Basivertebral Nerve Ablation

Long-Lasting Relief for Chronic Vertebrogenic Lower Back Pain

What Is Basivertebral Nerve Ablation?

Basivertebral nerve ablation is an advanced, minimally invasive procedure designed to treat chronic vertebrogenic lower back pain. This condition is caused by inflammation of the basivertebral nerve, which transmits pain signals from the vertebral endplates—the interface between the spinal discs and vertebrae.

By using radiofrequency energy to target and ablate the basivertebral nerve, this procedure disrupts pain signals at the source, offering significant and long-term relief for individuals suffering from chronic lower back pain.

Whenever possible, Mr. Gordan Grahovac prioritises non-surgical treatments before recommending interventional procedures. His patient-first approach ensures that physiotherapy, pain management strategies, and lifestyle modifications are explored before considering basivertebral nerve ablation.

Who Benefits from Basivertebral Nerve Ablation?

This procedure is specifically recommended for individuals experiencing:

  • Chronic lower back pain lasting more than six months that has not responded to conservative treatments.

  • Vertebrogenic pain diagnosed via MRI, often associated with Modic changes (inflammation in the vertebral endplates).

  • Pain aggravated by movement, prolonged sitting, or bending but not necessarily radiating down the legs (which differentiates it from sciatica).

  • Limited mobility and reduced quality of life due to persistent lower back discomfort.

  • A desire to avoid spinal fusion surgery and explore less invasive pain relief options.

Each patient undergoes a thorough assessment, including MRI imaging, to determine whether basivertebral nerve ablation is the most appropriate treatment.

Basivertebral Nerve Ablation: Procedure Steps

  • Step 1: Preparation & Imaging


    Using fluoroscopic or CT guidance, a specialised probe is positioned at the basivertebral nerve within the vertebral body.

  • Step 2: Targeted Ablation


    Radiofrequency energy is delivered through the probe, selectively heating and disabling the basivertebral nerve.

  • Step 3: Pain Signal Disruption:


    The ablation process disrupts pain transmission from the vertebral endplates, preventing the nerve from sending pain signals to the brain.

  • Step 4: Closure & Recovery


    The probe is removed, and the small incision is closed. Patients are monitored before being discharged, often on the same day. goes here

Recovery & Long-Term Results

Recovery from basivertebral nerve ablation is faster than traditional spinal surgery, allowing patients to return to their daily routine with minimal downtime.

  • Outpatient procedure – Most patients return home the same day.

    • Mild soreness at the treatment site, subsiding within a few days

    • Patients can resume light activities almost immediately.

    • Strenuous activities should be avoided for at least 2–4 weeks.

    • Some patients experience gradual pain relief within a few weeks, while others notice full benefits after 6–12 weeks.

    • Long-term studies show significant pain reduction lasting for years after the procedure.

    • Sustained pain relief without reliance on long-term medication.

    • Improved mobility and quality of life.

    • Avoidance of spinal fusion surgery in some cases.

    • Minimally invasive approach with little to no downtime.

Why Choose Mr Gordan Grahovac for Basivertebral Nerve Ablation?

With over 20 years of experience, Mr Gordan Grahovac is a leading Consultant Neurosurgeon & Complex Spinal Surgeon specialising in cutting-edge pain management techniques. He offers:

  • Expertise in minimally invasive spinal interventions – ensuring precise and effective treatment.

  • Patient-first approach – tailoring treatments to individual needs.

  • State-of-the-art technology – using advanced imaging and ablation techniques for optimal results.

  • Comprehensive spinal care – integrating interventional procedures with rehabilitation for long-term success.

His goal is to help patients regain mobility, reduce chronic pain, and improve their quality of life through innovative, evidence-based treatments.

What Patients Are Saying

Frequently Asked Questions:
Basivertebral Nerve Ablation

  • Unlike steroid injections or nerve blocks, which provide temporary relief, basivertebral nerve ablation targets the root cause of vertebrogenic pain and offers long-term pain reduction.

  • Pain relief typically begins within a few weeks but may take up to 12 weeks for maximum benefit.

  • Yes, for some patients with chronic vertebrogenic pain, this treatment can delay or eliminate the need for spinal fusion surgery.

  • Clinical studies have shown sustained pain relief for years in many patients.

  • Yes, most patients resume light activities immediately, with full recovery within 2–6 weeks. High-impact activities should be gradually reintroduced under medical guidance.

Take the First Step Towards a Pain-Free Life

Basivertebral nerve ablation is a proven, long-lasting treatment for chronic vertebrogenic lower back pain. If you’re seeking a minimally invasive solution to persistent back discomfort, expert spinal care can help restore function and improve your quality of life..

Book a consultation with Mr Gordan Grahovac today to discuss whether basivertebral nerve ablation is the right treatment for you.