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Dr. Z, ever heard of IDET?

Posted by elliott on 10/26/01 at 11:57 (063623)

IntraDiscal Electrothermal Therapy. Sounds a bit like another zap device, doesn't it? :-)

Saw an article about it in some small newspaper. It's a new treatment for chronic lower back pain which is, surgically speaking, minimally invasive. There is an 80-patient study currently going on at East Texas Medical Center, and its advocates hope the results will persuade the insurers to pick uo the $5000-$8000 tab as acheaper alternative to traditional surgery for torn and ruptured spinal discs. According to the Knight Ridder article,

'A long needle is used to place a thin, wire catheter into a torn or ruptured disc. Using the X-ray-like images of a fluoroscope, a doctor guides the needle and the wire it carries into the outer cartilage of a spinal disc. The wire then heats the cartilage for about 17 minutes.

'The heat strengthens the damged tissue, sealing exposed nerve endings and changing the disc wall's composition much like heat thickens and toughens an egg white. said D. Kevin Pauza, the spinal specialist leading the study.

''A disc is primarily protein. When one heats proteins, the bonds change', he said. 'The process, in common-sense terms, is like frying an egg.'

'The procedure was developed by two Stanford University back specialists and received FDA approval in 1998...Back pain afflicts nine out of 10 adults older than 30, ranking second only to the common cold among causes of missed workdays.'

Of course, the article gives the mandatory success story, a mother of two who had back pain for years and whose brothers with similar pain had failed operations. She had the new procedure, and 'was on her feet and headed home within hours after emerging from a hospital operating room. Within weeks, the 32-year-old was jogging and mulling the possibilty of holding down a job again.'

If this is shown to really work, I wonder if this could be used for, say, the L4-L5 disc-induced sciatica I have (although my neuro claimed the recovery for such surgery is rather quick anyway--a day or so--but I'm afraid of the usual recurrence problems, and I'm just turned off right now given the outcome of my TTS surgeries).

Dr Z, could you see any potential use of IDET for, say, heel spur? If so, you better get one quick! You don't want another pod to gain an IDET advantage over you! :-)

Re: Dr. Z, ever heard of IDET?

Dr. Zuckerman on 10/26/01 at 15:01 (063641)

Let's set up a donation fund so I can buy and try out all expensive treatment
I would even give a discount if you are heelspur.com poster

Re: Dr. Z, if I ever win the lottery

Tammie on 10/26/01 at 15:15 (063643)

If I ever win the lottery I promise you will be first on my list ! I have seen you and other Dr.s here give so much to the people here and for people to give of themselves is certainly is a promise that u indeed care ! I wish that I had the resources to give to a fund such a this! As a person who has never had to deal with a foot problem , I have come to apreciate the people who have taken the oath to try and fix feet! I would have never know the complexity of the healing of thy feet had I not been in this situation.

So after again offering my thanks to the wonderful work that you do and the other dr.s here I will pledge that if i ever am so lucky to come into extra $$$$$$$$ lol I will remember the good work that you do! Untill then I can only offer my sincere thanks and the hopes that one day maybe I can help !!!!

Re: Dr. Z, ever heard of IDET?

Ed Davis, DPM on 10/28/01 at 13:56 (063731)

Sounds like the goal is to strengthen the wall of the disc (annulus fibrosis) without effecting the internal contents of the disc (nucleus pulposis)----interesting idea--a bit tricky. I'll have to think about this during breakfast tommorrow while making my eggs over easy---trying to solidfy the white part and keep the yolk liquid.
Ed

Re: then watch out for salmonella poisoning :-) (nm)

elliott on 10/28/01 at 20:46 (063741)

.

Re: Okay--how about "over medium?"

Ed Davis, DPM on 11/01/01 at 16:07 (063950)

Okay--how about 'over medium?'
Ed

Re: Dr. Z, ever heard of IDET?

Dr. Zuckerman on 10/26/01 at 15:01 (063641)

Let's set up a donation fund so I can buy and try out all expensive treatment
I would even give a discount if you are heelspur.com poster

Re: Dr. Z, if I ever win the lottery

Tammie on 10/26/01 at 15:15 (063643)

If I ever win the lottery I promise you will be first on my list ! I have seen you and other Dr.s here give so much to the people here and for people to give of themselves is certainly is a promise that u indeed care ! I wish that I had the resources to give to a fund such a this! As a person who has never had to deal with a foot problem , I have come to apreciate the people who have taken the oath to try and fix feet! I would have never know the complexity of the healing of thy feet had I not been in this situation.

So after again offering my thanks to the wonderful work that you do and the other dr.s here I will pledge that if i ever am so lucky to come into extra $$$$$$$$ lol I will remember the good work that you do! Untill then I can only offer my sincere thanks and the hopes that one day maybe I can help !!!!

Re: Dr. Z, ever heard of IDET?

Ed Davis, DPM on 10/28/01 at 13:56 (063731)

Sounds like the goal is to strengthen the wall of the disc (annulus fibrosis) without effecting the internal contents of the disc (nucleus pulposis)----interesting idea--a bit tricky. I'll have to think about this during breakfast tommorrow while making my eggs over easy---trying to solidfy the white part and keep the yolk liquid.
Ed

Re: then watch out for salmonella poisoning :-) (nm)

elliott on 10/28/01 at 20:46 (063741)

.

Re: Okay--how about "over medium?"

Ed Davis, DPM on 11/01/01 at 16:07 (063950)

Okay--how about 'over medium?'
Ed