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hydrangea
Regular Member


Date Joined Mar 2007
Total Posts : 190
   Posted 1/7/2010 12:01 PM (GMT -7)   
i am scheduled to have a discogram done next week, due to leg pain from herniated disc. The pain has been getting progressively worse over the past few months. i have had several epidurals with no relief. My pm dr. will be preforming the test so that I can bring all the informtation to a surgeon the following week. The pm doctor did tell me that this procedure is preformed with out any anastetic due to the fact that i need t tell him about the pain I am experiencing during the procedure. My experience with the epidurals was not good as they were also very painful. I am very very anxious about the procedure and was hoping someone would share there experience with me as far as the pain that I will experience.
Thank you very much for you help.
Diagnosed Chrons Disease 07, herniated discs severe siatica,
3 laparoscopies, hysterectomy
p.t. and trigger point injections for severe pelvic pain.
Spinal epidurals for herniated discs and siatica
meds, lyrica, trazodone, vicodine, amrix
 


Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 1/7/2010 1:20 PM (GMT -7)   
   Hello Hydrangea! I can really relate to the epidural pain. I just had one two weeks ago, and I cried like a baby! I have never heard of a Discogram before, excactly what is it? Are they going to trim some of the buldge off of the disk? Maybe they can give you a little sedation to help with the pain level. Ouch!...it sounds like it is going to hurt without it.
 
      Michael

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3611
   Posted 1/7/2010 2:20 PM (GMT -7)   
Hydrangea

I have had a discogram for T-12, Let me first say I think epidurals and how much pain they cause, depend allot about the individual and the location of the epidurals. I have had epidural in the cervical area and they were a piece of cake, not bad at all, I have had them in the lumbar area, and that was not at all pleasant but tolerable, and I have had them in the Thoracic area, and well lets just say it wasn't good nor pretty! ( as a side not allot of Docs will not give epidural in the thoracic area, as they have said it is tricky and can be dangerous!) My PM does them all and he uses Fluroscopy (spelling) on all his injections, and most of his are a real breeze!

Back to the Discogram, as I mentioned T-12 was not a good area for me, as the disk at T-12 is herniated and torn and the discogram was not comfortable at all, but they did give me pain meds, and something in the IV to relax me! I will say it was worse than some of the epidurals I have had, but not all, and it was not near as bad as the Myelograms I have had in the past! Now those are something that are really different, as the inject dye into your spinal canal, in your lower back and then invert the table so your upside down and the dye runs down toward your head and they take pictures of your spine. in the past they used to use a dye that they would have to remove afterwards, now they use a dye that is absorbed and eliminated rather quickly from your body! The Myelogram is the worst I have ever had! But that is only for me! Everyone is different!

The Diskogram is not super pleasant but not all that bad either! I know I have not been that much help, but Hydrangea you will do just fine, make sure you keep us all posted on how it went for you and how you are doing! We are all here to support you!

Good Luck to You!

White Beard

hydrangea
Regular Member


Date Joined Mar 2007
Total Posts : 190
   Posted 1/7/2010 3:09 PM (GMT -7)   

Thank you for your response. From what my pain Dr. said he will be doing it so that they can locate the disc that is causing all the pain. When he was telling me about it, my palms were getting all sweaty. I am a little nervous, but if this helps the Dr's figure out how to help my pain then so be it! I can then take all the results and make a educated decision with the surgeons, if that is the way to go. I am very tired of being in pain and the time. I did have about a month of just moderate pain and went back to working out......and slam was in severe pain again. Damed if I do, and Damed if I don't. Just looking forward to leading a normal life again.

I will keep you posted on the results. I will be looking up myelogram....that does not sound pleasant at all.

 


Diagnosed Chrons Disease 07, herniated discs severe siatica,
3 laparoscopies, hysterectomy
p.t. and trigger point injections for severe pelvic pain.
Spinal epidurals for herniated discs and siatica
meds, lyrica, trazodone, vicodine, amrix
 


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13470
   Posted 1/7/2010 4:13 PM (GMT -7)   
Hello Hydrangea,


May I ask why your dr is doing a discogram? They normally do MRI's instead of the disco. My experience has been that the drs only do the discograms if the patient has had an MRI and it did not show clearly what they were looking for and the dr was quite sure there was a disc problem going. Not all drs do the myelograms a lot either. It is pretty much what their preference is.



Both a mylo and disco are pretty much based on the tech doing them. There is pain involved but your dr should give you some meds to relax you. I would insist on that. You do have to be able to answer their questions that is why no sedation is allowed. What the tech will be doing is trying to reproduce your pain to see which level is the problem.



What WhiteBeard was telling you on the myelogram is true. Back years ago they used an oil base dye that made everyone sick. Now, the dye is water soluable and much better for the patient.



Good luck and I hope you get to feeling better.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 1/7/2010 4:26 PM (GMT -7)   
Hydrangea,
I've had a discogram before my lumbar fusion surgery (months before). They are for diagnostic purposes, not for pain management, and that's why you can't be totally sedated. However, you should receive some meds to help you relax. I found that I was kind of out of it, but not enough that I couldn't feel the pain in the disks. They usually do one "control" disk; that is, they will inject into one of the healthy disks next to the one or ones they think are problems. And you won't know which is which - by design.

Now I don't want to make you more nervous (although I suppose this will), but I've been reading some recent info. on Medscape.com (research similar to what doctors read, just watered down versions for us) and there is some debate about whether discograms do more harm than good, and perhaps some damage to that "control" disk.

If you want, go to Medscape.com and do a search for discography. It was a fairly recent article. You may want to discuss it further with your doctor, and especially ask if the "control" disk - which means injected into a healthy disk, can be avoided. From what I've been reading, I don't think I'd have another discogram. Again, hate to add this to your plate, but better to be informed.

I wouldn't be so nervous about the pain during the procedure. Remember they're just trying to find the location of your pain, and if they can do that it's good because then treatments can be focused there - things like RF (radiofrequency). So I was actually hoping they could reproduce my pain because that meant they found it. It's not going to hurt any more than what you're used to feeling on your worst day.

Don't know if this helps.

Good luck with it all!

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13470
   Posted 1/8/2010 9:52 AM (GMT -7)   
PaLady I am glad you posted this. This has been the theory of many ortho's I worked with for years. They flat refuse to one on a patient. Only as a few here will do the discograms.

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2283
   Posted 1/8/2010 5:04 PM (GMT -7)   
H-
Discograms are nothing to worry about. I've had them a few times. My biggest complaint was how cold my PM likes to keep his surgical rooms (his clinic has its own surgi-center). It's not much fun to have to lie still while they try to provoke your pain, but honestly it is 100x worse that it sounds. It will be over before you know it & many PM's will give you something post-procedure for the pain if you need it (I did accept that -- it was in IV form, so it kicked in basically right away).

Definitely plan to have a ride home, but other than that it's not bad at all.

take care,
frances
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