Intradiscal Electrothermal Therapy (IDET)
Disc Disruption can be treated with a number of
different approaches, including physical therapy, fusion surgery and IDET.
IDET is a newer treatment aimed at less
invasive approaches with shorter recovery time. It is usually limited to 1
or 2 discs and involves threading a catheter around the leaking nucleus pulposis
and heating it to a temperature that seals the leak. Over a period of the
next several months scar tissue forms within the disc. There are many variations
on this theme, but basic treatment is the same. Some practitioners use an
epidurascope to actually visualize the tear to be treated and some use operating
from IDET takes several months. This may require pain management during this
time period. Physical therapy is also highly recommended for good outcome.