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Doctor insights on: Cervical Discogram

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Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more


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How are discograms typically performed?

How are discograms typically performed?

Injection of dye: A long needle is placed sterilely into the middle of the disk to be tested. X-ray dye is injected and the person reports whatever they feel (if anything). The more specific the person can be the better. The test is also followed by x-rays and often ct. But the person's report of symptoms is the most important part of the test. ...Read more

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What are the complications of a having discogram?

What are the complications of a having discogram?

See below: Complications include infection of the disc or related structures (meningitis, epidural abscess, osteomyelitis), dural puncture causing a post dural puncture headache, nerve damage, and skin infections such as cellulitis. Discuss with your doctor the incidence of each of the these complication to better weigh the risks and benefits of the procedure. ...Read more

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What is a spinal discogram?

What is a spinal discogram?

Simple test: It is a test that evaluates the discs between the vertebrae. Performed with minimal if any sedation, under xray guidance, a very thin needle is advanced into the disc. Generally xray dye is injected into the disc, xray pictures are taken to evaluate the integrity of the disc. ...Read more

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What does it meant to have a provocative discogram?

What does it meant to have a provocative discogram?

Reproduce symptoms: Provocative exam relative to a discogram means they are trying to recreate your pain symptoms to determine which disc is causing your pain. ...Read more

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What's the procedure for a discogram for herniated discs?

What's the procedure for a discogram for herniated discs?

Complicated: Discograms have 1 purpose only, which is to determine which disc is causing back pain. Altho radiologists try to fancy it up by discussing pressure & volume statistics, the only thing that matters is whether injection of fluid in the disc reproduces your spontaneously occurring pain. Sedative drugs should not be given immediately before or during the procedure because they blunt judgement & recall. ...Read more

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Is it normal to feel the needles go into your back when you had a discogram?

Is it normal to feel the needles go into your back when you had a discogram?

Yes: While the needles used are thin, you will feel the needle entering into the skin and pass into the disk. ...Read more

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What's the recovery time after a discogram.. What will help with pain after?

What's the recovery time after a discogram.. What will help with pain after?

Generally that day : Occasionally it triggers typical episode of "exacerbation" of pain which for a small percentage can last 2-5 days. If pain worsens or changes it could be discogram procedure caused a disc to herniate or herniate further. This is very rare & even rarer is risk of disc space infection -under 1%. There is also a small risk of a spinal headache or nerve root irritation. Rest & time is treatment. ...Read more

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How can I know if you feel the needles go into your back when you had a discogram ?

How can I know if you feel the needles go into your back when you had a discogram ?

With you conscious : This is a test that you have to verbally respond to when placed on a table that x-rays pass through ; a needle is guided sterilely into the disc under local anesthesia with some light IV sedation ; confirmed to be in the right place with contrast injected followed by sterile water to see what response is given as to whether the disc is the cause of pain. A normal disc does not have pain elicited. ...Read more

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How can you tell by looking at the print outs from a discogram if they are abnormal?

How can you tell by looking at the print outs from a discogram if they are abnormal?

You can't: Your doctor can, though. Most medical reports will need a physician's expertise and knowledge of the context, history, treatments, and other factors which influence interpretation. Diagnosis and therapeutic options should be thoroughly discussed with your physician. ...Read more

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What type of doctor performs discograms?

Interventional: The doctors most commonly performing discography are interventional pain doctors. They may be anesthesiologists, physiatrists, radiologists, and sometimes surgeons specializing in pain management. ...Read more

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Is a discogram painful?

Is a discogram painful?

See below: Discogram is a controversial procedure. It involves inserting a needle into the discs in the spine. The purpose is to determine if pressurization of the disc with fluid or gas reproduces the back pain. A normal disc is generally not painful with a discogram but a degenerated disc may be. There is some concern that injecting a normal disc may cause damage to that disc. I do not do them. ...Read more

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How is a discogram performed?

How is a discogram performed?

With you conscious : This is a test that you have to verbally respond to when placed on a table that x-rays pass through & a needle is guided sterilely into the disc under local anesthesia with some light IV sedation & confirmed to be in the right place with contrast injected followed by sterile water to see what response is given as to whether the disc is the cause of pain. A normal disc does not have pain elicited. ...Read more

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How does a discogram function?

How does a discogram function?

Necessay dx test: Confirms a target disc as the cause of your pain. It is a pre op procedure to confirm which disc hurts causing backache can't go off MRI appearance. Diagnostic test before fusion or replacement to treat back ache surgically. ...Read more

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How is a discogram actually done?

How is a discogram actually done?

Doscogram: After sedation they will position you on a table and use fluroscope to guide placement into a target disc and one or two control discs pressurize them with a saline solution they should record pressures and look for leaking contrast on a post procedure ct scan but recording your pain response is most importantpart normal discs dont hurt when injected the painful disc will they are looking for. ...Read more

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How painful is a discogram procedure?

How painful is a discogram procedure?

The purpose of the : Test is to find the source of your pain by recreating it over the same location with the same quality as the disc is injected. If it is a normal disc you will feel pressure. If a disc that is somewhat abnormal , maybe an ache but a disc or discs that are the source of your pain should be an exact reproduction temporarily. This is done under local anesthesia with occ. Use of some sedation. ...Read more

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How long does a discogram typically take?

About an hour: 90 min from when you arrive to when your ride can pick you up. ...Read more

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Is a discogram procedure extremely painful?

Is a discogram procedure extremely painful?

Yes: But this test is usually necessary to determine if your level of disc abnormality on the MRI is really an problem or not. Many times the bad disc is not visualized on a MRI done while lying down. The discogram injects saline into the disc creating pressue in the disc simulating gravity effect whil standing, if the disc is bad the disc wil extrude and cause pain but you will know you need surgery. ...Read more

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What is usually used for pain after a discogram?

After diskogram: After these diagnostic injections, expect some pain for several days from aggravation of your problem--that's the purpose if the test after all. Narcotic meds are helpful afterward. Also, your doc may inject a steroid medication and/or local anesthetic at the same time which should help lessen the pain. ...Read more

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How severe is the pain typically after having a discogram?

How severe is the pain typically after having a discogram?

Fairly severe: Of course it depends on the individual but if you have a painful disc, the procedure can make it hurt worse for a little while. That's why i recommend that you have a plan in place beforehand to deal with the pain caused by the procedure. I recommend daily massage and opiate analgesics combined with an NSAID such as ibuprofen. ...Read more

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