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Re: Dr. Witworth, Diskogram?

Re: Dr. Witworth, Diskogram?

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Posted by MLWhitworth, MD on March 11, 2000 at 22:23:36:

In Reply to: Dr. Witworth, Diskogram? posted by Kim on March 11, 2000 at 15:08:41:

If certain procedures are observed during the discogram, it will be accurate. First, a manometric technique with measurement of pressure is necessary. Second, the needle should be placed on the side opposite of that of most of the pain. Third, a chemically sensitive disc (that is one most likely to respond to fusion) would be one that when injected with a pressure of 25psi or less over the opening pressure gives concordancy with the pain in location and in intensity. If the pain is less intense when injected or does not cover the vast majority of the area of normal pain, it is not a chemically sensitive disc. Fourth, the patient must be able to respond coherently and rapidly when questioned about the pain. This necessitates titration of versed or propofol to effect and no narcotics can be used.
Arachnoiditis is inflammation of the pia and arachnoid membranes around the nerve roots inside the dural sack. Peridural fibrosis is inflammation and entrapment of nerves in scar tissue in the epidural space and foramina.
Don't know how to find the "best" pain specialists...there are many from many specialties. The most important factor is the number of discographies the doctor has performed using the above technique: less than 25 and you should go elsewhere.

: I am having diskogram soon. Dr. says it iwill determine if I have diskogenic pain. Had 2 previous surgeries at same level. Dr. says if yest indicates he will then perform fusion atl5-s1. Is this test accurate? What is arachnoiditis? Thank you.
: Where can I find a list of the best pine specialist in NY,NJ metro area?

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