Discogram Procedure

A discogram is a medical imaging procedure used to diagnose and evaluate spinal disc problems, particularly in the cervical, thoracic, or lumbar regions of the spine.

Purpose

The primary purpose of a discogram is to:

• Determine if a specific intervertebral disc is causing pain
• Assess the integrity and structure of the spinal discs
• Help diagnose conditions such as herniated discs, degenerative disc disease, or disc tears

Procedure Overview

The discogram procedure typically involves the following steps:

1. The patient is positioned on an X-ray table, usually lying on their stomach
2. A local anesthetic is administered to numb the skin and muscle tissue
3. A contrast dye is injected into the targeted spinal disc using a needle guided by fluoroscopy (live X-ray imaging)
4. The patient may be asked to describe any pain or discomfort experienced during the injection process
5. X-rays, CT scans, or MRI scans are taken to visualize the disc and surrounding structures

Types of Discograms

There are two main types of discograms:

• Discography with contrast dye injection only: This involves injecting a contrast dye into the spinal disc to visualize its structure and integrity
• Provocation discography: This involves injecting a contrast dye and then applying pressure or stimulation to the disc to provoke pain and assess its relationship to the patient's symptoms

Risks and Complications

As with any invasive medical procedure, there are potential risks and complications associated with a discogram, including:

• Infection or bleeding at the injection site
• Allergic reactions to the contrast dye
• Nerve damage or irritation
• Disc injury or herniation

Post-Procedure Care

After a discogram, patients are typically advised to:

• Avoid heavy lifting, bending, or strenuous activities for several days
• Take pain medication as directed by their doctor
• Follow up with their doctor to discuss the results and any further treatment options

Conclusion

A discogram is a diagnostic procedure used to evaluate spinal disc problems and determine the source of back pain. While it can provide valuable information, it is essential to discuss the potential risks and benefits with a qualified healthcare professional before undergoing the procedure.