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.
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heat probe treatment : dorsal root ganglion
heat probe treatment
thermocoagulation. vertebral joints