Overview
The Intracept procedure, also called basivertebral nerve ablation, is a minimally invasive treatment for vertebrogenic pain, a type of chronic low back pain that comes from the vertebral endplates.
It is designed for patients with chronic low back pain of at least six months who have not improved with conservative care and whose MRI shows specific changes (Type 1 or 2 Modic changes) at the painful levels.
Watch: how Intracept (Basivertebral Nerve Ablation) works
Video: “Intracept Procedure (Overview)” from Chronic Pain Relief by Boston Scientific on YouTube. It loads from youtube-nocookie.com only when you press play. Shown for general education; GSMC did not produce it. Watch on YouTube
How it works
Through a small opening, the physician uses X-ray guidance to access the inside of the vertebra and place a radiofrequency probe near the basivertebral nerve. The nerve is ablated to interrupt pain signals from the endplates.
Who it may be for
- Chronic low back pain for at least six months
- At least six months of conservative care without adequate relief
- MRI showing Type 1 or Type 2 Modic changes at L3 to S1
- Patients without active infection or certain other conditions
Your exam and imaging decide whether this treatment is appropriate for you.
What to expect
- Before: MRI review to confirm Modic changes.
- Day of procedure: performed under sedation or anesthesia, usually about an hour, as an outpatient.
- After: most patients go home the same day.
Recovery
Most patients return to light activity within a few days. Your instructions may differ.
Risks and side effects
Every procedure has risks. Your physician will review them with you, including:
- Soreness at the site
- Bleeding
- Infection
- Nerve injury (rare)
Insurance and cost
Many plans, including Medicare, may cover this treatment when criteria are met. We verify benefits before scheduling. See accepted insurance.
Frequently asked questions
How is Intracept different from radiofrequency ablation of the facets?
Intracept targets the basivertebral nerve inside the vertebra, rather than the nerves to the facet joints.
Do I need a special MRI?
Your physician will review your MRI for Modic changes. An updated MRI may be needed.
Is Intracept covered by insurance?
Many plans, including Medicare, may cover it when criteria are met. We verify benefits before scheduling.
This page is general patient education and does not replace advice from your own clinician. Individual results vary.