What are the current indications for IDET? (Research article)
Combining IDET with other pain management treatments
IDET is currently indicated for patients with chronic
back pain that does not respond to at least 6 months
of conservative treatment. Conservative treatment typically
includes a combination of:
It is important to note that at least 90% of people
get better with the above treatments and do not require
additional treatment.
For those who fail to respond and have significant
limitations in their daily function, additional testing
such as MRI Imaging and Lumbar Discography are useful
in determining which discs, if any, may be responsible
for the chronic pain.
Candidates for IDET include patients with back
pain caused by (see Figure
1):
The presence of multiple abnormal, painful discs does
not bode well for a good, predictable surgical outcome,
regardless of the surgical procedure performed.
Relative contraindications for IDET include:
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