Dynamic Disc Designs
Endplate Damage, basivertebral nerve model

Basivertebral Nerve Ablation

Low back pain (LBP) is a condition that is common across state lines, affecting millions of people. It is one of the most expensive occupational disorders and the leading cause of disability in the US. Some people have their back pain alleviated with simple exercise and some physical therapy, but others experience a chronic form that hinders body function.

A nerve that runs deep within the vertebral body is the basivertebral nerve. The research that this article1 summarizes dives into a novel solution to ablate it.

modic model, modic vertebra, endplate, basivertebral nerve

Basivertebral Nerve seen in Yellow


Understanding Chronic Low Back Pain

Researchers have been puzzled by the endemic low back pain, especially its prevalence in adults. Initially, they had their sight set on damaged discs in the spine as the cause. However, they have observed over the years that low back pain can result from the nerves (basivertebral nerves) within the vertebral bone. Basivertebral nerves can cause pain and can act up when types of degeneration present.

These degenerative changes can appear as Modic Type I and II on an MRI scan. 


How Basivertebral Ablation (BVA) Works

BVA is an intrusive procedure that targets Basivertebral nerves. It is performed under general anesthesia on an outpatient basis. A radiofrequency probe is inserted through a needle through the pedicle and into the vertebral bone to ablate the basivertebral nerve tissue. This prevents the pain signal from travelling to the brain from the nerve.


Basivertebral Ablation: Research and Results

Early research has shown promising results, although BVA is a new procedure. These studies show that BVA is effective in significantly reducing pain and improving function for patients with Chronic LBP who have either Modic Type I or II changes reflecting on their MRI scans.

These patients’ pain and disability scores significantly improved with BVA compared to pre-operational results. Another research examined BVA in comparison to conventional conservative LBP therapies. The outcomes demonstrated that BVA outperformed conventional techniques in lowering pain and enhancing function.

Subsequently, the therapeutic value of BVA was validated by a bigger trial, which included individuals who had persistent low back pain as a result of modic alterations. This study discovered that BVA’s pain alleviation was long-lasting after following the patients for several years.

Modic Lumbar Model


Safety and Potential Risks of Basivertebral Ablation

Some studies reported some side effects, typically mild and temporary, such as pain and discomfort in the injection site. The risk of infection, nerve injury, and bleeding is also accounted for within medical procedures. All these risks are considered low in the grand scheme of things.


Who is a Candidate for Basivertebral Ablation?

BVA is best for chronic LBP patients who have not seen any significant improvements with conservative treatment methods despite having Modic Type I or II changes on the MRI. Patients who want to explore BVA treatment must consult their doctor to determine if the method suits their current health status well.



The Future of Basivertebral Ablation

BVA is a promising new approach for treating chronic LBP. While more research is needed to confirm its long-term effectiveness, BVA offers hope for millions of people who suffer from this debilitating condition. As the use of BVA grows, researchers will continue to refine the procedure and explore its potential benefits for a wider range of patients with LBP.

More research should be done on BVA, especially to confirm its long-term effectiveness. Yet, it currently stands as a glimpse of hope for the millions who suffer from the condition.


Basivertebral Ablation: Considerations and Conclusion

BVA appears to be a safe and effective way of treating chronic LBP with Modic changes, but scientists believe some important points remain to be considered.


Current Limitations and Areas for Further Research

More research is needed to understand how long-lasting the effects of BVA are, seeing as it is a new procedure. Secondly, researchers feel that more research needs to be done to accurately decipher which patients are best to select for such a procedure. They also need to determine if the method works even for chronic low back pain caused by factors besides modic changes.

In further studies, researchers may explore using different energy types for ablation. Also, developing novel methods to target the basivertebral nerves accurately will be a huge addition.



Basivertebral ablation offers a new and promising option for managing LBP. Studies have shown its effectiveness in reducing pain and improving function in patients with the condition.

Although further investigation is required to comprehend the enduring consequences of BVA and to enhance the process, it signifies a noteworthy progression in managing persistent lower back pain. BVA may give patients new hope for a pain-free life if they have not achieved relief with conventional techniques.


Additional Considerations

It is important to note that despite its effectiveness, BVA is still a relatively new procedure, so it may not be widely readily available. As such, not all health insurance plans may cover it.

Also, BVA is not a cure for low back pain but a treatment that significantly helps to reduce the pain. Patients may still be required to undergo physical therapy or other conservative treatments to consolidate BVA efforts. In any case, it is important to always consult with a Doctor beforehand.