Intradiscal Biacuplasty and Cooled Radiofrequency for Discogenic and Radicular Low Back Pain: A Literature Review

Thursday, November 13, 2025

10:00 AM - 10:08 AM CT

Introduction: Chronic low back pain is a leading global cause of disability, with discogenic and radicular pain frequently linked to degenerative disc disease. Conventional treatments, including physical therapy, medications, and surgery, offer variable outcomes and often carry opioid-related or procedural risks. Intradiscal biacuplasty (IDB) and cooled radiofrequency treatment (CRT) have emerged as minimally invasive, opioid-sparing alternatives. This review examines current clinical evidence supporting IDB and CRT in the treatment of discogenic and radicular low back pain.

Submitting Author(s)

RA

Roberto Andrade, MD

Physical Medicine and Rehabilitation Resident
OBH, United States

Co-Author(s)

TR

Tishawn Ross, MD

Physical Medicine and Rehabilitation Resident
OBH
Brooklyn, New York, United States
VV

Vineet Vemulapally, DO

Physical Medicine and Rehabilitation Resident
OBH, United States
MS

Michael Sposito, MD

Resident Physician
One Brooklyn Health
Brooklyn, New York, United States
DS

Daniel Sanchez, MD

Physical Medicine and Rehabilitation Resident
One Brooklyn Health, United States
PJ

Panayotis Jusakos, MD

Physical Medicine and Rehabilitation Resident
One Brooklyn Health
Orlando, Florida, United States