Overview
Chronic low back pain has many possible drivers — disc-related, facet-related, sacroiliac, or vertebrogenic (from damaged vertebral endplates). Accurate diagnosis is essential because the right procedure depends on the pain generator.
For vertebrogenic low back pain, where an MRI shows Modic changes at the vertebral endplates, the Intracept procedure uses radiofrequency energy to ablate the basivertebral nerve — a minimally invasive option that can provide long-lasting relief when other treatments have failed.
Common Symptoms
- Deep, aching low back pain
- Pain worse with bending forward or prolonged sitting
- Pain that persists despite physical therapy and medication
- Pain sometimes radiating into the buttock but not past the knee
Common Causes
- Vertebral endplate damage (Modic changes)
- Facet joint arthritis
- Sacroiliac joint dysfunction
- Chronic disc degeneration
How We Treat Chronic Low Back Pain
When to See a Pain Specialist
If your pain has lasted longer than a few weeks, interferes with work, sleep, or activity, or hasn’t responded to rest, physical therapy, or over-the-counter medication, it’s worth a consultation. Our team can confirm the diagnosis and walk you through the interventional options that fit your case.