Discogram

International Spine Intervention Society - Patient Information

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What is it?

A discogram is a diagnostic test performed to view and assess the internal structure of a disc and determine if it is a source of pain.

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How is it done?
The patient is given intravenous medication as a relaxant and pain reliever. A local anesthetic is injected into the patient's skin in the area that is being examined.

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A needle is inserted through a previously placed needle in the skin and into the disc under fIuoroscopy. A saline solution and radiopaque dye are injected into the disc or discs if more than one disc is being examined. A CT scan is usually performed on the painful disc after the dye is injected to obtain images of the dye distribution. This will demonstrate anular tears, scarring, disc bulges and changes in the nucleus of the disc.

Expected Results

  • Recreation of painful symptoms if the disc/discs is abnormal.
  • Confirmation of a diagnosis and/or determination of which disc/discs is the source of pain.

How long does it last?
Thirty minutes plus an additional thirty minutes if a CT is indicated plus recovery time of several hours.

Discogram
SNRB
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Facet
Sympathetic
Costovertebral
Stellate Ganglion
Neurotomy
Posted on: August 11th, 2007
Last Updated on: February 1st, 2010
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Peer Reviews by Leading Specialists

What is this?
Christopher P. Silveri, MD
Judicious use of selective injections can provide both therapeutic and diagnostic benefits. Each shot is tailored to the specific anatomical area in question and should never be combined in the same sitting. Each shot should be performed to confirm or rule out a potential site of pain generation. In such an organized fashion a spine specialist may be able to clarify what was previously a diagnostic dilemma.