Vertebral Nerve Ablation
What is Vertebral Nerve Ablation?
Vertebral nerve ablation is a minimally invasive procedure used to treat chronic low back pain by targeting the nerves that transmit pain signals from the spine. The treatment uses controlled heat to disrupt these nerve signals, helping reduce pain and improve daily function. At UTHealth Houston Neurosciences, specialists use vertebral nerve ablation for patients whose back pain has not improved with medications, physical therapy or other conservative treatments.
By targeting the nerves that transmit pain from the spine, the procedure can provide longer-lasting relief for many patients. Our multidisciplinary team of neurologists, neurosurgeons and pain specialists works together to determine whether this treatment may be appropriate.
UTHealth Houston Neurosciences interventional pain management specialist Stephanie Regenhardt, MD, PhD, discusses the basivertebral nerve ablation procedure and how it can benefit those suffering from chronic low back pain caused by degeneration of the vertebrae in the lumbar spine and the top of the sacrum.
Who might benefit from vertebral nerve ablation?
Chronic low back pain can develop when structures within the spine become irritated or damaged. In some patients, nerves that carry pain signals from the vertebrae continue sending those signals even after the initial injury has healed. Vertebral nerve ablation targets these nerves and reduces their ability to transmit pain signals to the brain.
The procedure may be considered for patients with chronic vertebrogenic back pain, particularly when imaging studies and clinical evaluation suggest the pain originates from the vertebral bodies. A patient’s care team will review symptoms, medical history and prior treatments to determine whether vertebral nerve ablation may be an appropriate option.
What to expect during the procedure
Vertebral nerve ablation is typically performed as an outpatient procedure. After the treatment area is numbed with local anesthesia, the physician uses imaging guidance to place a specialized probe near the targeted nerve within the spine. The probe delivers controlled heat that disrupts the nerve’s ability to send pain signals. The procedure typically takes about an hour, and patients can usually return home the same day.
What to expect during recovery
Recovery from vertebral nerve ablation is usually quick. Most patients resume light activities within a few days, although physicians may recommend limiting strenuous movement for a short period. Pain relief may develop gradually over several weeks as the treated nerve stops transmitting pain signals. Many patients experience significant improvement in pain and mobility, allowing them to return to normal activities and reduce reliance on pain medications.
UTHealth Houston Neurosciences provides comprehensive evaluation and treatment for spine-related pain and neurological conditions. By combining advanced technology with a patient-centered approach, our specialists develop individualized treatment plans designed to restore comfort, mobility and quality of life.