Doctor insights on:
What Kind Of Doctor Does 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
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
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
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
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
Yes with the right: Patient having right operation by the right surgeon. Meaning that all forms of nonop care have failed with back pain that is mechanical in nature for at least 6 months which is worse with activity ; better with rest. Patient is not obese, does not smoke ; in good medical condition with ideal surgery limited to one or two levels with discogram not done by surgeon who is spine fellowship trained. ...Read more
Injection in disc: A discogram is a study that is done to determine if a disc is the source of your pain. A needle will be placed into the disc under x-ray guidance and an injection will be done under pressure. In a symptomatic disc this should reproduce your pain and in a normal disc it should not. I would only do this study if you are considering surgical treatment as it is not pleasant. ...Read more
How helpful might it be for me to get to the exact nature of my neck arthritis? One test that could be performed is a discogram. Other test availabe
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 more
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 don't hurt when injected the painful disc will they are looking for. ...Read more
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
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
Can all disc bulges recover shape and decompress nerves over time? How to determine if a disc is ruptured, aside from discogram?
Short answer - no: Not all disc bluges or herniations will decompress or recover shape. Some of them may remain stable and not change or become worse depending on a variety of factors. If you'd like to know the stability of your disc bugles and their effect on nerves, you should see a neurologist. He or she may recommend an MRI of your spine to document changes over time. ...Read more
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
I had a discogram two days ago, my bac is still numb & and I feel like I still have medication in me, should I worry.
Observe it: If no fever, chills, sweats, increased back pain, increased leg pain or weakness then observe it. If you have any of these, it may suggest you have discitis, which will require that you immediately see your spinal surgeon. Always better to have some numbness than pain -- if new leg numbness also see you spinal specialist. If any changes in your bowel/bladder function see your spinal specialist. ...Read more
My neurosurgeon has ordered a 4 level discogram what is it and what should I expect during this diagnostic test? I can't have mri"s or myelograms.
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
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
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
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
Discogram: Escalating pain one week after a discogram could indicate the development of an infection. This requires immediate attention and often requires six weeks of IV antibiotics. ...Read more
Discogram: A discogram is used to evaluate a particular pattern of back pain that involves sitting intolerance and relief with recumbancy. Placement of needles into the disc spaces to perform a fluid pressure test should be well tolerated but there are some concerns that it may accelerate degenerative changes in the tested discs. The most common risk would be infection but the rate should be less than 1%. ...Read more
I had a discogram a month ago & am still having severe headaches/nausea that lasts for days. My dr isn't helping me. What should I do?
Have annular tear at l5-s1 diagnosed by discogram I've tried all conservative modalities with zero pain relief, was told I need fusion? Any options?
You answered it your: If you have tried all conservative modalities surgery is an option. What ave you tried? Fusions are not very effective to treat back pain. If your disc is very degenerated and the discogram reproduced your pain it may be the answer. Only your spine surgeon can discuss specific options with you. This is not a question which can be answered on line with generalities. ...Read more
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