Why is this procedure done? Disc Biacuplasty is a procedure to manage discogenic pain (pain originating from the disc). Those patients with back pain that have not had relief with conservative treatments including physical therapy, medications and spinal injections often see surgery as their only option. Disc Biacuplasty may be an alternative to more invasive surgery (i.e. Discectomy or Fusion). Disc Biacuplasty can also be tried for individuals who are not candidates for surgery. A discogram is performed to assist in determining if a disc is causing your pain and if you are a candidate for the Disc Biacuplasty/Transdiscal procedure.

How do I prepare for this procedure? You may not eat for 4 hours before the procedure. You can take your routine medications. If you have diabetes, please contact your treating provider for instructions on how to manage your diabetes medications. If you have any changes in your medical condition or are feeling sick, you should contact our office to inform our staff. You must bring a driver. You should stop all blood thinners, such as: Coumadin, Plavix, aspirin and most arthritis medications. You should stop herbal medicines and supplements one week before the procedure.

What happens during this procedure? You will be placed on your stomach and the skin over the injection site(s) is cleaned. A local anesthetic numbs the skin. Two radiofrequency probes will be guided to the posterior portion of the disc (posterior annulus) by the use of an x-ray or fluoroscope. Once the probes are in place the radiofrequency lesioning will begin. When completed, the probes will be removed, the area will be cleaned, and a band-aid will be placed. You will then be taken to the recovery area. Your corset will be placed and worn until you are home.

What are the side effects? In general, Disc Biacuplasty is a very safe procedure. Serious side effects or complications are rare with Disc Biacuplasty. However, similar to all injection procedures, although unlikely, adverse effects are possible. The risks include but are not limited to increased pain, bleeding, and infection. To help prevent infection the procedure is performed under sterile conditions. Please discuss any specific concerns with your physician.

What happens after this procedure? After the procedure you may not drive for 5 days or do strenuous activities. You will wear a lumbar brace for 6-8 weeks. You will need to limit your sitting time for 10- 20 minutes at a time for 3 days. If you have a sedentary or desk job, you may be able to return to work in 2 weeks. You will be started in physical therapy approximately one month after the Biacuplasty/Transdiscal procedure.

For additional information please refer to www.transdiscal.com

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