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    Learn about Intradiscal Electrothermal Therapy (IDET), who it is for, how it is performed and aftercare.

    INFORMATIONProcedure Information

    Duration

    About 30 min

    Incision

    Under 1 cm

    Anesthesia

    Local

    Walking

    Next day

    Daily Life

    Discharge after 3 days

    Showering

    After stitch removal

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    M E A N I N G

    What Is Spinal IDET (Intradiscal Thermal Therapy)?

    A thin needle is inserted into the disc, and low-temperature radiofrequency energy is applied
    to restore and repair the bulging disc.

    It selectively blocks only the nerves that cause pain
    and reduces the size of the disc through decompression,
    relieving nerve compression and strengthening the disc.
    Because pain is relieved once the bulging disc is reduced,
    the effect can be felt immediately.

    Illustration of a radiofrequency catheter inside a lumbar disc

    CASEWho Is It For?

    People with persistent pain from repeated disc injury and degenerative tears

    Patients with chronic disc disease

    People with disc degeneration in which the fibrous ring of the disc is torn

    People with internal disc disruption, in which the nucleus of the disc has darkened and deteriorated

    People whose low back pain does not improve with medication or physical therapy

    TREATMENTHow Is the Procedure Performed?

    STEP 01

    A specially designed catheter is inserted into the disc.

    STEP 02

    Heat is conducted through the catheter placed in the annulus fibrosus of the disc.

    STEP 03

    The catheter delivers heat energy to the annulus fibrosus under a tightly controlled process.

    STEP 04

    A heat-conducting wire is inserted into the disc through a thin needle, and radiofrequency heat is applied.

    STEP 05

    First, only the nerves around the disc that cause pain are selectively treated.

    STEP 06

    The collagen fibers around the disc are contracted and firmed, making the disc stronger.

    ADVANTAGEAdvantages of
    Spinal IDET

    • · Effectively treats chronic disc pain without surgery.
    • · A short procedure of about 20 minutes allows an immediate return to daily life.
    • · Performed while viewing real-time imaging, so it is highly accurate and safe.
    • · Can be performed safely even in patients with chronic illness or osteoporosis and in older adults.

    MANAGEMENTAftercare

    Week 1

    You can sit for about 30–40 minutes at a time, then you should straighten your back. Whole-body exercises that bend the back backward are allowed. Avoid working, lifting, bending and stress, and always wear your brace.

    Week 2

    You can lift about 2 kg. Light housework or office work is possible, but avoid bending or twisting your back and any strenuous activity.

    Week 3

    You can lift up to about 5 kg. Avoid twisting your back or strenuous exercise, and keep an upright posture. Keep your head and neck straight and do not slouch.

    Week 4

    You can lift 10–25 kg. Maintaining good posture is still important at this stage, and you should continue to use your brace.

    After 1 Month

    Do light exercise during the first month. During the following month, take a walk or stretch every day.

    2–3 Months After

    You can do exercises such as spinal flexibility exercises, cycling, hiking and aerobics.

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