Minimally Invasive Spine

Basivertebral Nerve Ablation

An implant-free, FDA-cleared procedure that ablates the nerve inside the vertebra responsible for vertebrogenic low back pain.

Minimally

Procedure Overview

Modic changes are a specific type of vertebral endplate degeneration visible on MRI. When the pain is coming from inside the vertebra itself, from the basivertebral nerve that transmits those pain signals, standard treatments like epidural injections do not reach it. This is a distinct type of back pain with a specific, addressable source.

Treatment Purpose

Basivertebral nerve ablation uses radiofrequency energy to ablate the basivertebral nerve inside the vertebra, the nerve responsible for transmitting vertebrogenic pain signals to the brain. This implant-free, FDA-cleared procedure interrupts the pain pathway at its source. It is supported by Level 1 randomized controlled trial evidence.

Appropriate Conditions

Vertebrogenic low back pain
Modic changes visible on MRI
Chronic axial low back pain unresponsive to conservative treatment

Patient Considerations

The procedure is minimally invasive, no implant is left behind, no fusion is performed, and no general anesthesia is required. A specialized probe is inserted percutaneously through a small access point, the nerve is treated with radiofrequency energy, and the probe is removed. You go home the same day. The complication rate in clinical trials is under 1%.

Treatment Process

The procedure takes 60 to 90 minutes and is performed under fluoroscopic guidance on an outpatient basis. A specialized probe is inserted percutaneously into the vertebral body, radiofrequency energy ablates the basivertebral nerve, and the probe is removed. No implant remains. Most patients begin to notice improvement within 2 to 4 weeks, with full benefit developing within 3 months.

Frequently Asked Questions

Is the relief permanent?

The ablated nerve may slowly regenerate over 12 to 18 months. The procedure can be safely repeated if pain returns.

What are the risks?

Complication rate is under 1% in clinical trials. Risks include infection or temporary procedural soreness.

How soon will I feel relieved?

Most patients begin noticing improvement within 2 to 4 weeks, with full benefit by 3 months.

Medical disclaimer: This page provides general information and is not medical advice. It does not replace an evaluation by a qualified physician. Talk with a doctor about your specific condition and treatment options. If you are experiencing a medical emergency, call 911.

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