BVNA

Overview

BVNA involves the use of a specialized catheter inserted through a small incision in the skin to deliver heat via radiofrequency energy to the basivertebral nerve. This ablation creates a thermal lesion that interrupts the nerve’s ability to transmit pain signals. The procedure is often guided by imaging techniques such as fluoroscopy to ensure precise targeting.

Indications

BVNA is typically indicated for:

• Patients with chronic low back pain not adequately controlled by conservative treatments such as physical therapy or medications.
• Individuals diagnosed with degenerative disc disease or vertebrogenic pain stemming from the basivertebral nerve.
• Candidates who have not responded well to other interventional pain management techniques.

Pre-Procedure

Before undergoing BVNA, patients will typically go through:

• Medical Evaluation: Comprehensive assessment of the patient's medical history, symptoms, and previous treatments.
• Imaging Studies: MRI or CT scans may be performed to confirm the diagnosis and assess the anatomy of the spine.
• Discussion of Expectations: A thorough discussion with the healthcare provider about the procedure, risks, and expected outcomes.

During Procedure

• Preparation: The patient is positioned comfortably, often lying face down.
• Anesthesia: Local anesthesia is administered, and sedation may be provided for comfort.
• Guided Procedure: Using fluoroscopic guidance, the physician inserts a needle into the targeted area where the basivertebral nerve is located.
• Ablation: Radiofrequency energy is delivered through the catheter to create a lesion on the nerve, interrupting pain signal transmission.
• Monitoring: Throughout the procedure, the patient’s vital signs are monitored to ensure safety.

Post-Procedure

• Following BVNA, the typical post-procedure care includes:
• Recovery Monitoring: Patients are observed in a recovery area for any immediate complications.
• Pain Management: Analgesics may be prescribed to manage discomfort in the initial recovery phase.
• Activity Recommendations: Guidance on resuming normal activities and physical therapy, if needed.
• Follow-Up Appointments: Regular follow-ups to assess pain relief and any side effects.