Intracept

[thecentral09]

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Are u seeing the results long term? I sent 2 pts out to an hospital based guy, first guy have only modic findings and failed everything else, axial pain, obese, no stenosis- did great for 2 months now pain back/worse than prior with no new changes on mri.
What’s the long term been for these patients?

 

[Taus]

Are u seeing the results long term? I sent 2 pts out to an hospital based guy, first guy have only modic findings and failed everything else, axial pain, obese, no stenosis- did great for 2 months now pain back/worse than prior with no new changes on mri.
What’s the long term been for these patients?

I wouldn’t call that the pain coming back… I would call that just a total failure.

 

[callmeanesthesia]

Are u seeing the results long term? I sent 2 pts out to an hospital based guy, first guy have only modic findings and failed everything else, axial pain, obese, no stenosis- did great for 2 months now pain back/worse than prior with no new changes on mri.
What’s the long term been for these patients?

No new changes on MRI? Doesn’t Intracept produce some lesions on MRI? Maybe they didn’t burn long enough.

 

[MD87]

Are u seeing the results long term? I sent [emoji638] pts out to an hospital based guy, first guy have only modic findings and failed everything else, axial pain, obese, no stenosis- did great for [emoji638] months now pain back/worse than prior with no new changes on mri.
What’s the long term been for these patients?

N=[emoji637][emoji6[emoji640][emoji637]]-[emoji638][emoji[emoji6[emoji640][emoji638]][emoji640][emoji6[emoji640][emoji638]]]. All of my patients were fails or successes. No successes that then had return of pain.

 

[bedrock]

Similar to literature but I would say smaller standard deviation. Majority between 50-90% better. The rest split between 90-100% or 0-50%.

140+ cases. Results pretty closely match the 2 RCTs

I don’t have as much experience as both of you. Done a dozen cases. 11/12 got 80% relief, 1 zero relief. (That patient also failed RFA, had a severely degenerative disc + some instability)

The odd thing is that all my other 11 cases all achieved 80% relief. No patient had significantly more or less such as 50% or 100% relief. Just one failure and then 11 patients with 80% relief.

Not sure if it makes a difference but all these cases are commercial insurance.

WC doesn’t cover yet and medicare pays so poorly that I send all Medicare intracept cases to HOPD employed docs.

 

[Ronin1]

I think you will see a different mix in the older Medicare crowd. Many have multiple pain generators. I’ve done 50 cases and the results seem to follow the literature. Quite a few seem to take several months to demonstrate improvement. In addition we have had several state they are no better but ther ODI shows greater than 50%improvement

 

[Tboned]

Results mirror literature. Follow patients to a year with PROs. 100+ cases. Follow clinical trial inclusion/exclusion criteria, but will on occasion will deviate from said criteria as a last resort without much success.

 

[drusso]

We are experiencing an epidemic of Modic changes, SIJ instability, and end-stage cluneal neuralgia. Once you see it, you can't unsee it.

Bump.

 

[SC Tian]

It’s interesting that I’ve treated 30 cases so far, mostly older patients. Surprisingly, I’ve found only 50% of them experience 50% relief. I’ve even seen patients from large academic centers, and they don’t respond to intercepts as effectively as literature reported.

 

[Taus]

Bump.

done 200+ cases. Success rates still mirror literature. Key is classic symptoms and imaging. Success decreases when deviate. Commercial insurance coverage still poor. Still pays peanuts in pro fee. Only viable at higher volumes for docs who own asc/hopd until commercial insurance coverage/rates come around.

 

[PMROralBoards]

done 200+ cases. Success rates still mirror literature. Key is classic symptoms and imaging. Success decreases when deviate. Commercial insurance coverage still poor. Still pays peanuts in pro fee. Only viable at higher volumes for docs who own asc/hopd until commercial insurance coverage/rates come around.

Can you describe your selection process?