47 Basivertebral Nerve Ablation (BVNA): A Targeted Treatment for Discogenic Back Pain

Basivertebral nerve ablation (BVNA) is an emerging procedural option for a specific and often undertreated cause of chronic back pain: discogenic, or vertebral endplate pain. This episode covers the science behind the procedure, how to identify appropriate candidates, what outcomes patients can realistically expect, and the risks involved. Dr. Bates shares clinical pearls from his own experience mastering BVNA in practice, making this episode especially valuable for clinicians considering adding the procedure and for patients exploring their interventional options.

Resources:

www.iniyh.com/episodes/ep-46-pain-procedures-basivertebral-nerve-ablation

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

Timestamps:

00:00 Introduction and Greetings

00:56 Today's Topic: Basivertebral Nerve Ablation

01:10 Disclosures and Biases

02:39 Understanding Discogenic Pain and Impacts of Kinesiophobia

06:16 Procedure Overview and Differences from SIJ Radiofrequency

08:56 Dan's Personal Journey with BVNA

11:37 Clinical Data and Effectiveness

16:54 Risks and Post-Procedure Care

22:05 Conclusion and Final Thoughts