Back pain can be tricky to pinpoint. Imaging like MRI or CT scans shows
degeneration or disc changes, but not every abnormal-looking disc is the
source of pain. That’s where discography comes in—a specialized diagnostic
procedure sometimes called a “stress test” for your discs. At IGEA Brain,
Spine, Pain & Orthopedics, we use discography to identify the specific disc
responsible for your symptoms, ensuring that any surgical or interventional
plan targets the right problem.
What Is Discography?
Discography involves:
-
Injecting a small amount of contrast dye into one or more spinal discs
- Applying controlled pressure to simulate stress on the disc
-
Monitoring your pain response while imaging shows internal disc structure
The goal is to determine whether a degenerated disc truly matches the
patient’s pain pattern.
When Discography Is Considered
- Persistent low back pain not clearly linked to imaging findings
-
Multi-level disc degeneration where it’s unclear which disc is symptomatic
-
Prior to spinal fusion or disc replacement, to target surgery precisely
The Procedure
- Imaging Guidance: Fluoroscopy or CT ensures accurate needle placement
- Disc Injection: Contrast dye is introduced under controlled pressure
-
Pain Assessment: The patient reports if the injection reproduces their
typical pain
-
Post-Procedure Imaging: Confirms disc integrity and highlights structural
abnormalities
Benefits of Discography
- Identifies the true pain source, reducing unnecessary surgery
-
Guides surgical planning, such as single-level vs. multi-level fusion or
replacement
- Provides objective correlation between imaging and symptoms
Safety and Considerations
- Generally safe when performed by experienced spine specialists
- Mild soreness or temporary pain flare may occur
- Not suitable for all patients; careful evaluation is required
Contact IGEA for Precision Spine Diagnostics
If you’re experiencing persistent back or neck pain with inconclusive imaging,
contact IGEA Brain, Spine, Pain & Orthopedics. Our specialists use advanced
diagnostic tools, including discography, to pinpoint the source of your pain
and design a targeted, effective treatment plan.
