Role Of Discography In The Diagnosis Of Painful Cervical Disc

Discography treatment refers to a diagnostic technique that is performed to discover a condition this is causing lower back pain or neck pain. This diagnostic tool is also called a discogram and it was initially used to locate lesions along the backbone that have been causing severe pain.

Why it is done?

Although an MRI or CT test can strongly suggest which disc is probably generating pain, these researches do now not always precisely identify the pain generator. A disc can appear strange on a test, but it may no longer be causing pain. Most patients who require a discography treatment have did not enhance with conservative treatments, inclusive of medications, physical therapy, and injection therapy. Since your health practitioner wishes to deal with all the painful discs on your spine, a discography treatment has been recommended. Once the painful disc is identified, it could then be treated.

How is this process done?

Discography treatment is a relatively brief 30-45 minute outpatient, X-Ray guided procedure that is performed beneath local anesthesia. Sterile technique is utilized to limit the chance of infection.

  • You will be lying to your stomach during the procedure, simply as you could have carried out with an epidural steroid or facet joint injection procedure.
  • For a lumbar discogram, two to 4 discs are commonly studied.
  • The doctor numbs the skin and soft tissue overlying every disc with a local anesthetic like Lidocaine.
  • The physician will then place a small needle into the center of every disc and injects a few radio-opaque dyes.
  • An X-Ray is then taken to view the disc anatomy and to peer if the dye leaks out of the disc.
  • In addition, the strain within every disc is measured all through and after dye injection.
  • Most importantly, the affected person’s response at some point of dye injection will tell the health practitioner if he is reproducing that affected person’s normal pain symptoms, one-of-a-kind pain symptoms, or no pain at all.
  • Occasionally a CT scan is obtained right away after the discography treatment to appearance more carefully at the pattern of dye spread through the disc. CT can be useful in diagnosing a tear or disruption within the outer layer (annulus fibrosis) of a disc.
  • All of this information is used to determine if an affected person has a painful disc and which treatment is appropriate.

Benefits of discography treatment

  • A discography treatment assesses whether a selected intervertebral disc is concerned in inflicting your back pain symptoms.
  • No radiation stays in a patient’s body after an x-ray examination.
  • Unlike conventional x-rays, CT scanning offers very detailed images of many types of tissue in addition to the lungs, bones and blood vessels.

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