WHY PERFORM THIS PROCEDURE?

This procedure is often done to help find the cause of your chronic back and leg pain. The discs in the lumbar spine (or back) form cushions between the vertebrae of the lumbar spine. These discs can often become degenerated or "worn out". This can lead to symptoms such as back pain, hip, buttock and leg pain. It is thought that these discs are the source of your pain and now this procedure will help find the disc or discs that are causing your symptoms.

HOW IS THE PROCEDURE PERFORMED?

You will have an intravenous line (IV) inserted before the procedure. You will receive a sedative through your IV to help "take the edge” your pain. Small needles will be inserted in your low back near the spine. The needles will always be inserted under X-ray as this helps guide the needle to the exact location. When the needles are in the correct position, a small amount of solution will be injected into the disc. You may or may not have pain with this injection. After the solution is injected into the disc, you will be asked a variety of questions concerning your pain and its severity. After the procedure, the nurses in the recovery room will watch you closely.

WHAT CAN YOU EXPECT AFTER THE PROCEDURE?

Please remember, this procedure is a test (much like an MRI) to help determine if painful disc disease is the cause of your pain. You likely will not have any reduction in your pain after this procedure. Occasionally, patients may notice a "flare" of their pain that can last from one to three days. You may also have a CT scan after the procedure to help further look at the discs and their condition. You will be asked to keep a detailed pain diary to help you keep track of the level of pain you experience after the procedure. The pain diary will be discussed at your next visit. You will need someone to drive you home as your ability to drive will be impaired. You should also avoid any unassisted walking, climbing or activities that require the use of your arms in a repetitive fashion.Very rarely, infections can occur in the discs after a discogram. Please call if you begin to have fever, chill or neck pain that is worsening.

WHAT IF YOU HAVE WORRISOME SIDE EFFECTS OR OTHER CONCERNS?

You may experience a small amount of bruising, bleeding or swelling at the injection site. It is best to apply ice compresses in the first 24 hours followed by heat after 24 hours in short durations, usually 20 minutes at a time. Please continue regular medications. If you are experiencing other difficulties or side effects please call our office at 502-PAIN (7246) so that we may recommend further action or please go to the nearest emergency room for evaluation.