Today, I am recommending the Intracept procedure for this patient. The patient meets the following criteria:
1-low back pain for greater than 6 months
2-low back pain that is unresponsive to conservative therapy for more than 6 months
3-the patient does have endplate changes including inflammation, edema, disruption.
This has been affecting the patient's ADLs including sleep, work, and performing leisure activities.
Furthermore, the patient's pain is located in the lower back and started [] years ago. The patient's pain score is currently rated at least an 8 out of 10. This is affecting the patient's ability to perform recreational activities as well as work. The patient has had numerous injections including [] in addition to medications including [] and physical therapy.
The patient has had an MRI is indicated above and in the patient's medical record.
The patient is having vertebrogenic chronic low back pain as well as these Modic changes at levels [].
I plan is to perform the Intracept procedure. Until we can get it approved, we will continue the patient on the current regimen as outlined in the medical record.