Provocative Discography/Discogram

Provocative discography, also known as discogram, is a diagnostic procedure used to identify the source of back or neck pain in patients with suspected disc-related issues.

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During provocative discography, a contrast dye is injected into the suspect intervertebral disc(s) under fluoroscopic guidance. The injection is performed in a controlled manner, and the patient's response to the injection is observed. If the injected disc is the source of pain, it typically reproduces the patient's usual pain symptoms.

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This procedure is considered "provocative" because it intentionally stresses the disc to elicit pain responses, helping healthcare providers pinpoint the specific disc(s) causing the patient's symptoms. Provocative discography is often used when other diagnostic imaging techniques, such as MRI or CT scans, do not clearly identify the cause of the patient's pain.

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It's important to note that provocative discography is a diagnostic tool and not a treatment for disc-related pain. The information gathered from this procedure helps healthcare providers develop a targeted treatment plan, which may include conservative measures, medications, physical therapy, or, in some cases, surgical interventions. As with any medical procedure, patients should discuss the risks, benefits, and potential outcomes with their healthcare provider before undergoing provocative discography.

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