A Part of the Willis-Knighton Physician Network
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(318) 212-7960
Bossier City

Procedures Performed


Discography

Discography is a diagnostic injection used by pain physicians and surgeons to assist in your treatment plan and clarify your diagnosis. After conservative therapy has failed, your pain physician and/or your surgeon may request a discography procedure. A discogram can confirm the identity of the painful disc and provide a detailed picture of the internal structure of each disc injected. A needle is placed into each disc that is suspected to be painful. Then each needle is injected separately and pressurized, and a detailed record is taken of the patient’s response to each injection. A CT Scan is performed soon after the procedure. The pressure within each disc, the patient’s reports of pain, as well as the CT Scan are all analyzed and together used to determine the next best course of action for the patient. Possible treatment plans following discography include surgical correction, steroid injections, spinal cord stimulation, physical therapy, or medication.

Side effects of Discography are rare and your physician will discuss them with you. You will be asked to sign a written consent prior to the procedure. Please make sure you fully understand the risks and benefits of any procedure prior to signing the consent form.

Discography, as with most other procedures, is performed in our in-office fluoroscopy suite. X-ray is used for all injections. Intravenous sedation is offered, but will be limited so that your physician will be able to accurately assess your response to each injection. You will be monitored before and after the procedure and escorted to the radiology department for a CT Scan after the procedure. The CT Scan will be read by a radiologist and available to your physician within 24 hours. A driver is required for all spinal injections. You may have increased pain for up to a week after a discography procedure. You may resume normal activities the day after the procedure, unless otherwise directed by your physician. Typically a follow-up evaluation is scheduled two weeks from the date of the procedure, so that you can discuss your response to the injection with your physician.

Discography can be a valuable diagnostic procedure when conservative therapy has failed. Please contact our office if you have additional questions regarding this procedure.

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Side effects of Discography

Side effects are rare, but bleeding, infection, increased pain, kidney failure, bowel or bladder dysfunction, paralysis, and death have occurred. These side effects usually occur on patients taking strong anti-coagulants or blood thinners, those with a high fever or an active infection, or those with a severe allergy to intravenous contrast. Although very rare, discitis or an infection in the disc can occur. Antibiotics are given before and during the procedure to prevent this complication. Discitis can sometimes be treated with oral or intravenous antibiotics, but sometimes a surgeon has to remove the infected disc material in the operating room. Your physician should be notified if you are taking medications such as Coumadin, Plavix, Ticlid, Lovenox, Aggrenox, Insulin, or Metformin. Your physician should also be made aware of any allergies you have, especially if you are allergic to iodine or contrast. Notify your physician immediately if you have concerns about your condition after the procedure.

Interactive Patent Education

Discography

Discography

Degenerative Disc Disease

Degenerative Disc Disease