Intradiscal Radiofrequency Ablation, also known as IDET, is a treatment for ongoing lower back pain, particularly when it's caused by small tears in the discs between your vertebrae. This procedure involves inserting a small catheter into the painful disc and using radiofrequency energy to apply heat, which helps to seal the tears and reduce pain by shrinking tissue and affecting nerve fibers inside the disc.

Patients struggling with chronic back pain that hasn't improved with regular treatments may find relief from IDET, especially if their pain stems from these disc issues. It's typically performed for those who experience increased pain when sitting or standing and some relief when lying down.

Alternatives to IDET include physical therapy, medications, and radiofrequency ablation (RFA) for nerve pain. Regenerative treatments like platelet-rich plasma (PRP) therapy or bone marrow-derived stem cells may promote disc healing, while allograft therapy can provide structural support. Spinal cord stimulation (SCS) is another option for persistent pain. Before the procedure, you might need imaging tests like X-rays or MRI to help pinpoint the exact source of your pain.

Additionally, you should stop taking any blood-thinning medications several days beforehand to minimize the risk of bleeding.

Although IDET is generally safe, like any medical procedure, it carries some risks, such as temporary increases in pain, numbness at the needle site, or, very rarely, nerve damage or infection.

After the procedure, pain relief may take a few weeks to start, and you may use ice packs to help with any immediate discomfort. Continuing with physical therapy afterward can aid in restoring strength and movement to your back, helping maximize the benefits of the treatment.