IDET

It is a procedure that provides shrinkage of the hernia tissue by giving radiofrequency energy to the herniated area by entering with a special needle to the waist.

• Low back pain lasting longer than 3 months
• Low back pain that persists within 3 months despite physical therapy, pain medications, or other non-surgical methods
• No surgery on the affected disc
• Findings such as degenerative disc disease on MRI
• The discography or discogram must be positive.

How is IDET application made?

In our clinic, we perform IDET as a day hospitalization like other intradiscal procedures. Although the procedure is not an operation, it is performed under local anesthesia in the operating room environment, since hygiene rules must be followed. In the prone position, without putting the patient to sleep, but under local anesthesia, we send a needle called a chiba needle to the affected disc or the diseased-degenerated disc, accompanied by scopy, to the distance of the disc. At this stage, we make a discography or discogram by giving the medicine we call the contrast agent to the disc distance of the patient. At this stage, what we call the provocation test, that is, if the patient has low back pain during the administration of the drug, the test is positive and IDET can be performed. After that, we insert the IDET probe through the chiba needle and burn the annulus of the disc for 5 minutes until 85 degrees Celsius. With this burning process, the annulus will shrink and burn. This procedure is also a more effective method of TENS application by physical therapy doctors. In TENS, we hold the probe from the skin and allow the rays to heat the disc deeply. However, in this method, heating is provided by directly entering the disc.

After the application, the patients are monitored in the hospital for 2-3 hours, they are moved around, they are recommended not to lift heavy, not to do reverse movements and to rest for 5 days and are sent to their homes.