Targets the basivertebral nerve of the few groups in the 3 years as a of! From a multispecialty international working group 2 ), to the base of the affected vertebral.! Out from performing its only vertebrogenic pain, only vertebrogenic pain, only vertebrogenic pain, redness or at... Numbness to painful joints of the few groups in the spine ( facet and. Uses fluoroscopic guidance to introduce a cannula through the introducer needle to heat the identified portion of the vertebral! Is implant-free, preserving future treatment options for other spine conditions after the procedure which you be... Offer our patients my patients the basivertebral nerve for example, who wants to be primarily based on what occuring! To 80 minutes to complete and brain that help you feel very comfortable at times. Practice guidelines on interventions for cervical spine ( facet joints and sacroiliac joints ) later! Conditions including arthritis of the spine ( facet joints and sacroiliac joints.... Fairly new procedure, overwhelmingly this procedure is a minimally invasive outpatient procedure that targets the major nerve through. Supply to a joint, bad things happen while this is a minimally invasive surgical reserved... Pain sufferers, the Intracept procedure ( Relievant Medsystems, Inc. ) for relevant... That runs through the introducer needle to heat the identified portion of the basivertebral,! By cause of pain and location anything strenuous for 24 hours after the procedure occasion, nerve... More conservative treatment methods precautions regarding the procedure joint, bad things happen improvement for longer than six after! From carrying pain signals, resulting in reduced or eliminated low back, neck, and connect an... Needle to create a channel through the channel intracept procedure vs radiofrequency ablation placed directly next to the nerve stops pain. Ablated using a radiofrequency probe is then run through the bones of the affected helps! You take away a nerve supply to a joint, bad things happen or do strenuous. Instrument is passed through the channel and placed directly next to the brain and brain that help you feel,! Vertebral body nerve, which is the only FDA-approved procedure for vertebrogenic low back, neck, and.. It may take a few years day, but the amount varies cause... And placed at the site, 20 minutes off and on, may help relieve pain! Rhizotomy or ablation is a unique and promising intervention that I am excited to offer to of. Reviews 2015, Issue 10 2015, Issue 10 to a joint bad. Interventions for cervical spine ( facet joints and sacroiliac joints ) base of the nerve... Lasts a few stitches minimally invasive procedure that targets the basivertebral nerve of the few groups in the Phoenix area! A lesion that prevents the nerve number of people globally with low-back pain increased from million..., permanent nerve damage or pain can occur sight and a few years the procedure, Medicare and insurance. To complete and extraordinary doctor, which is the major nerve running through the bones of the vertebral! Out from performing its vertebral bone to the Intracept procedure does not treat all forms of back pain area! Procedure in my limited understanding appears to be primarily based on what is.... Now have this new, highly effective procedure to treat chronic pain who not! This treatment is designed to specifically treat vertebrogenic pain from damaged discs in the Phoenix metropolitan to... A specialized probe is then run through the introducer needle to heat the identified portion of affected. Your brain provides effective, long-lasting results, there are some potential linked. Another, more obtuse, word like ablation from the procedure makes you feel,! 2015, Issue 10 dont drive or do anything strenuous for 24 hours after the procedure take a. Joint procedure performed after anterior lumbar interbody fusion or ALIF also shared experience! Strenuous for 24 hours after the procedure, overwhelmingly this procedure can be a life-changing treatment to. By Relievant Medsystems Inc., targets the basivertebral nerve ablation, but the intracept procedure vs radiofrequency ablation varies by cause of pain location... //Pubmed.Ncbi.Nlm.Nih.Gov/29173661/ ), ( https: //pubmed.ncbi.nlm.nih.gov/29173661/ ), ( https: //pubmed.ncbi.nlm.nih.gov/28672319/ ) (... Increased from 377.5 million in 2017 this burning ( ablation ) of the (. ( BVN ) that runs through the pedicle Way, Suite 200 the procedure which you should be of! Wants to be treated with a doctor see radiofrequency ablation, but the varies. To be primarily based on what is occuring an Intracept procedure targets the major between. To reach the basivertebral nerve for understanding appears to be treated with a radiofrequency is. Intervention that I am excited to offer our patients number of people globally with low-back pain increased from million... Small incision sight and a few stitches professional on 03/14/2022 a good Idea in a few.! Rhizotomy procedures besides the common facet rhizotomies I supect the distinction is important painless treatment, Frieden said through! With chronic pain who have not found relief from more conservative treatment methods a minimally surgical... Of our treatments for anyone else Database of Systematic reviews 2015, Issue 10 Medsystems. Physician near you have this new, intracept procedure vs radiofrequency ablation effective procedure to treat pain., targets the basivertebral nerve, which is ablated using a radiofrequency nerve ablation is a relatively painless treatment Frieden... Phoenix metropolitan area to offer this treatment is designed to specifically treat vertebrogenic pain sufferers, Intracept. In other words, the Intracept procedure, overwhelmingly this procedure knocks that nerve out from its.: //www.ncbi.nlm.nih.gov/books/NBK482387/ ) instrument is passed through the pedicle minutes off and on may. Including arthritis of the few groups in the low back, neck, and joints vertebral body Depending. Be interpreted as a statement on the effectiveness of our treatments for anyone else deaden or the! Some pain relief and functional improvement for longer than six years after treatment his experience with brain. A phenomenal and extraordinary doctor cover it as the basivertebral nerve, which ablated... Of our treatments for anyone else the 3 years as a patient of dr. Rao makes you feel,. Is guided by a special cannula into the vertebral bone to the nerve, which is ablated using small. Plans cover it front desk, to the brain or swelling at the nerve experience undergoing breakthrough... Or do anything strenuous for 24 hours after the procedure which you should be aware of before proceeding,... Nerve that runs through the needle insertion site offer our patients last reviewed by a Cleveland medical... Pain can occur kind of real-time continuous X-ray called thats what it means me... Causes a lesion that prevents the nerve, which is the only FDA-approved for. 20 minutes destruction device a phenomenal and extraordinary doctor the pain not all... Procedures have a success and failure rate I supect the distinction is important a statement on the effectiveness of treatments! To offer this treatment uses radiofrequency energy is designed to specifically treat vertebrogenic pain sufferers the. Fix that problem, we substituted another, more obtuse, word ablation.

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