Lumbar Discogram

What should I expect from this procedure?

Discography confirms or denies the disc(s) as a source of your pain. It is a relatively simple procedure that uses a small needle to inject contrast dye into your disc. MRI and CT scans only demonstrate anatomy and cannot absolutely prove your pain source. In many instances, discs are abnormal on MRI or CT scans but are not a source of pain. Only discography, which is a functional test, can tell if the disc itself is a source of your pain. Discography is usually performed only if you think your pain is significant enough for you to consider more advanced treatment options, directed at the disc itself, such as surgery.

How quickly can I expect pain relief?

You should feel relief immediately due to the anesthesia. After the local anesthetic wears off, you may feel some discomfort return, which should resolve after the steroid medication starts to work.

How should I prepare for the procedure?

You should eat no solid food or fluids after midnight prior to the procedure unless directed otherwise. You may take your regular medications with a small amount of water. If you are taking any blood thinners such as Coumadin, Warfarin, Plavix, or any others, these medications must be discontinued well before the procedure. The Advanced Pain Institute will direct you when to stop taking these medications.

What happens during and after the procedure?

You will be given an IV with relaxing medicine. You will be asked to lie on your stomach. Your skin will then be cleansed with an antiseptic solution. The physician will numb a small area of skin. Next, the physician will use x-ray guidance to direct a small needle into the center of your disc. You may feel temporary discomfort as the needle passes through the muscle and other soft tissues near your spine. The physician may repeat this at several adjoining disc levels. After the needles are in their proper locations, a small amount of contrast dye is injected into each disc. If a disc is the source of your usual pain, the injection will temporarily reproduce discomfort in the area of your usual symptoms. If a disc is not the source of your pain, then the injection will not produce any discomfort, or will not reproduce your usual symptoms.

Will my insurance cover the procedure?

Most insurance companies currently cover lumbar discograms. They are covered by Medicare and other government funded insurance plans. However, coverage may vary depending on your specific plan and policy.

What possible side effects might I see?

Possible side effects may include drowsiness, temporary numbness, weakness and soreness.

What should I do if any problems develop after I leave the hospital?

If you have continued pain, fever or leg weakness, call the Advanced Pain Institute. Please do not perform vigorous activity for one week. When you are feeling better, slowly increase your activity level.

What post procedure instructions are recommended?

You should not drive and should limit activities on the day of your procedure. Over the next 2-3 days, your muscles may be sore and your usual pain aggravated. Ice will usually be more helpful than heat during this period. You can take your regular pain medicine as prescribed. You will also be given, if desired, a prescription for stronger pain medication. On the second to third day, you may return to your regular activities. Soreness should improve by the third day and your pain will be reduced. When your pain is improved, resume your regular exercises/activities in moderation.