Vertebrogenic low-back pain (LBP)¹

Vertebrogenic LBP is a chronic pain originating from the vertebrae, specifically due to damage or degeneration of the vertebral endplates. These endplates are thin layers of cartilage and bone that connect vertebral bodies to intervertebral discs and are vulnerable to injury, degeneration and inflammation. 

The sinuvertebral nerve trasmits pain signals from damaged tissue. This nerve is the target for the BVNA procedure aimed at relieving pain. 

This condition is distinct from other types of low back pain, such as those caused by herniated discs or muscle strain, as it specifically involves the vertebrae and nerve signals from damaged endplates. 

Lumbar spinal stenosis (LSS)

LSS is a condition in which the lower spinal canal narrows and compresses the nerves in the lower back. Aging and natural wear and tear on the spine can cause conditions that put pressure on the spinal nerves.²

People with LSS typically experience a variety of symptoms that affect daily life, including pain and limited mobility.

Vertebral compression fracture (VCF)

VCFs have a substantial and negative impact on the quality of life and day-to-day functioning of those afflicted.³ Acute and chronic pain in the elderly is commonly attributed to vertebral compression fractures, often leading to further health deterioration or the "downward spiral" and a loss of independence.⁴ Because there is a substantial risk of subsequent fractures in persons who have had a vertebral compression fracture, it can be important that VCFs are diagnosed and treated early.⁴

Metastatic vertebral compression fracture

Over 2 million Americans are diagnosed with cancer each year⁶ and up to 76% of patients with bone metastases have metastases in the spine.⁷ Metastatic cancer (i.e. cancer that has spread from the original location to another part of the body) often impacts the skeletal system⁸, causing pain that can make every day more difficult, including those who have undergone radiation therapy without relief.

Facet joint pain

The facet joints are the connections between the bones of the spine. They act like tiny hinges that allow the spine to bend and twist.¹⁰ Facet joints allow your vertebrae to move while keeping your spine properly aligned.

Facet joints are common sources of chronic back and neck pain.⁹ Like all joints, they go through wear and tear, causing pain as people age. 

Sacral insufficiency fracture

Back pain is sometimes caused by a sacral insufficiency fracture (SIF), an often-underdiagnosed condition in elderly patients that typically presents with severe low back pain, resulting in immobility.¹¹ Too often, an SIF goes undiagnosed, meaning your real issue never gets solved. If you suspect that’s the reason for your pain, speak up and talk to your doctor.

Herniated disc

The spine contains 33 individual bones called vertebra that are stacked one on top of the other to form the spinal column. Each vertebra in your spine is separated by flat, spongy discs that act as "shock absorbers" to keep the bones from rubbing together. When one of the discs is damaged, it may bulge or break open. This is called a herniated disc, which may also be referred to as a ruptured or slipped disc.¹³