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IDET (Intradiscal electrothermal therapy)

IDET

IDET (intradiscal electrothermal annuloplasty) is a new minimally invasive alternative to open back surgery procedures performed on patients suffering from chronic back pain caused by spinal disc problems.  The IDET procedure is performed using electrothermal catheters allowing for an accurate control of cauterizing temperatures.  During the IDET procedure the surgeon uses precise levels of heat to cauterize nerve endings that have abnormally grown through the wall of a spinal disc thus blocking painful signals from being sent to the brain.

Before an IDET procedure is performed on a patient, a discography is usually performed to identify what the root of the disc problem is.  Seeing as an IDET will not solve all problems, your doctor will review the results from the discography and let you know if you are a good candidate for the procedure.

The IDET Procedure

In preparation for the IDET procedure the patient is given a sedative alongside a local anesthetic.  The doctor will use X-ray imaging to guide the catheter and heating element into the spinal disc.  When the doctor has successfully placed the catheter in the outer layer of the disc (annulus fibrosis) it is slowly heated to 194 degrees Fahrenheit over the course of fifteen to twenty minutes.  The heat has a threefold effect:

  1. Deaden nerve fibers causing pain
  2. Increase toughness of the disc tissue
  3. Seal small tears in the annulus

The risk of disc infection is minimized by giving antibiotics to the patient through intravenous or by injecting them directly into the spinal disc.

After the procedure is finished the patient is observed for a period of time specific to the doctor performing the procedure and then released to go home.  Depending on the patient, results of the IDET procedure may vary.  Some patients will feel relief within a few days following the procedure, while some patients may take up to eight weeks to notice any changes.  Some patients will feel no relief at all after this procedure.  This procedure is still relatively new and long term effects on the disc have yet to be discovered.

IDET Procedure Risks

Whether an IDET procedure relieves your pain relief or not, the complications related to it seem to be uncommon.  It is important to note that the risks (although minimal) associated with IDET will cause more pain than the patient was already experiencing.  These complications include nerve damage, disc damage, and disc infection.

Recovery From IDET

Below is a list of activities and restrictions you should expect after undergoing an IDET Procedure:

  • Participate in a physical therapy routine (serious participation will usually help speed you healing)
  • Month one will consist of daily walking combined with light, easy stretches provided by your doctor
  • Month two and three will start to introduce an exercise routine as directed by your physician or physical therapist
  • Avoid lifting, bending, and sitting for extended durations

The doctor will likely suggest that you wait at least six months before you return to any strenuous sporting activity.  If you are uncertain of what activities would prove harmful to you, be sure to ask your doctor.

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