Discography is a diagnostic test that helps identify whether a specific spinal disc is causing back pain. The procedure involves injecting contrast dye into the disc while using fluoroscopy (live X-ray) to observe its response. If the injection recreates the patient’s typical pain, it suggests the disc is a likely pain source.

This procedure is used for:

- Chronic back pain that hasn’t improved with other treatments.

- Suspected disc issues, such as degenerative disc disease or disc injuries.

- Persistent pain after spine surgery to evaluate remaining concerns.

How the procedure works:

- A thin needle is guided into one or more discs using fluoroscopy.

- Contrast dye is injected to assess the disc’s response.

- The procedure is done with local anesthesia and sedation, but the patient stays awake to provide feedback.

Alternatives to discography include:

- MRI or CT scans to visualize spinal discs.

- Physical therapy and conservative treatments to relieve symptoms.

- Surgical evaluation if a structural disc problem is suspected.

Possible risks include:

- Temporary pain flare-up after the test.

- Infection or bleeding at the injection site.

- Rare cases of disc injury or disc infection.

- Nerve damage is extremely rare.

After the procedure, patients are monitored briefly and can go home the same day. Some mild soreness is common, and results may take a few days to weeks.

If you’re considering discography as a diagnostic tool, early evaluation can help guide treatment options. Talk to our team to find the best approach for you.