Implant-free lower back procedure leads to new beginnings
Tyler Vanatta

Implant-free lower back procedure leads to new beginnings

Tyler Vanatta had experienced extreme chronic lower back pain since 2012.

Managing a physically demanding career, Tyler served 12 years in the National Guard and has worked as a maintenance supervisor since 2022. The routine strains on his body only increased his discomfort. 

“It was a daily challenge to get out of bed and get dressed,” said Tyler. “I returned home after 12-hour shifts feeling more worn down and in more pain.”

Wear and tear combined with disc degeneration resulted in inflammation and pain known as vertebrogenic pain. It’s a pain in the middle of the lower back that worsens when you bend, sit for long periods and are physically active.

After trying suggested medications and treatments for years without success, Tyler was determined to find a form of long-term relief. 

Seeking a solution

Tyler was referred to the Genesis Interventional Pain Management Clinic through the Department of Veterans Affairs outpatient transfer program.

He met with Yahya Bakdalieh, M.D., Physical Medicine and Rehab Physician at Genesis Interventional Management Pain Clinic, and asked about options.

“Tyler’s vertebrogenic low back pain was a specific type of pain that is common and often misdiagnosed,” said Dr. Bakdalieh. “Of the 30 million people in the U.S. with chronic low back pain, one in every six people is likely to have this type of pain. Patients have tried many therapeutic approaches for extended relief, but an effective treatment was only recently developed."

Dr. Bakdaliah introduced Tyler to the Intracept Procedure, a new vertebrogenic low back pain treatment offered at Genesis.

Vertebrogenic pain starts in the endplates. The basivertebral nerve (BVN) in the spine carries pain signals from the inflamed endplates to the brain. When the BVN releases these signals, it results in chronic lower back pain.

Parts of a vertebrae.

Parts of a vertebrae.

Intracept treats the BVN to stop the pain signals. During the minimally invasive procedure, an X-ray locates the nerve. A tiny device sends radio waves to heat the nerve so it no longer senses pain.

Treatment to the basivertebral nerve.

Treatment to the basivertebral nerve.

Lasting around an hour, the outpatient procedure is implant-free and preserves the spine's structure.

“Intracept is the only current Federal Drug Administration-cleared treatment for chronic vertebrogenic low back pain,” said Dr. Bakdaliah. "With this new innovative technology, we can treat the endplates where the pain originates.” 

A normal disc.

A normal disc.

An inflamed disc with endplate damage.

An inflamed disc with endplate damage.

The road to success

“I was confident in what I learned about Intracept,” said Tyler. “I couldn’t wait to have the procedure.”

Tyler had the Intracept Procedure at Genesis in October 2024. After a few days of rest, he returned to work and has remained pain-free since the treatment.

“Getting out of bed now is the most amazing thing,” said Tyler. “I used to take 40 minutes to get dressed. I’m now out the door in five minutes.”

In Intracept clinical studies, most patients have experienced sustained relief over five years after a single treatment:

  • One-third of patients reported up to 50% pain reduction.

  • One-third of patients reported up to 99% pain reduction.

  • One-third of patients reported they are 100% pain-free.
     

Genesis is one of the first healthcare systems in the area to offer the Intracept Procedure. Tyler has shared his positive experience with many people, including his coworkers.

“Maintenance workers are all beat up,” said Tyler. “The information is saved on my phone. I’ve already recommended Intracept to 12 people.”

Tyler’s newfound relief has him embracing old hobbies and finding new ones, including a bucket list purchase.

“I felt so good after my procedure that I went and bought a motorcycle,” said Tyler. “I can’t wait to ride this season.”

Yahya Bakdalieh, MD

Yahya Bakdalieh, M.D.
Physical Medicine and Rehab Physician
Genesis Interventional Pain Management Clinic

 

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