Basivertebral Nerve Ablation (BVNA)
Overview
Basivertebral nerve ablation (BVNA) is a minimally invasive, implant-free procedure used to treat chronic vertebrogenic low back pain. This type of pain originates from damaged or degenerated vertebral endplates within the spine and is transmitted by the basivertebral nerve.
BVNA targets this nerve using radiofrequency energy to disrupt pain signals at their source. The procedure is performed on an outpatient basis and is designed for patients who have not found relief with physical therapy, medications, or injections.
Who May Benefit From BVNA
BVNA may be an option if you have:
- Chronic low back pain lasting six months or longer
- Pain that has not improved with conservative treatment
- Imaging that confirms vertebrogenic pain related to endplate damage
- Pain that limits daily function and quality of life
Your physician will review your imaging, symptoms, and treatment history to determine if you are a candidate.
How the Procedure Works
BVNA is performed using imaging guidance and typically includes the following steps:
- A small incision is made in the back.
- An access cannula is advanced into the vertebral body.
- A specialized probe is positioned near the basivertebral nerve.
- Radiofrequency energy is applied to ablate the nerve and interrupt pain signals.
The procedure usually takes about one hour and is performed under anesthesia. Most patients are discharged the same day.
OptaBlate BVN patient brochure
Benefits of BVNA
Clinical studies reported in the brochure show:
- 72% of patients reported at least a 50% improvement in pain scores at 24 months
- 74% of patients reported reduced opioid use
- 84% of patients reported fewer spinal injections at three years
- Sustained pain and functional improvement for up to five years
Additional benefits include:
- Minimally invasive
- Implant-free
- Outpatient procedure
- Short recovery time
- Functional improvement
- Potential reduction in opioid dependence
OptaBlate BVN patient brochure
Understanding Vertebrogenic Low Back Pain
Vertebrogenic low back pain originates from damage or degeneration of the vertebral endplates. These endplates connect the vertebrae to the discs and are vulnerable to inflammation and injury.
Pain signals are transmitted by the basivertebral nerve, which enters the vertebral body through the basivertebral foramen and branches to the endplates. BVNA targets this nerve to relieve pain at its source.
This condition is distinct from disc herniation, muscle strain, or facet joint pain.
OptaBlate BVN patient brochure
Risks and Possible Complications
Possible risks include:
- Bleeding
- Infection
- Nerve injury
- Increased back pain
Your physician will review the full list of risks and determine if BVNA is appropriate for your condition.
OptaBlate BVN patient brochure
Recovery and Aftercare
After the procedure:
- Vital signs are monitored before discharge
- Mild soreness at the treatment site is common
- Most patients return home the same day
- Activity restrictions and recovery plans vary by patient
Post-procedure care will be tailored to your needs and clinical condition.
OptaBlate BVN patient brochure
Is BVNA Right for You?
BVNA may be considered if:
- You have confirmed vertebrogenic low back pain
- Conservative treatments have failed
- You are seeking a minimally invasive, long-term solution
Your SpineOne care team will review your imaging, symptoms, and prior treatments to determine whether BVNA is an appropriate option.