Intradiscal electrothermal therapy (IDET) is a relatively new, minimally invasive treatment for spinal disc-related chronic low back pain. This type of persistent disc pain is thought to be caused by nerve fibers that have grown from their normal location in the outer layers of the disc, reaching into the disc interior. This is related to the breakdown (degeneration) of the tough outer layers (annulus) of the disc. The pain may also be from injury to the disc, causing the material in the center (nucleus) of the disc to move into the outer layers of the disc. This material from the nucleus is irritating to the outer layers, where the nerves are, and it causes pain.
Discography is typically done before IDET to try to clearly identify the disc problem. After discography, your doctor will decide whether it is likely that your disc problem can be helped by IDET. Before an IDET procedure, you are given a sedative and a local anesthetic. Using "live" X-ray imaging (fluoroscopy), a doctor inserts a hollow needle containing a flexible tube (catheter) and heating element into the spinal disc. The catheter is positioned in a circle in the outer layer (annulus) of the disc and is then slowly heated to about 194°F (90°C). The heat is meant to destroy the nerve fibers and toughen the disc tissue, sealing any small tears. Antibiotics, either given in a vein (intravenous) or injected into the disc, are used to prevent a disc infection.
What To Expect After Surgery
Pain relief after IDET is not immediate. Pain may increase during the first couple of days. Physical therapy is a necessary part of recovery. During the first month after IDET, plan to walk and do easy stretches as prescribed by your doctor. During the first 2 to 3 months, exercise as directed, and avoid lifting, bending, and long periods of sitting.
People who have had IDET are usually told to wait at least 5 to 6 months before resuming strenuous sports such as skiing, running, or tennis.
Why It Is Done
IDET is used to treat a select subgroup of people who have had chronic disc-related low back pain (usually for at least 3 to 6 months) despite nonsurgical treatment. IDET is not recommended for people who have severe disc degeneration, spinal stenosis, or spinal instability (such as spondylolisthesis).