Atlas Rehabilitation and Pain Medicine, located on Park Avenue South in Manhattan, New York and in Milburn, New Jersey is a renowned pain treatment centre at the forefront of advanced therapies including annuloplasty (IDET) and nucleoplasty.

Description of Annuloplasty: Electrothermal annuloplasty (IDET™)  specifically describes a minimally invasive annuloplasty procedure used to treat lower back pain related to disc disease. In an initial step, the pathogenic disc is identified by the pain management specialist using pressure-based discography. A navigable catheter with an embedded thermal resistive coil is inserted  into the disc annulus or the disc nucleus. The catheter is then passed through the disc circuitously to return posteriorly. Using radiofrequency energy, electrothermal heat is then generated within the thermal resistive coil at a temperature of 90 degrees centigrade; the disc material is heated for up to 20 minutes. The procedure is not designed to coagulate, burn, or ablate tissue. The mechanism of action of pain relief is not precisely understood, but it is thought to be either shrinkage of the collagen fibers within the annulus or destruction of the adjacent nociceptive pain fibers. Annuloplasty (IDET  is usually performed on an outpatient basis. Local anesthesia and mild sedation may be used to reduce discomfort during the procedure. annuloplasty (IDET) patients will be awake to provide important feedback to the physician.

Description of Nucleoplasty: Nucleoplasty is usually performed on an outpatient basis. Local anesthesia and mild sedation may be used to reduce discomfort during the procedure. Nucleoplasty patients will be awake to provide important feedback to the physician. Patients with  disc herniations may benefit from this therapy. Nucleoplasty is a minimally invasive procedure developed for these patients, combining disc decompression with thermal treatment. The nucleoplasty device is a catheter that creates a small, highly localized plasma field. This catheter is percutaneously inserted into the intervertebral disc through a stylet. The location is confirmed by the pain management doctor using fluoroscopy. In nucleoplasty the catheter is activated and gentle movements are made to the catheter as it lies within the disc space. In this way, small amounts of disc material may be ablated within the disc space and disc decompression may be effected

The spine doctors and pain management specialists of Atlas Rehabilitation and Pain Medicine of Manhattan, New York and Millburn, New Jersey would be happy to see you for a consultation and help you learn about annuloplasty and/or nucleoplasty pain management treatments.