Biacupoplasty is a completely new treatment method for disc denervation, a method for treating chronic (disc-related) pain. This state-of-the-art procedure uses an innovative and sophisticated technological advance known as water-cooled radiofrequency (RF) ablation to treat painful and damaged discs. Energy is generated inside the target by special radio waves that heat the inside, blocking painful nerves and repairing damaged collagen.

 A disc biacupoplasty is a minimally invasive procedure that relieves back pain caused by damage to the discs. 

 Biacupoplasty is a first-line procedure that uses the latest technology to treat pain. This truly amazing procedure uses a sophisticated form of radiofrequency ablation to treat painful discs from the inside out. There are no scratches or cuts.

Conditions treated with this procedure 

 Treatment by biacuplasty may be recommended: 

• low back pain lasting longer than 6 months  
•  low back pain unresponsive to conservative management 
•  low back pain in the Thighs 
•  Positive discography well done 
•  Presence of annulus tear documented by discography or MRI 
•  Disc disease limited to one or two levels 
•  Disc height? 50% of normal 
•  Body mass index < 30 
•  The patient is younger than 55 years  
•  No signs of compressive radiculopathy other than decreased reflexes 
•  Disc swelling ? 5 mm 
•  No prior surgery at the treated level

Procedure 

The doctor uses a special type of X-ray called fluoroscopy to insert two small needles into the damaged disc. Radio waves send an electric current to the needles, heating them up. The heat damages abnormal nerves in the disc and disrupts pain signals. The heat from the needles can also strengthen the disc tissue. 

This is an outpatient procedure that takes approximately 30 minutes. You will be given sedatives and a local anesthetic. Recovery takes about 12 weeks, with some initial limitations in activity. You should not eat before the procedure and will need someone to drive you home afterward. The specialists at the OHSU Spine Center will explain the procedure and aftercare to you in detail.

FAQ 

What is RF cooling? 

 Cooled RF is a minimally invasive outpatient procedure that can safely treat chronic pain. This advanced procedure uses  

 chilled radio frequency energy to safely target the sensory nerves that cause pain. 

How long does the procedure take? 

 The duration of the procedure varies depending on the doctor and the treatment desired. However, the actual processing time of RF is usually less than 

 20 minutes. 

When can I go home after the operation? 

 Because this minimally invasive outpatient procedure does not require general anesthesia, you should be able to go home immediately after the procedure. A responsible adult must drive you home. 

 Is the procedure painful?

 Unlike surgery, no incision is required. You may experience some discomfort when RF has been used for a short period of time, but this discomfort can be relieved with common over-the-counter medications. 

 When can I resume my normal activities? 

 The recommended rest period varies based on individual needs and procedures. You can usually be back to work and your normal daily activities within a few days. Call your doctor on for details about your procedure. 

When will I feel pain relief? 

You should feel pain relief within one to two weeks. In some patients, the relief may last a relatively long time. In other cases, additional treatment may be required.