Discography for Low Back Pain
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Discography is a medical procedure that involves injecting a dye into
the jellylike center of a spinal disc to help diagnose back problems.
During
discography, a doctor looks at the amount of pressure needed to
inject the dye into the disc, whether it causes pain that is the same as your regular pain, how much dye is used, and how the dye
appears on X-ray after it is inside the disc.
Most people have changes to their spinal discs as they age, but these
changes usually do not cause any symptoms.
Discography has been largely replaced by simpler and more effective methods for basic testing. It is sometimes still used in hard-to-diagnose cases or before surgery. Discography may increase the risk of having disc problems.footnote 1 Most experts no longer recommend it.footnote 2 If your doctor recommends discography, experts recommend getting a second opinion before having this test.
References
Citations
- Carragee EJ, et al. (2009). Does discography cause accelerated progression of degeneration changes in the lumbar disc: A ten-year matched cohort study. Spine, 34(21): 2338-2345.
- Chou R, et al. (2009). Interventional therapies, surgery and interdisciplinary rehabilitation for low back pain: An evidence-based clinical practice guideline from the American Pain Society. Spine, 34(10): 1066-1077.
Credits
ByHealthwise Staff
Primary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine
Specialist Medical ReviewerHoward Schaff, MD - Diagnostic Radiology
Current as ofMarch 21, 2017
Current as of:
March 21, 2017
Carragee EJ, et al. (2009). Does discography cause accelerated progression of degeneration changes in the lumbar disc: A ten-year matched cohort study. Spine, 34(21): 2338-2345.
Chou R, et al. (2009). Interventional therapies, surgery and interdisciplinary rehabilitation for low back pain: An evidence-based clinical practice guideline from the American Pain Society. Spine, 34(10): 1066-1077.