What is Intradiscal Therapy (IDET)?
Intradiscal therapy is a minimally-invasive and revolutionary treatment for chronic lower back pain. It’s also known as IDET spine therapy, or Intradiscal electrothermal therapy. IDET is a safe and effective treatment for herniated discs, and other painful degenerative disc diseases (DDD).
IDET for Treatment of Degenerative Disc Disease and Herniated Disc
The heat element of IDET therapy may eliminate pain in one or a combination of ways:
- It destroys pain-sensitive nerves in the outer disc wall.
- It causes the collagen tissue within the disc wall to contract, sealing up the tiny tears that cause pain.
- It stimulates the production of new collagen.
- It destroys or changes the body’s inflammatory response to damage, reducing swelling and pain.
IDET is a safe and effective alternative to major spinal surgery. It is less invasive, involves fewer risks, and can be performed right here in the clinic. The procedure takes about an hour, and patients can go home the same day.
What Happens During an IDET Procedure?
The first step in the IDET procedure is an analysis called a discogram. A discogram is a test which tells the physician which disc is the one that is causing the problem. A CT scan is used to identify possible suspects.
In a discogram, the suspected disc is injected with a special sterilized liquid. This is called “pressurizing” this disc, and it is intended to induce pain.
This can be uncomfortable, but it is essential to identify the damaged or herniated disc. Your physician can use a local anesthetic to help keep you comfortable during the procedure.
Once the herniated disc is identified, the procedure will begin. You will lie face down, and be given a light sedative to help you relax. Using X-ray, fluoroscopy guidance, the physician will insert the catheter into the disc, and gradually heat the instrument to 90 degrees Celsius for about 15 minutes.
After the catheter is removed, the disc will receive an injection of anesthetic and antibiotics to prevent an infection and ease you into your recovery.
Platelet Rich Plasma (PRP)
Platelet-rich plasma can be injected into the disc as an additional treatment option.
PRP is a highly-concentrated solution of platelets and growth factors taken from your own body. The solution stimulates your body’s natural regenerative powers, promoting the natural healing of damaged joints, discs, and soft tissues of the spine.
Percutaneous Disc Nucleoplasty
Percutaneous disc nucleoplasty uses a small needle and advanced radiofrequency technology to reduce a herniated disc.
This is another minimally-invasive, optional procedure for herniated disc treatment. It provides rapid pain relief, and can be performed alongside IDET.
The recovery period for this procedure is a little longer than most minimally-invasive procedures. Typically, patients will be in a lower back brace for 6-8 weeks, and given medication to help with the pain. Platelet-rich plasma (PRP) can reduce your recovery time.
When the back brace comes off, patients enter into physical therapy for about four weeks before they can return to their normal activities.
Call Nuvo Spine for a Herniated Disc Consultation
To learn more about IDET, and other treatments for herniated disc or degenerative disc disease, make an appointment with our care team at Nuvo Spine.
Our board-certified pain specialist will conduct a physical assessment and work with you to create a treatment plan that is tailored to your needs. We specialize in advanced, minimally-invasive procedures, designed to eliminate your pain, and keep you off the surgeon’s table.