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  Epidural Injections
Facet Joint Injections
Nerve Blocks
Discography
Radiofrequency Lesioning
Spinal Cord Stimulation
Intradiscal Electrothermal Annuloplasty
Nucleoplasty
Botulinum Toxin Injections
Acupuncture
Pharmacotherapy Management
Quantitative Sensory Testing
Trigger Point Injections
Intrathecal Implantable Pumps
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Intradiscal Electrothermal Annuloplasty (IDEA)
IDEA is used to treat discogenic back pain. This procedure involves inserting a flouroscopically guided needle into the affected lumbar disc. A heating probe is then passed down through the needle and into the disc. The heating element is then activated which destroys the small nerve fibers that have grown into the cracks and have invaded the degenerating disc, thus causing pain. The heat also partially shrinks the tissue, which triggers the body to generate new reinforcing proteins in the fibers of the remaining disc. The success rate of IDEA may be as low as 23% or as high as 70%, depending on how it is studied.
Indications: Internal Disc Disruption, Torn Annulus
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