Lumbar Discography

Lumbar discography helps your physician identify a specific disk that may be causing your pain. It also gives additional information about the anatomy of the intervertebral disks. This procedure is often considered when back pain has not responded to more conservative care.

The procedure involves placing a small needle into the middle portion of the disks in question.

After all of the needles are placed, a small amount of contrast material is injected into the center of the disc. With this test we are looking at the shape and health of the discs and which disc is responsible for your pain.

After each level is injected, pictures are taken with the fluoroscopy machine. Usually, a postdiscogram scan is obtained to look carefully at the disk structure and stability.

Pre Injection Instructions

If you are anxious about your procedure, sedation can be provided. If you choose this option you must meet the following criteria:

  • Come to your appointment with a responsible adult driver
  • Fast for at least 6-8 hours prior to our appointment time. Morning medications can be taken with a sip of water no later than 2 hours prior to you appointment time. Exceptions may include diabetic medications, in this case please call the office for specific instructions
  • If you are taking blood thinners or supplements, we may ask that you discontinue them prior to your procedure. Never stop these medications without approval from the physician prescribing them.

Here is a short list of blood thinners and the amount of days they should be discontinued prior to your procedure:

Acenocoumarol 3 days
Agggrenox 7 days
Aggrastat 24 hours
Arixtra 4 days
Asprin 7 days
Brillinta 7 days
Edoxaparin 2 days
Efflent 7 days
Eliquis 3 days
Heparin 8 hours
Integrillin 24 hours
Lovenox 12 hours
Pentoxil  2 days
Plavix  7 days
Pletal  7 days
Pradaxa  6 days
ReoPro  3 days
Ticlid  14 days
Warfarin/Coumadin  5 days
Xarelto 3 days

Please call our office if your blood thinner is not listed.

If you are taking any supplements such as Fish Oil, Garlic, Ginseng, Vitamin A&E, Ginger, Kava Kava, Clove, White Willow bark, or Gingko please stop these 7 days prior to your procedure.

   Lumbar Spine Disc Diagram
 Overhead view of Intervertebral Disc
 Lumbar Spine X-ray Image
1055 Bowles Ave.
Suite 200
Phone (636) 496-3900
Fax (636) 496-3939
  St. Peters
4800 Mexico Rd, Ste. 101,
St. Peters, MO 63376
Phone (636) 442-5035
Fax (636) 442-5036
1601 Wentzville Pkwy
Suite 101
Phone (636) 332-8902
Fax (636) 332-8904

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