Internal Disc Disruption (IDDS)

If your pain fails to improve with your initial treatment plan, you may be a candidate for an intradiscal modulation procedure. There are three types of minimally invasive intradiscal modulation procedures discussed in interventional spine pain management:

  1. Thermal:
    • Intradiscal Electrothermal Therapy (IDET)
    • Biacuplasty
  2. Chemical:
    • Intradiscal Methylene Blue (MB)
    • Intradiscal corticosteroids
  3. Biological: See Orthobiologics
    • Platelet-rich plasma (PRP)
    • Stem cell therapy

There are very strict criteria determine whether a patient is a candidate for any of the above intradiscal procedures. It is not an option for all patients with discogenic back pain. You should discuss the specific criteria with your specialist physician. (see Intradiscal Modulation)