A device is described that may be positioned at a location in an
intervertebral disc for diagnosis or treatment of the disc. Treatment may
include, for example, applying energy or removing material, and may
decrease intradiscal pressure. Radiofrequency energy may be applied. A
percutaneous method of repairing a fissure in the annulus pulposus
comprises placing an energy source adjacent to the fissure and providing
sufficient energy to the fissure to raise the temperature to at least
about 45-70.degree. C. and for a sufficient time to cause the collagen to
weld. An intervertebral fissure also can be treated by placing a catheter
with a lumen adjacent to the fissure and injecting sealant into the
fissure via the catheter, thereby sealing the fissure. An intervertebral
fissure additionally can be treated by providing a catheter having a
distal end, a proximal end, a longitudinal axis, and an intradiscal
section at the catheter's distal end on which there is at least one
functional element. The next step is applying a force longitudinally to
the proximal of the catheter which is sufficient to advance the
intradiscal section through the nucleus pulposus and around an inner wall
of an annulus fibrosus, but which force is insufficient to puncture the
annulus fibrosus. Next the functional element is positioned at a selected
location of the disc by advancing or retracting the catheter and
optionally twisting the proximal end of the catheter. Then the functional
unit treats the annular fissure. Optionally, there is an additional step
of adding a substance to seal the fissure. An externally guidable
intervertebral disc apparatus also is disclosed.