Doctor insights on:
How Long Does A Discogram Typically Take
Had my discogram today... The pain was unbearable.. 10/10 pain scale... How long will this last...What should I take for pain?
After diskogram: After these diagnostic injections, expect some pain for several days from aggravation of your problem--that's the purpose of 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. Steroid medications may take a couple days. Rest, ice/heat, nsaid's also may help. ...Read more
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
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 moreSee 1 more doctor answer
I have had a discogram and the results were positive. I have pain in my l-5 disc. How long will it last?
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
Disc injection: Lumbar discogram is performed as an outpatient procedure. Individuals are given IV sedation doctor needs input from the patient during procedure. The procedure takes anywhere from 30 to 60 min.For diagnostic purposes to see whether intervertebral disc is the source of a patient’s low back pain when degenerative disc disease is present. It is not necessarily therapeutic. ...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
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