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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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Radiofrequency Discal Nucleoplasty (Coblation® Nucleoplasty)
Similar to the IDEA procedure, a needle is inserted into the disc. Instead of a heating element, a special radiofrequency probe (like a mini microwave oven) is inserted through the needle into the disc. This device generates enough energy to break up the molecular bonds of the gel in the disc, essentially vaporizing some of the tissue. The result is that the disc size is reduced by 10-20% which decompresses the disc and reduces the pressure both on the disc and the surrounding nerve roots. This technique may be more beneficial for sciatica type of pain than the IDEA, since nucleoplasty can actually reduce the disc bulge, which may be pressing on spinal cord structures. Danger to surrounding tissues is minimized because of the low temperatures used in this procedure. This method offers the possibility of treating certain forms of discogenic low back pain and sciatica with much less trauma and risk than surgery.
Indications: Disc Disease associated with leg and back pain
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