Intradiscal Modulation

Treatment of Discogenic Low Back Pain has traditionally been limited to either conservative medical management or open surgery. Surgical treatment including lumbar fusion or disc replacement surgery has yielded mixed results. Given the prevalence (very common) of this problem and the limited treatment options, the development of alternative treatment methods is the logical advancement of care. This has lead to the evolution of minimally invasive, fluoroscopically guided, procedures as another step in the treatment algorithm for chronic discogenic pain. There are three types of minimally invasive intradiscal procedures discussed in the treatment of discogenic low back pain:

  1. Thermal
  2. Chemical
  3. Orthobiologics