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Electrothermal Therapy. Part 2

April 23rd, 2012

Unfortunately, when a new procedure such as IDET comes out, many people jump on the bandwagon. In turn, I suspect that this procedure is being done too often and many times for the wrong reasons. The strict indications for who should have the procedure include a person who has failed an aggressive rehabilitation program and who has low back pain without significant extension of pain into the legs. It does not work well for patients who have significant degeneration of the discs, so it is generally best for younger patients.

A.Although IDET is not considered experimental, it is somewhat new, so we will have to see over time what the long-term risks and benefits are. There is some concern that this procedure will result in further collapse of the disc, and that some of these patients will subsequently require spinal fusions.

For now, many different physicians are performing this procedure, including fellowship-trained orthopedic spine specialists, general orthopedists, neurosurgeons, anesthesiologists specializing in pain management, and some internists. It is my opinion that this is best performed by a spine specialist, in either orthopedics or neurosurgery, who has available all treatment options and can choose the right procedure for you.

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