Who Qualifies for the Intracept Procedure?
Intracept Procedure Patient Eligibility: A Clinician's Evidence-Based Guide
By Dr. Jacqueline Weisbein, DO, Board Certified in Physical Medicine & Rehabilitation and Pain Medicine, Fellowship-trained in Interventional Pain Management
Learn more about my qualifications and background as a Dr. Jackie Weisbein, DO—board-certified pain management physician.
Quick Insights
The intracept procedure is a minimally invasive treatment for chronic low back pain caused by vertebrogenic pain. It works by targeting and disrupting nerve signals from damaged spinal endplates, providing relief when conservative treatments fail.
Medical studies show lasting benefits, especially for patients with MRI evidence of Modic changes and pain lasting longer than six months.
Key Takeaways
- Candidates must have chronic low back pain for over six months that hasn't improved with typical therapies.
- A key factor for patient eligibility is MRI evidence of Modic type 1 or 2 changes in the vertebral endplates.
- Patients are excluded if they have active infections, are pregnant, have certain implants, or haven't finished growing.
- Nearly two-thirds of patients experience at least 50% pain relief at five years after the intracept procedure.
Why It Matters
Understanding who qualifies for the intracept procedure empowers individuals who feel defeated by chronic back pain to seek real answers and hope. Meeting proper patient eligibility criteria means the treatment is more likely to succeed, helping restore quality of life and letting you enjoy valued daily activities again.
Introduction
As a dual board-certified interventional pain specialist, I bring focused expertise to the intracept procedure in Napa, helping patients find relief when chronic back pain just won't quit.
The intracept procedure is a minimally invasive treatment for vertebrogenic (bone-based) low back pain that has lasted more than six months and hasn't improved with standard therapies. It targets the basivertebral nerve, disrupting pain signals from damaged spinal endplates—especially when MRI scans show Modic changes (specific signs of inflammation in the spine).
I know how exhausting it is to try everything—physical therapy, medications, injections—only to still miss out on life's best moments. Clinical guidelines emphasize that careful patient selection is the key to lasting results and restored function.
Wondering if you finally qualify for something that actually works? Let's break down exactly who's a candidate and why precision matters.
What is the Intracept Procedure?
The intracept procedure is a minimally invasive treatment precisely designed for people suffering from chronic low back pain linked to vertebrogenic (bone-based) causes—especially when the pain is stubborn and hasn't responded to typical options.
At Napa Valley Orthopaedic Medical Group, I insert a small probe through a tiny incision to target the basivertebral nerve, the key pathway transmitting pain signals from damaged endplates deep within the spine.
In my practice, I often meet patients from Yountville to American Canyon who've spent years trying everything—from medications to therapy—without finding lasting relief. Many don't realize how much their spine health can improve with the right diagnosis and intervention.
Unlike treatments that merely mask discomfort, the intracept procedure interrupts pain signals at their anatomical source. The procedure is typically performed under local anesthesia, and most of my Napa patients return home the very same day—often surprised by how much simpler recovery is compared to traditional surgery.
What truly makes the intracept procedure unique is its evidence base: it's specifically indicated for patients whose MRI scans demonstrate Modic changes (a specialized radiology term describing inflammation and degeneration at the vertebral endplates). Clinical studies show significant pain reduction and improved mobility within three months after the procedure, with benefits lasting up to five years in some patients. See ScienceDirect review on long-term outcomes.
Am I a Candidate? (Eligibility Criteria)
Careful selection is the cornerstone of success with the intracept procedure. Not every patient with back pain will benefit.
Here are the main criteria I use during evaluation at Napa Valley Orthopaedic Medical Group:
Chronic Low Back Pain Requirement
Pain duration: You must experience low back pain for at least six months that hasn't responded to standard therapies (such as physical therapy, medications, or injections).
This procedure is not for recent or fleeting pain—it's targeted at persistent, activity-limiting symptoms that have already failed more conservative approaches. Review KP Clinical Criteria
MRI Criteria: Modic Changes
Specific imaging: Your MRI needs to reveal Modic type 1 or 2 changes at the vertebral endplates. These are medical markers of inflammation and structural changes within the bones, pinpointing vertebrogenic (bone-based) pain rather than disc or joint origins.
From my perspective as a dual board-certified interventional pain physician serving Napa, the key is matching the right minimally invasive treatment—like the intracept procedure or ReActiv8—to the specific source of the patient's pain. Precision matters.
That's why I always review the imaging myself, rather than rely solely on the radiology report. See NIH guidance for FDA-cleared indications
Previous Treatments Tried
Conservative care: You should have exhausted at least six months of standard therapies (physical therapy, prescription or non-prescription medications, or targeted injections) without adequate pain relief.
This step isn't about delay—it ensures we're not missing a simpler, less invasive solution that could work.
- You may be a candidate for the intracept procedure if:
- Back pain has persisted >6 months with little or no improvement from standard treatments
- MRI shows Modic type 1 or 2 changes at vertebral endplates
- You are not experiencing nerve pain radiating down the legs (sciatica), spinal instability, infection, or tumor
- You are at least 18 and have finished growing
- You don't have uncontrolled cardiac, lung, or systemic illness
Having extensive experience performing pain procedures, I've seen firsthand how restoring movement and reducing pain isn't just clinical—it's emotional. It's about giving people their lives back.
When to Seek Immediate Medical Attention
If you have severe back pain with fever, sudden leg weakness or numbness, or loss of bladder/bowel control, please seek urgent evaluation at Providence Queen of the Valley Medical Center or another emergency facility. These may be signs of a serious, unrelated condition that needs immediate care.
Who is NOT a Candidate? (Exclusion Criteria)
To ensure safety and set realistic expectations, there are important reasons why some people aren't suited for the intracept procedure:
Medical Exclusion Factors
- Pregnancy: This procedure is not performed during pregnancy.
- Infections: Active infections, whether local to the back or systemic, are a contraindication.
- Cardiac or pulmonary risk: Significant heart or lung diseases preclude the procedure due to anesthesia and healing risks.
- Implanted electronic devices: Patients with pacemakers, defibrillators, or similar devices are generally excluded due to risk of interference. See official contraindications: Intracept™ site
- Systemic illness: Any major medical issue that increases surgical risk—such as uncontrolled diabetes or bleeding disorders—will also exclude candidacy. See additional contraindication details
Anatomical and Demographic Exclusions
- Younger than 18 years/skeletal immaturity: If you haven't finished growing, the procedure isn't recommended.
- Alternative pain sources: If imaging or physical exam demonstrates other causes for pain (such as herniated disc, instability, recent trauma, tumor, or predominant nerve root pain/sciatica), the intracept procedure may not be right for you. Full clinical trial criteria (NIH)
- Active spinal or vertebral fracture: Acute fractures are managed differently.
I've found that being honest about who isn't a good fit is just as important as finding those who are. Clear exclusion saves frustration, expense, and ensures each patient's safety.
Dr. Weisbein's Approach to Patient Selection
Integrated, Personalized Evaluation
Unlike high-volume clinics where patients may see different providers each visit, I personally guide each patient through every stage of their care—from diagnosis to recovery—so they feel heard, understood, and supported.
At Napa Valley Orthopaedic Medical Group, each evaluation is thorough and bespoke: I gather an in-depth health history, perform a meticulous physical exam, and review spinal imaging with an experienced, detail-oriented eye.
I'm looking well beyond the radiology report—often catching subtle clues overlooked in broader systems. This means you're not just "technically" eligible for the intracept procedure, you're genuinely likely to benefit from it.
Holistic Support: Beyond Procedures
My role doesn't stop at pain relief. Minimally invasive techniques are best paired with lifestyle modification, ergonomic teaching, and fitness re-integration.
In our boutique Napa practice, you'll collaborate directly with me—not a revolving cast—ensuring hands-on support and accountability throughout recovery. Research and my own experience confirm that consistent, personal care correlates with higher satisfaction and better long-term outcomes. Patient satisfaction data: Red Butte Pain
Evidence & Outcomes: What the Research Shows
Long-term Success Rates
- In five-year outcome studies, about 66% of patients reported over 50% pain relief, and one-third achieved complete pain freedom. See HSS patient outcomes
- Functional ability improved significantly, with most people regaining major life activities they'd lost.
- On average, patients' daily activity scores improved by 25 points, with up to 75% surpassing the minimum threshold for meaningful change. Data from major clinical trial
Patient Satisfaction and Function Recovery
- Up to 93% of patients were satisfied with their experience and would recommend the procedure. Patient satisfaction source
- Many individuals reported returning to work, hobbies, or family activities once thought impossible.
I see this in my Napa practice too. When we carefully match patient eligibility to the evidence, people often reclaim independence, confidence, and enjoyment in life that had been lost for years. Kaiser Permanente: Real-world evidence summary
I always tell my patients: The key to these outcomes is precision—choosing the right person, with the right imaging and history, for the right procedure.
What to Expect: The Intracept Patient Journey
Consultation and Imaging Review
Your pathway to relief begins with a uniquely personal, detail-driven consultation at Napa Valley Orthopaedic Medical Group.
I take the time to listen to your back pain story, ask about every previous treatment, and conduct a focused exam. Next, I carefully review your MRI to identify those crucial Modic changes (versus generalized changes or facet/disc disease).
In my practice, direct communication is essential—every question is answered, and together, we decide if the intracept procedure truly fits your needs. Clinical trial process details
Recovery Timeline and Aftercare
The intracept procedure is typically completed in under an hour in an outpatient setting. Most of my Napa patients walk out of the surgery center the same day—with only a band-aid-sized dressing to show for it.
Light activity is usually possible within days, and I always provide a structured aftercare plan, tailored to your baseline function and wellness goals.
From my experience: Patients appreciate that this approach minimizes downtime and sets them up for early wins. Regular follow-up ensures we address every concern and adapt recovery strategies as needed. See KP patient guidance for aftercare
Minimally Invasive Back Pain Procedures & Comprehensive Chronic Pain Management
If your back pain is persistent and hasn't responded to other options, our practice offers advanced, evidence-based solutions. Discover more about our minimally invasive back pain procedures designed to precisely target the source of chronic discomfort. In addition, we offer a full range of chronic pain treatment options tailored to your needs.
What Our Patients Say on Google
Patient experiences are at the heart of everything I do—there's nothing more rewarding than hearing how our approach makes a difference. I recently received feedback that captures what we aim to provide for every person who walks through our doors in Napa.
"Wonderful surgery center with attentive staff service is right on time and a caring environment."
— Donna
Donna's words reflect the environment we strive to create: attentive, timely, and truly caring. If you'd like to see more feedback from local patients, you can read more Google reviews here.
Hearing this kind of feedback motivates me to keep raising the bar for patient care—because when you feel supported, your journey to relief is that much smoother.
Intracept Procedure and Patient Eligibility in Napa
Living in Napa means you have access to advanced, minimally invasive back pain treatments like the intracept procedure—without the need to travel to a big city. Our community is unique, with many residents leading active lifestyles that can sometimes take a toll on spinal health.
Whether you're in Yountville or St. Helena, I see a wide range of patients, from vineyard workers to retirees, all seeking real solutions for chronic low back pain. The local climate and culture encourage movement and outdoor activity, making it even more important to address pain that limits your ability to enjoy life here.
Napa is also home to excellent healthcare institutions like Adventist Health St. Helena, which serves our wine country communities with comprehensive care.
At Napa Valley Orthopaedic Medical Group, I offer a boutique, highly personalized approach to patient eligibility for the intracept procedure. Every evaluation is tailored, and I personally review your imaging and history to ensure you're a true candidate—no shortcuts, no assembly-line care.
If you're in Napa or the surrounding area and wondering if the intracept procedure is right for you, schedule a consultation today. Let's work together to get you back to the activities you love, right here in our community.
Conclusion
To wrap up, the intracept procedure is a game-changer for those struggling with chronic low back pain that just won't quit, especially when MRI scans show Modic changes and nothing else has worked.
I've seen firsthand how this minimally invasive approach can help Napa patients finally get back to the activities they love—whether that's hiking, golfing, or simply enjoying a pain-free day. Research shows that two-thirds of patients experience at least 50% pain relief at five years, and many regain their independence and confidence.
As a double board-certified interventional pain specialist, I'm committed to providing boutique, highly personalized care at Napa Valley Orthopaedic Medical Group—no assembly-line medicine here. If you're tired of missing out because of back pain, schedule a consultation today to explore personalized pain management options in Napa.
Pain Management. Redefined.
This article is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment options. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.
Frequently Asked Questions
What makes someone a good candidate for the intracept procedure?
A good candidate has chronic low back pain lasting more than six months, hasn't improved with physical therapy or medications, and has MRI evidence of Modic type 1 or 2 changes. The pain should not radiate down the legs, and other causes like disc herniation or instability must be ruled out.
Careful patient eligibility selection leads to the best results.
Where can I get the intracept procedure in Napa?
You can receive the intracept procedure right here in Napa at Napa Valley Orthopaedic Medical Group. Dr. Weisbein personally reviews your imaging and history to ensure you're a true candidate, and she guides you through every step—from evaluation to recovery—so you never feel like just another number.
How does patient eligibility impact long-term results for insurance or legal reviews?
Precise patient eligibility is crucial for both clinical success and documentation. By following strict criteria—like MRI-confirmed Modic changes and failed conservative care—I can provide clear, objective evidence for insurance or legal reviews.
This approach is validated by clinical research and helps ensure fair, efficient case resolution.
