Percutaneous intradiscal treatments for discogenic pain.

Severe discogenic pain including axial or radicular pain is not easy to treat properly. Although mechanical correction was made possible to some extent, the high incidence of failed back surgery syndrome frustrates both patients and physicians. For discogenic pain, like other disorders, pain management is the discipline of intervention, principally with the application of certain techniques, such as intradiscal electrothermal therapy, nucleoplasty, Dekompressor and targeted disc decompression (TDD). These techniques are simple to use, have low complication rates and seem to be effective. The goals of interventional pain management include decrease the frequency and intensity of the pain, increase daily activities, quality of life, enhancement of coping skills and lowering narcotic use and/or other pain medications.