Chronic back or neck pain can be difficult to diagnose, especially when imaging studies alone do not clearly identify the source of pain. Discography is a specialized diagnostic procedure used to determine whether one or more spinal discs are the cause of persistent pain. This minimally invasive test helps physicians create a more accurate and effective treatment plan.
If you are experiencing ongoing spinal pain with no clear diagnosis, discography may provide valuable insight. To learn more, call (215) 201-4569 or contact us online to schedule a consultation.
What Is Discography?
Conditions Evaluated with Discography
How Does Discography Work?
Benefits of Discography
Is Discography Right for You?
Discography, also known as a discogram, is a diagnostic pain management procedure used to evaluate the condition of the intervertebral discs in the spine. These discs act as cushions between the vertebrae and can become damaged due to injury, degeneration, or wear over time.
Unlike standard imaging tests such as MRI or CT scans, discography is designed to reproduce the patient’s pain in a controlled setting, helping physicians identify which disc is responsible for the symptoms.
Discography may be recommended for patients with:
● Chronic neck or back pain● Degenerative disc disease● Suspected disc-related pain● Persistent pain without clear imaging findings● Pain prior to spine surgery planning
This procedure is typically used when conservative treatments have failed, and further diagnostic clarity is needed.
Discography is performed under imaging guidance to ensure accuracy and safety. During the procedure, a small needle is carefully inserted into the targeted spinal disc. A contrast dye is then injected into the disc to evaluate its structure and response.
If the injection reproduces the patient’s typical pain, the disc is identified as a potential pain source. Imaging is used to assess disc integrity, such as tears or degeneration. The procedure is usually completed on an outpatient basis.
Discography can provide important diagnostic benefits, including:
● Precise identification of pain-generating discs● Improved accuracy in treatment planning● Guidance for surgical or non-surgical interventions● Better outcomes by targeting the true source of pain
By pinpointing the origin of pain, discography helps avoid unnecessary or ineffective treatments.
Discography is not recommended for everyone. A pain management specialist will perform a comprehensive evaluation, including medical history, physical examination, and imaging studies, to determine if discography is appropriate for your condition.