Discography
Discography is a medical imaging procedure used to diagnose and evaluate spinal disc problems. It involves injecting a contrast dye into the spinal discs to visualize them on an X-ray or CT scan.
Purpose
The purpose of discography is to:
- Determine if a spinal disc is the source of back pain
- Evaluate the integrity of the spinal disc
- Assess the degree of disc degeneration or damage
- Help plan treatment, such as surgery or injections
Procedure
The discography procedure typically involves the following steps:
- The patient lies on their stomach or side on an X-ray table
- A local anesthetic is injected into the skin and muscle to numb the area
- A needle is inserted into the spinal disc under fluoroscopic guidance (live X-ray imaging)
- A contrast dye is injected into the disc, which may cause some pressure or discomfort
- X-rays or CT scans are taken to visualize the disc and the spread of the contrast dye
- The patient may be asked to rate their pain level during the procedure
Types of Discography
There are two main types of discography:
- Disc stimulation: This involves injecting a contrast dye into the disc and then stimulating the disc with pressure or heat to provoke pain
- Disc injection: This involves injecting a contrast dye into the disc without stimulation
Risks and Complications
As with any medical procedure, there are risks and complications associated with discography, including:
- Infection
- Bleeding or hematoma
- Nerve damage or irritation
- Allergic reaction to the contrast dye
- Headache or nausea
Preparation and Aftercare
To prepare for discography, patients should:
- Avoid eating or drinking for several hours before the procedure
- Inform their doctor about any medications they are taking
- Arrange for someone to drive them home after the procedure
After the procedure, patients should:
- Rest and avoid strenuous activities for several hours
- Apply ice or heat to the affected area to reduce discomfort
- Follow their doctor's instructions for pain management and follow-up care
Article last updated on: 15th June 2025.
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