Discogram

A discogram is a radiodiagnostic study used to determine the structural integrity of a disc and whether a particular disc is responsible for pain.

Before the Discogram
Preparation for the discogram includes the following:

• Allergy and medication history must be reviewed with the physician prior to scheduling a discogram.
• Patients must have an escort on the day of this procedure and must be fasting from 12:00 midnight prior to the procedure.

What to Expect During a Discogram
In general, discograms follow this process:

• An IV line is inserted to allow for the administration of medication for sedation and/or pain relief.
• A spinal needle is guided under fluoroscopy (X-ray) into the disc that is suspected of causing pain.
• A radiopaque dye is injected through the spinal needle into the disc.
• The doctor observes the dye pattern for leakage outside the disc walls.
• At this point, the patient is questioned regarding the similarity of this pain to the usual pain experienced.
• If necessary, pain medication will be given intravenously.
• A CT Scan may be performed following the procedure to further study and document the results.
• Patients may be discharged when fully recovered from the effects of any medications administered during the procedure.
• The total time required for this procedure is as follows: discogram (45 minutes), CT Scan (30 minutes), recovery time (1-2 hours).