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Percutaneous intradiscal electrothermal therapy for low back pain

Guidance issued Guidance issued
 
Number: IPG81
 
Summary:

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on percutaneous intradiscal electrothermal therapy for low back pain in August 2004.

NICE has reviewed this guidance and is reassessing the procedure. New guidance will be published as a result.  Until the new guidance is published the NHS should continue to follow the recommendations in the guidance below

The Interventional Procedures Advisory Committee (IPAC) reconsidered this procedure in light of comments received during the initial consultation in May 2009. As a result, NICE issued a second consultation document about its safety and efficacy. This has been issued for 4 weeks public consultation (until 5pm on 28 July 2009).

If you wish to comment on the consultation document please use the link at the bottom of this page.

NICE is committed to promoting through its guidance race and disability equality and equality between men and women, and to eliminating all forms of discrimination. One of the ways we do this is by trying to involve as wide a range of people and interest groups as possible in the development of our guidance on interventional procedures. In particular, we aim to encourage people and organisations from groups in the population who might not normally comment on our guidance to do so. We also ask consultees to highlight any ways in which draft guidance fails to promote equality or tackle discrimination and how it might be improved.

If you wish to be alerted to developments regarding this procedure, including the release of NICE guidance, please express your interest.

 

The Interventional Procedures Advisory Committee (IPAC) originally considered this procedure as part of percutaneous intradiscal thermocoagulation.

However, as a result of comments received during the initial consultation in August 2003, IPAC decided to consider the procedure separately for intradiscal thermocoagulation using electrothermal energy, and intradiscal thermocoagulation using radiofrequency energy. Guidance has now been produced for both procedures.

Description:

In some patients, low back pain is thought to occur when one or more of the tough discs that sit between the bones (vertebrae) in the spine become worn. This procedure involves inserting a needle into the affected disc (a video image similar to an X-ray is used to help find the correct position). A narrow tube is then passed through the needle into the disc. The tube is heated slowly and kept in place for a few minutes.

Arrangement:

Special

Topic Area:

Musculoskeletal
Surgical procedures

Specialty:

Anaesthetics
Trauma and orthopaedic surgery

Specialist advice has been sought from: British Orthopaedic Association
Date notified to NICE: 01 April 2002
Provisional consultation date: Spring 2009
IP Pub Date: 25 August 2004
Contact Details:
Project manager (for general enquiries or comments)
(for general enquiries or comments)
Ben Doak
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA


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