Lumbar Discography

Lumbar discography (also called a discogram) is a specialized diagnostic procedure used to determine whether a specific intervertebral disc in the lower back (lumbar spine) is the source of your chronic back pain. Unlike imaging tests like MRI or CT scans, a discogram directly tests the discs by stimulating them with pressure to reproduce your pain and help identify the exact disc responsible for symptoms.

Lumbar discography is typically used before considering spine surgery or targeted treatments.

Your provider may recommend lumbar discography if you:

• Have chronic low back pain that hasn't improved with conservative treatments
• Have confusing or inconclusive MRI or imaging results
• Are being evaluated for spinal surgery (such as disc replacement or fusion)
• Need to identify the exact source of discogenic pain

The goal is to gather detailed information about which disc — if any — is causing your symptoms.

• The procedure is performed in a sterile outpatient setting.
• You will lie face down on an X-ray table.
• The skin over your lower back is cleaned, sterilized, and numbed with local anesthetic.
• Using fluoroscopy (live X-ray) guidance, your provider carefully inserts a small needle into the center of the disc(s) to be tested.
• A contrast dye is injected into each disc, creating pressure and allowing imaging to detect structural problems.
• You will be asked to describe any pain you feel during the procedure — whether it reproduces your typical symptoms.
• The procedure typically takes about 45–60 minutes, followed by a brief recovery period before going home.

• Mild low back soreness is common for a few days after the procedure.
• You may experience temporary increases in back pain, especially if a damaged disc was identified.
• Use ice packs, take over-the-counter pain relievers (if approved by your provider), and rest as needed.
• Avoid heavy lifting, strenuous exercise, or bending for 24–48 hours after the procedure.
• Your provider will review the results and imaging with you at a follow-up appointment to discuss next steps.

Lumbar discography is generally safe when performed by experienced specialists. Potential risks include:

• Temporary increased back pain
• Infection (discitis, very rare but serious)
• Bleeding or nerve irritation (rare)
• Allergic reaction to the contrast dye (rare)

At Horizon Spine & Pain of Utah, we take every precaution to minimize these risks and ensure your safety.

Patients trust Horizon Spine & Pain of Utah because we offer:

• Board-certified spine and pain management specialists
• Advanced imaging technology for precision-guided procedures
• Comprehensive spine evaluations to create a full understanding of your condition
• Personalized care plans based on your specific needs and treatment goals

Our team is committed to finding the root cause of your pain and helping you return to a more active, comfortable life.