A discogram is a distinctive type of test that helps doctors figure out if one or more of the discs in your spine are the source of your back pain. During this test, a special dye is injected into the center of your discs. This dye makes the discs visible on an X-ray or CT scan, showing the structure of the discs in detail. If the dye spreads from the center of the disc, it indicates that the disc may be damaged. The discomfort you experience during the test is also an indicator of which discs are causing a problem. However, sedatives and local anesthesia can help manage the discomfort you may experience during a discogram.
Discogram Procedure
When it’s time for the discogram, you will be asked to lie down on an X-ray table, usually on your stomach or side. The first step is numbing the area with a local anesthetic. You may also be given a sedative to help you relax, but you will need to be awake.
Next, the doctor uses a specialized type of imaging called fluoroscopy to guide a needle into the disc that’s being tested. Once the needle is in the right spot, the doctor injects the contrast dye. After the dye is injected, the doctor might move on to other discs to repeat the process. The goal is to get a comprehensive look at which discs are causing your pain.
What is the Recovery Time for a Discogram?
Recovery after a discogram is usually pretty quick. Most people are back to their normal routines within a day or two. However, you might feel some soreness in your back where the needles were inserted. This is normal and should fade within a few days. To help things along, it’s a good idea to take it easy for at least 24 hours after the procedure and avoid heavy lifting. If you are still feeling sore after a couple of days, don’t hesitate to reach out to your doctor for advice.
What to Expect During a Discogram
During your discogram, expect a mix of sensations. The local anesthetic will help dull the pain, but when the dye is injected, you might feel some discomfort. This is normal and means that the test is effective, allowing your doctor to pinpoint the source of your pain. You will be awake the whole time, which allows you to tell the doctor exactly what you are experiencing. Clear communication is key to making the test as effective as possible.
What to Expect After the Procedure
After the discogram, you might feel a bit sore, especially at the insertion site. This soreness is usually mild and should dissipate within a day or two. Your doctor will probably prescribe over-the-counter pain relievers to help manage any lingering discomfort. It’s also important to keep an eye on how you are feeling. If you notice anything unusual, like increased pain or signs of infection, reach out to your doctor right away. Overall, most people find that the recovery process is smooth and uneventful.
Discogram Side Effects
While a discogram is generally safe, there are a few side effects to be aware of. For instance, you might notice an increase in back pain for a few days after the procedure. This is common and usually nothing to worry about. However, there’s also a slight risk of infection at the injection site, so it’s important to monitor the area for any signs of redness, swelling, or increased pain. Another rare but serious side effect is discitis, an inflammation of the disc space, which would require prompt medical attention. Here are some of the side effects to watch for after a discogram:
Headache
One side effect you may experience after the procedure is a headache. If the needle accidentally punctures the outer covering of your spinal cord, it can cause a headache. The good news is that these headaches usually resolve on their own, especially with rest and hydration.
Allergic Reactions
Though unlikely, there’s a chance you could have an allergic reaction to the contrast dye. Symptoms might include itching, a rash, or, in more serious cases, difficulty breathing. If you have had allergic reactions caused by contrast dye in the past, make sure to let your doctor know before the procedure.
Discitis
Discitis is an inflammation of the disc space that can occur after a discogram, although it’s quite rare. If you experience severe back pain, fever, or chills after the procedure, it’s important to contact your doctor immediately. Discitis requires prompt treatment to prevent complications.
Infection
Infection is another potential risk of a discogram, though it’s not very common. If the area where the needle was inserted becomes red, swollen, or more painful, these could be signs of infection. Early treatment is key to preventing any serious issues, so don’t hesitate to reach out to the nearest healthcare provider if you notice these symptoms.
Conclusion
A discogram might not be the most comfortable experience, but it’s a powerful tool for diagnosing the source of your back pain. Understanding the discogram procedure, the recovery time, and potential side effects can help you feel more prepared and at ease. If you are considering a discogram, the team at Oklahoma Spine & Pain Management is ready to guide you through the process with expert care and support. We can help you navigate your options, discover the source of your pain, and recommend effective treatment options.
