Method of treating an intraosseous nerve

A method of therapeutically treating a vertebral body having an outer cortical bone region, an inner cancellous bone region, and a basivertebral nerve BVN, comprising the steps of:

• providing a probe configured to deploy an energy device comprising an electrode;
• the probe comprising a longitudinal bore extending from a proximal end of the probe toward a distal end of the probe;
• the probe comprising a recess in communication with said bore, said recess forming an opening at or near the distal end of the probe;
• the probe further comprising a pivotable member;
• the pivotable member having a fixed end secured to the probe at a location within the recess of the probe, and a free end configured to be extended out of the opening of the probe;
• wherein the pivotable member comprises an undeployed mode where the free end is not in an articulated configuration, and a deployed mode where the free end is configured to extend outward from the opening of said probe into the articulated configuration;
• articulating the pivotable member from the undeployed mode to the deployed mode to facilitate delivery of the energy device along a path associated with the free end of the pivotable member into the cancellous bone region of the vertebral body;
• and
• applying a sufficiently high frequency voltage to the electrode to heat the BVN to a temperature between 80 degrees Celsius and 95 degrees Celsius and sufficient to denervate the BVN,
• wherein the frequency of the voltage is between 400 kHz and 600 kHz,
• wherein the probe comprises a sharp distal tip, and
• wherein the probe comprises a temperature sensor.