WHAT IS IT?
A discogram is a diagnostic injection performed into the disc (structure between the veterbra) to view and assess the internal structure of a disc and determine if it is a source of pain.
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. A needle is inserted through a previously placed needle in the skin and into the disc under fluoroscopy. A saline solution and radio-opaque 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 annular tears, scarring, disc bulges and changes in the nucleus of the disc.
1. Recreation of painful symptoms if the disc/discs is/are abnormal.
2. Confirmation of a diagnosis and/or determination of which disc/discs is/are the source of pain.
EXPECTED PROCEDURE TIME
Thirty minutes plus an additional thirty minutes if a CT is indicated plus recovery time of several hours.
Please click on these links to learn more about the options you have for pain management:
- Radiofrequency Ablation
- Epidural Anesthetic Block And Steroid Injection
- Selective Nerve Root Block (SNRB)
- Facet Block
- Costovertebral Joint Block
- Sympathetic Nerve Block
- Stellate Ganglion Block (Cervical Sympathetic Block)
- Medial Branch Rhizotomy
- Medial Branch Rhizotomy With Pulsed Radiofrequency