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Biacuplasty

Minimally Invasive Spine at Specialty Medical Center.

Illustration of the spine
Written by the Specialty Medical Center editorial teamNot individually reviewed by a physicianApproved for publication by SMC, October 31, 2026How we write and review

What is biacuplasty?

Biacuplasty is a minimally invasive treatment for back pain that comes from a disc (discogenic pain). Two water-cooled probes are placed in the disc and heat the nerve fibers in its outer wall, aiming to reduce the pain signals from that disc.

Who it may help

  • Low back pain traced to a specific disc, often confirmed with discography
  • Disc height largely preserved
  • Not enough relief from conservative care

What happens

Under light sedation, two needles are guided into the disc with X-ray, and the probes deliver heat for several minutes.

Recovery and outlook

You go home the same day. A brace and limits on bending and lifting are common for several weeks, and relief builds over weeks to months.

Risks

Temporary increase in pain, and rarely disc infection or nerve injury.

Other options to discuss

Cost and coverage

When a procedure is medically necessary, it is usually billed to health insurance, Michigan auto no-fault or workers' comp. Many plans need prior authorization. Our team checks your benefits before your procedure is scheduled and tells you about any cost you're likely to owe. See who usually pays · Ask us to check your coverage

Where to get care at Specialty Medical Center

Consultations are at our spine and pain offices in Dearborn, Sterling Heights and Garden City. Part of Minimally Invasive Spine Center.

Eduardo José Otero Loperena, MDInterventional pain medicineMohamed Osman, MDPain managementAaron Greenberg, DOPhysical medicine and rehabilitation

Who performs procedures, and where:

  • Dr. Eduardo José Otero: Universal Care Surgery Center
  • Dr. Mohamed Osman and Dr. Aaron Greenberg: Universal Care Surgery Center and Advanced Surgery Center
  • Dr. Roy Torcuator: Advanced Surgery Center and Garden City Hospital

Office injections are done in our offices. Your physician confirms who performs your procedure, and where, at your consultation.

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About: Biacuplasty. Leave your number and our team will contact you to find a time. Please leave out medical details; we'll ask on the call.

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This page gives general information. Your physician will explain whether a treatment fits you, its risks and the alternatives.