Discography (Diagnostic Disc Injection)

Discography, also known as a diagnostic disc injection, is a specialized test used to determine whether one or more intervertebral discs are the source of chronic back pain. At Covenant Spine and Neurology, we use this procedure to gather critical information that guides treatment planning—particularly before surgery or when imaging results, such as MRI, are inconclusive.

How the Procedure Works

During discography, a contrast dye is carefully injected into one or more spinal discs under fluoroscopic (X-ray) guidance. By reproducing symptoms in a controlled setting, physicians can confirm whether the disc is causing pain. This targeted approach provides valuable diagnostic clarity for patients with complex or unresolved back pain.

When Discography May Be Recommended

Discography may be considered when:

 

  • Chronic back pain has not improved with conservative care.

  • MRI or CT scans are inconclusive in identifying the pain source.

  • Discogenic pain is suspected as the underlying cause.

  • Surgical intervention is being considered and precise localization is required.

Benefits of Discography

This diagnostic procedure offers several advantages:

 

  • Provides direct evidence of whether a disc is pain-generating.

  • Helps pinpoint the exact disc or discs involved.

  • Guides treatment planning, including advanced therapies or surgery.

  • Reduces the risk of unnecessary or ineffective interventions.

Your Care at Covenant Spine and Neurology

Our specialists use discography results to create an informed, personalized treatment plan. Whether the next step involves surgical consultation or non-surgical options, discography ensures your care path is based on accurate, detailed information.

Take the Next Step

If you’re dealing with persistent back pain and need clear answers, discography may help uncover the source and guide the most effective treatment. Click here to schedule a consultation or determine the location nearest you at one of our four convenient offices.

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For more information or to schedule an appointment call us at 336-761-4020.

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