Discography is an imaging test. It involves injecting a contrast material into a disc in the spine and taking an
x-ray. An x-ray is a test that uses radiation to take a picture of structures inside the body. The contrast material helps the disc appear more clearly on the x-ray.
This test is used to detect if a
or otherwise abnormal disc is a source of pain. Discs are small, circular cushions between the vertebrae (bones) in the spine. A herniated disc occurs when a disc in the spine bulges from its proper place. Herniated discs can press on the nerves and cause severe pain. In some cases, they can cause pain themselves, but often an abnormal disc is not painful.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Injection of dye into the wrong area
Allergic reaction to the contrast agent
What to Expect
Prior to Test
Your doctor may do the following:
Physical exam and medical history
Determine if you have any allergies
Pregnancy test—this test is not usually needed on pregnant women
Before your test:
Arrange for a ride home and for help when you return after your procedure
Remove any metal objects from your body, such as jewelry, hearing aids, or dentures
Description of the Test
You will lie on your abdomen or side on a table. A technician will help place you into position. You may be given antibiotics through an IV. You may receive an injection of local anesthetic into the skin on your back. This will be done to reduce pain from the needles.
Your doctor will use an imaging test called fluoroscopy. It combines x-ray technology with a TV screen to help guide needles into the discs. A contrast dye will be injected into the center of each disc. If the disc is normal, the liquid will remain in the center of the disc. If it is abnormal, the x-ray will detect any spreading or leaks.
During the exam, you will be asked to rate any pain that is associated with the injections. This can help your doctor find out if it is the abnormal disc that is causing pain.
After this test, your doctor may do a
to see the extent of spreading of the contrast dye.
You will be monitored in a recovery room while the sedation wears off.
How Long Will It Take?
About 30-60 minutes (an additional 30-60 minutes if a CT scan is also done)
Will It Hurt?
You may have pain from the contrast dye. Pain can last for several hours.
The results will be given to your doctor. Your doctor will talk to you about the results and treatment options.
Call Your Doctor
It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:
Signs of infection, including fever and chills
Numbness in your legs
Trouble urinating or moving your bowels
Symptoms of allergic reaction—hives, itching, nausea, swollen or itchy eyes, tight throat, or difficulty breathing
If you think you have an emergency, call for medical help right away.
Carragee EJ, Don AS, et al. Does discography cause accelerated progression of degeneration changes in the lumbar disc?: A ten-year matched cohort study. Spine. 2009;34(21):2338-2345.
Discography (discogram). Radiological Society of North America Radiology Info website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=discography. Updated April 11, 2016. Accessed November 10, 2017.
Modic MT. Diskography: Science and the ad hoc hypothesis. AJMR Am J Neuroradiol. 2000;21(2):241-242.
Stout A. Discography. Phys Med Rehabil Clin N Am. 2010;21(4):859-867.
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