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Doctor insights on: Type Doctor Performs Discograms

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What type of doctor performs discograms?

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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Hi doctors, was just wondering what is a discography aka discogram?

Hi doctors, was just wondering what is a discography aka discogram?

Discography: Discography is a provocative imaging test where dye is injected into the center (pulposus) of a disc to determine if there is a tear in the annulus. The purpose of the test is to determine if the disc itself is the source of the pain. A discogram is often performed in conjunction with a cat scan through the injected discs. ...Read more

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I have an injured disc and my doctor said I needed to have a discogram test. What is a discogram, and what will it show?

Diagnostic test: If spinal pain generator cannot be conclusively determined & intervertebral disc is suspected as culprit, then a pain provocative test called discography may be indicated. This usually involves injection of a radioopaque contrast material into the center of the disc with x-ray guidance. The actual appearance of the disc is irrelevant. What counts is whether the elicited pain reproduces usual pain. ...Read more

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Should i go to the doctor? I think i jammed my finger in gym class today, but i'm not too sure. It's not swollen or bent, it just hurts a lot when i'm writing, typing or texting.

Should i go to the doctor? I think i jammed my finger in gym class today, but i'm not too sure. It's not swollen or bent, it just hurts a lot when i'm writing, typing or texting.

I : I would ice the finger and take Motrin or advil (ibuprofen) to help prevent swelling. Also refrain from using the finger (e.G typing / texting). If the pain does not subside in a day then have the finger examined, and if necessary x-ray'd. Even though it may not be broken, you could have sustained ligament damage. If you find that you have lost the range of motion in the finger you should seek help. ...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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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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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 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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I am having a lumbar discogram. What should I expect?

I am having a lumbar discogram. What should I expect?

Reproduce pain: Lumbar discography is procedure performed in attempt to identify which lumbar level(s) is/are responsible for your back pain. Typically done when not definitive based on physical exam and other imaging (exe. MRI, CT scans). Long thin needles placed in lumbar disks (typically 3/4, 4/5, & 5/1 levels). Contrast injected under X-ray to see what disc looks like & if reproduces your pain. ...Read more