My bad disk is L4-L5 and my doctor ordered them to check that one and the one below it which was S somthing. They shot the dye into L4-L5 and it instantly felt like I had a HUGE amount of preasure on the right side of my back, where I have always had pain. It felt like I had 2000 pounds on it.
They then did the one under that disc and I got a sharp pain on the LEFT side of my back, where I dont usually have pain.
They then called my dr. and asked if they could do the one above L4-L5 and he told them to check it. When they did that one again, it felt like I had A LOT of preasure on my right side of my back.
I would rate the pain from L4-L5 about a 9 when they did it. I would rate the low one about a 6-7.
I thought that if your disc was fine, you wouldnt feel anything? Why was I feeling pain from all 3 discs? Does that mean they are all bad? I wont know the results until I see my dr in 2 weeks so it has me worried.
Today, the next day, I am VERY sore back there from the diskogram. I hope this goes away soon.
[QUOTE=Parks71]I thought that if your disc was fine, you wouldnt feel anything? Why was I feeling pain from all 3 discs? Does that mean they are all bad? I wont know the results until I see my dr in 2 weeks so it has me worried.
Today, the next day, I am VERY sore back there from the diskogram. I hope this goes away soon.[/QUOTE]
If there was nothing wrong with those discs, you shouldn't have had any pain. I had a discogram two months ago, and when they injected two of the three discs I felt nothing. The third one (L 4-5) I felt quite a bit of pressure, but not exactly pain. Turns out that third one has a leak in the outer jacket somewhere.
You might want to call your doctor to see if you can get in sooner, like if he/she has a cancellation. If you're not satisfied with the answers you get, go get another opinion. That's what I had to do, and thank god I did.
[QUOTE=Parks71]Thats the exact pain I felt, TONS of preasure. Problem is, all three discs they injected I felt that. Does that mean all the discs are bad?[/QUOTE]
From what I know on the subject, yes, I would think that means that all three discs or the jackets around them are bad. In my case, sounds like there might not be any problem with the disc itself, but rather the jacket around it that has the leak.
The guy who is my main doctor now said that the leaking fluid (the dye leaked into the nerve pathway during the discogram) is possibly causing inflammation, and could very well be where my pain is coming from. His opinion is based on how well the first round of steroid shots worked on that pain, plus what he can see in the discogram and the MRIs I had (both MRIs showed no problems whatsoever).
However, the guy who did the discogram and the ortho. surgeon who referred me for it both said they don't think the leak is a problem (huh??) and they don't know where my pain is coming from, and that I didn't need to come back.
That's when - out of frustration - I went to the doctor I go with now (he's a pain management specialist who'd done my steroid epidurals earlier and seemed to genuinely care how I was doing). I told him what the other doctors had said about my discogram, and he shook his head as I was talking, and then said, ``If there's a leak, there's a problem.'' And then he said there is plenty that can still be done, and that I don't have to put up with this pain. Thank god for him. So now I'm having a round of steroid shots directly into the L4-5 area.
But I've been lucky, and had pain pills the entire time I've been injured - 2-1//2 years. I take Ultracet now. If I didn't have those pills, there are days when I would not be able to go to work, and in so much pain all I could do is lay down most of the day. Because my doctors have allowed me those, I've been able to keep up my life (while being careful with my back).
If you don't have something that will address the pain, I would definitely talk to your doctors about them. Pain sucks, and it drags you down so much after awhile. People shouldn't have to tolerate it all the time.
I have some of the same questions mself. I was originally told by my orto dr that both L4 & L5 were both bad. I had the discogram two days ago and the dr. said that it appeaqrs that L4 & L5 are not the problem. Since they drugged me up right after, I think I remember him says that it was DISC 3. The only thing I know is that i've been in a grat deal of pain since then. Anyone know how long this should last?
BLK did you have pain in all the discs they injected? This is my second day after the disko and I'm in extreme pain, I couldnt even sleep at night last night.
My surgeon said the pain would only last a few seconds and I would be fine afterwards, boy was he wrong. Now I think I'll be second guessing everything he says and be getting a second opinion for sure.
I asked the doctor how long the pain would last before he did it and he said hes about to reagravate my pain and he can not give me a time line for how long the pain will last, he was very honest. I hope to GOD this goes back to "normal pain" in the next day or two.
BLK, what type of pain did you feel when they did inject your disks? My was extremley painful as if I had a elephant on my back. My NORMAL pain is a push that feels like I have a baseball in my back trying to get out but not near as extreme as the diskogram preasure put on me.
Let me share my experience with you!
I had a disco and they hit the L4-5 and I went into orbit Then they did the L5-S1 and that also was horrible. Question was the L5- S1 was great looking on the MRI. so my surgeon said he wanted to wait a week and repeat only the L5-S1 , his thought was since the 4-5 was so bad then maybe it was affecting the next one now that it was soooooooooooo irritated
Needless to say I was very upset to have to do it again and also he said if that one was positive than I was in a bit of a mess because it would involve to many levels at my age. I left crying and feeling desperate and scared . So 2 weeks later I showed up to repeat the L5-S1 and guess what my surgeon was right on the money.........it was totally painfree. The only reason I had a positive result the first time was because the 4-5 was sooooooo bad that after they had applied so much pressure anything else irritated everything around it. Again on the second disco the L5-S1 that was so positive 2 weeks prior was totally painfree this time. I was totally awake because they did not need to give me any meds because this time it did not hurt at ALL!!!!!!!!! I hope this helps a little. Good Luck.
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Re: Had my diskogram, have some questions
I will be having the consultation with my Doctor since the Diskogram later today. The Diskogram, for me, went smooth as far as I could tell. Two out the three disks tested were zingers and the doc stopped the inflation when asked to. Stressing just a little. My frame of mind is Whatever it takes to stop the pain.
I think I could be a bit more of a viable human if I could just get and and be able to walk more than two blocks before the leg pain forces me back for an 8 hour round for having gone out at all. Heh!
I quit smoking cigarettes on valentines; thats going well at least.
sitting here typing triggered an urge for one.
I'll let ya'll know what the Doc and I decide.
Discography is a fairly easy test to interpret. I'll start this off by saying that pressure monitored discography is preferable.
a discogram involves placing a needle into the intervertebral disc and injecting small amounts of contrast. The physician is looking for a few things (or should be). He is watching to see if the contrast escapes from the nucleus of the disk and if it does how far does it escape. This tells him/her about the extent of damage to the disc.
During the injection of contrast it is normal to feel some pressure in your back. In addition to viewing the flow of contrast the other purpose of the discogram is to see if your usual pain symptoms are provoked when the discs internal pressure is increased through the injection of contrast. When a disc appears abnormal (contrast leaks from the disc) and this provokes your usual pain the disc is considered positive.
However, discography is considered to be a test to assess a patient's candidacy for fusion or other interventional pain procedures such as IDET or Nucleoplasty. Once you have a positive disc it is preferable to test the adjacent levels to see if they are in good shape. The reason for this is that a surgeon should not want to fuse one painful level to another. The best possible scenario is that there is a painless control level adjacent to any bad disc. When there are mulitple discs that are positive it reduces the possibility of having a positive surgical outcome.
Parks71, what did your doctor say about the dicsogram results? It has been quite a while now since you had this--how long did the pain last?
I also had lots of pressure and pain with my discogram, and was told that nothing abnormal was found. Just like my MRI where the radiology doctor said it was normal, but my ortho doctor says he sees some slight bulging with L5. So I see a lot of people in these boards who's back problems are hard to determine with xrays, MRI, or Discograms. And you then have doctors that act like they don't believe you really have pain. My lower back pain is so bad that without pain medicine I can't concentrate on anything but it and can't sleep.
I asked about how long the pain lasted from the discogram because my back pain has been much worse since I had it. Much worse and in areas I didn't have pain before. It has been four weeks and I still use ice and heat several times each day, and tens several times each week. Things I didn't have to do as much of before the discogram. This is complicated by the fact that I have about seven metal staples in my back from a RPLND surgery I had more than 20 years ago. During the discogram, the doctor commented on the staples several times, and at one time said he touched one with the needle (which caused me a lot of pain shooting all over my body). Then afterwords he didn't write anything about doing this, and now says it didn't happen. That he may have touched a nerve or scar tissue, but not a staple. But the pain during and especially after the discogram has been much worse. And, they say if you don't have disc problems that the procedure should not be painful. So confusing! I think I need other doctors opinions, but need a while without so many doctors bills. Luckily the pain medicine helps me sleep and makes it possible to somewhat concentrate on work during the day.