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Treatments

Intracept® Procedure

Vertebrogenic pain relief: Low back pain shouldn’t hold you back

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Intracept® Procedure: A Breakthrough for Chronic Low Back Pain

The Intracept® Procedure is a minimally invasive treatment specifically designed for chronic low back pain caused by vertebrogenic pain—a condition linked to damage in the vertebral endplates. These endplates, located between the spinal discs and vertebrae, can become irritated over time, triggering pain signals through a nerve called the basivertebral nerve. Intracept® works by using radiofrequency energy to precisely target and disable the basivertebral nerve, stopping it from sending pain signals to the brain.

What Is Vertebrogenic Pain?

Vertebrogenic pain is a specific type of chronic low back pain caused by damage to the vertebral endplates. These thin layers of tissue cover the tops and bottoms of the vertebral bodies and separate them from the intervertebral discs. As discs degenerate with age or everyday stress, the endplates can become damaged and inflamed. This irritation stimulates the basivertebral nerve, which then transmits pain from the spine to the brain.

How Do We Diagnose Vertebrogenic Pain?

Vertebrogenic pain is typically identified by distinctive MRI changes called Modic changes. Modic changes are distinctive signs of inflammation or degeneration seen on standard MRI scans. Patients often report:

  • Central low back pain (not radiating down the legs)

  • Pain worsened by physical activity, prolonged sitting, bending, or lifting

the Intracept® Procedure

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the Intracept® Procedure: Video Overview

Key Benefits of the Intracept® Procedure

  • Precise Targeting
    Focuses directly on the basivertebral nerve inside the vertebrae
  • Effective Relief
    Shown to significantly reduce chronic low back pain in qualified patients
  • Quick Recovery
    Faster healing with minimal disruption to surrounding tissue
  • MRI-Based Diagnosis
    Especially beneficial for patients with Modic changes on imaging
  • Long-Lasting Results
    Clinical data supports durable pain relief and improved function
  • Outpatient Convenience
    Return home the same day with no hospital stay
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FAQs

Frequently Asked Questions

Am I a Candidate for the Intracept® Procedure?

You may be a candidate if you’ve had chronic low back pain for 6 months or more, haven’t found relief with conservative treatments like physical therapy or medications, and your MRI shows Modic changes consistent with vertebrogenic pain. A healthcare provider can confirm your eligibility.

 

How Do I Prepare for the Intracept® Procedure?
Because general anesthesia is used, you’ll need someone to drive you home afterward. Let your provider know about any medications or supplements you take—they’ll advise you if anything should be paused before the procedure.
What Happens During the Intracept® Procedure?
While you’re under anesthesia and lying on your stomach, your provider will:
  1. Make a small incision in your back.
  2. Use X-ray guidance to insert a narrow tube into the vertebra.
  3. Create a pathway to the basivertebral nerve.
  4. Insert a radiofrequency probe into the nerve.
  5. Apply heat to ablate (disable) the nerve.
  6. Remove the instruments and close the incision with sutures.
How Long Does the Procedure Take?
The Intracept® procedure usually takes 60 to 90 minutes and is done as an outpatient procedure. Most patients go home the same day.
What Can I Expect After the Procedure?
You may be advised to rest for the first 48 hours and avoid strenuous activity. We will give you detailed post procedure instructions.
Are There Side Effects?
Mild side effects may include:
  • Soreness near the incision
  • Bruising or minor swelling
These usually resolve in a few days and can be managed with over-the-counter pain relievers like Tylenol® or Advil®. We will give you detailed post procedure instructions.
What Are the Benefits of the Intracept® Procedure?
  • Minimally Invasive: Just one small incision, no implants
  • Treats the Source: Targets the basivertebral nerve directly
  • Long-Term Relief: Studies show pain relief can last 5 years or more
  • Faster Recovery: Most patients fully recover within 1–2 weeks
How Long Does Pain Relief Last?
Most patients report significant pain and function improvement within 3 months, with benefits lasting 5+ years after just one treatment.
Are There Any Risks?
As with any procedure, risks are rare but can include:
  • Bleeding
  • Infection
  • Nerve damage
  • Increased back pain
Talk with your provider to fully understand the risks and decide if Intracept® is right for you.