Allpria Healthcare

In preparation for discography, a clinician sets up an IV or an intravenous delivery of anesthesia to help patients who are anxious feel more relaxed.

 

After the IV has been set up, the patient is positioned on a table that is X-ray equipped.

The surface of the skin over the affected area is then sterilized and injected with a local anesthesia.

Next, a needle will be carefully inserted into the correct position while using a real-time X-ray that is referred to as a fluoroscope. A liquid, such as contrast dye, is then injected directly into the region where abnormal spinal discs are believed to be located. If an injection into a spinal disc results in an increase in pain that is similar to the patient’s initial pain, then it is an indication that the discogram has pinpointed the problem area. However, if the patient does not feel an increase in pain it means that an abnormal spinal disc is not the problem. The procedure is usually complete within one hour.

 

Numerous organizations that are dedicated to pain research and management have reported that discography effectively and safely diagnoses the probable causes of back and neck pain. This diagnostic tool is also currently utilized to assess cervical pain and lower lumbar pain. In addition, a recent meta-analysis study that presents discography statistics mentions that this method strictly adheres to clinical standards for acceptable diagnostic procedures.

Studies repeatedly show that discography is more beneficial than some other analytical techniques (e.g., an MRI) at producing helpful results for various painful conditions, such as back pain. Moreover, the clinical studies explain that MRIs, although highly efficient at revealing abnormalities in spinal discs, are not as effective as discography at pinpointing the actual causes of a patient’s pain.

Discography is especially beneficial in that it often helps individuals avoid unnecessary surgery. In some cases, surgeons have even stated that positive test results from a discogram have led to the prevention of more invasive surgical procedures such as lumbar spinal fusions. In addition, they explained that accurately identifying and then treating a spinal disc is critical for providing patients with significant relief.

This procedure is minimally invasive, but similar to other treatments, is described to pose certain risks. The following risks may occur although they are rare:

 

• Spinal headaches

• Temporary numbness

• Paralysis

• Bleeding

• Nerve damage

• Infection

• Voice that becomes hoarse

Patients may also feel mild pain or discomfort that persists for about one week after undergoing discography. Over-the-counter pain relievers may be used as well as cold compresses.