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Doctor insights on: What Kind Of Doctor Gives 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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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

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Has there been cases of successful treatment/surgery after discogram?

Has there been cases of successful treatment/surgery after discogram?

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

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I have back pain and am now scheduled for a discogram. What is it and what should I expect?

I have back pain and am now scheduled for a discogram. What is it and what should I expect?

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

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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 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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