Doctor insights on:
How often does a discitis or other infection occur when you do a discogram or nucleoplasty in cervical intervertebral disc?
Very rarely: Very rarely.Get a more detailed answer ›
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
Yes: While the needles used are thin, you will feel the needle entering into the skin and pass into the disk. ...Read more
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
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
Discogram: A normal nucleogram appears as a well formed oval shspe with distinct edges abnormal has the contrast leakingin all direction with indestinct edges but the most impt part of the trst is the reproduction of concordant pain a painful disc with a normal nucleogram is still positive this is a contraversial complicated subject takes years of study and experience to interpret correctly trust your doctor. ...Read moreSee 1 more doctor answer
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