Thermocoagulation
Heat Probe Treatment of Vertebral Joints

Selective Percutaneous Thermocoagulation of the Vertebral and Sacroiliac Joints

Following local anesthesia the physician, guided by x-ray, maneuvers a cannula to the specific nerves responsible for pain. Once the proper position is achieved, a heat probe is inserted. Using a computer the physician can determine if the probe has indeed reached the affected nerve. Another injection of local anesthetics follows, this time however at the specific nerve to be treated. The probe is then heated and a small area is obliterated. The result is disruption of nerve conduction. Pain can no longer, in effect, be transmitted. Since each vertebral joint receives innervation from many nerves, more than one nerve must often be treated.

Indications

• therapy-resistant facet joint pain (vertebral joint pain), segmental pain
  
• vertebral joint arthrosis
  
• spinal column anomalies
  
• spondylolisthesis
  
• instability following disk or spinal column surgery
  

Value

Percutaneous thermocoagulation is precise treatment of specific nerves, a big advantage over broad-action pharmacological therapy. In comparison with cryotherapy (freezing of nerves), percutaneous thermocoagulation is longer lasting: the effects last for years, whereas cryotherapy lasts only a few months.

Advantage

This is a minimal invasive procedure, available on an out-patient basis. Most surgical procedures can be avoided using this procedure, despite progressive degenerative change of the spine. Medications can be reduced. A program of physical therapy may begin shortly after treatment. Work and physical activity are usually possible immediately following treatment.

Follow-Up

A program of physical therapy stressing isometric strength training and correct movement can be started directly following treatment. This can also be combined with electrical therapy, mineral baths, heat applications and massage.

Work

The procedure does not greatly impede physical function. Light physical activity such as office work is possible immediately following treatment.

Sport

Sports can be resumed relatively soon after treatment.

Results

Success rates of over 80% are reported in the national and international literature.

heat probe treatment : Intervertebral joints

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