Vertebrogenic pain results from structural changes in the spine, especially in the vertebral endplates. The endplates are thin layers of cartilage that separate the vertebral bodies from the intervertebral discs, and they play a key role in shock absorption. When these endplates are damaged or degenerate, it can lead to inflammation and activation of the basivertebral nerve, which is responsible for transmitting pain signals.

Patients with vertebrogenic pain often report chronic, debilitating lower back pain that does not respond well to traditional therapies such as physical therapy, medications, or injections. Diagnosis typically involves imaging studies, such as MRI, to identify Modic changes—specific signs of inflammation or degeneration in the vertebral bodies.

• Targeted Pain Relief: Treatments like basivertebral nerve ablation focus directly on the source of pain, providing more effective relief for patients with vertebrogenic pain.
• Minimally Invasive: Procedures are performed with small incisions, reducing recovery time and risks compared to traditional open surgery.
• Reduced Need for Opioids: With successful intervention, patients often experience significant pain reduction, decreasing their reliance on opioid medications.
• Improved Quality of Life: Effective management of vertebrogenic pain allows patients to return to daily activities and improves their overall well-being.

1. Slipped discs
2. Spinal stenosis
3. Herniated discs
4. Spondylolisthesis
5. Spinal fractures
6. Spinal tumors

Patients who may benefit from treatments like basivertebral nerve ablation generally meet the following criteria:

• Chronic Lower Back Pain: Persistent pain for six months or longer that is unresponsive to conservative treatments (physical therapy, pain medications, injections).
• Modic Changes: Evidence of vertebral endplate changes (Modic Type 1 or 2) on MRI, which are often indicative of vertebrogenic pain.
• Non-Surgical Candidates: Patients who are not ideal candidates for spinal fusion or other major surgeries due to health conditions, age, or personal preferences.

• Infection: As with any procedure involving incisions, there is a small risk of infection at the treatment site.
• Nerve Damage: Though rare, there is a potential risk of damaging nearby nerves, which could lead to temporary or permanent changes in sensation or motor function.
• Bleeding: Minimal, but the risk exists, particularly in patients on blood-thinning medications.
• Temporary Discomfort: Some patients report temporary increases in back pain following the procedure, which usually resolves within a few days.
• Inadequate Pain Relief: While many patients experience significant improvements, not all will achieve complete pain relief from the procedure.