Analgesic discography and magnetic resonance imaging (MRI)

Finch, Philip M.; Khangure, M.S.

doi:10.1016/0304-3959(90)92686-k

Cited by 3 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Anaesthetic discography is certainly not a novel concept; references can be found describing the utility of the technique. 12 – 16 A diagnostic test that is anaesthetic has some theoretical advantages over an isolated provocative test: in the evaluation of a patient with chronic low back pain (who by definition is in a chronic pain state), it is intuitive that an anaesthetic response is likely to be more reliable than a provocative one. Anaesthetic injections in other parts of the body have been extensively used and are felt to be useful diagnostic techniques.…”

Section: Discussionmentioning

confidence: 99%

The Functional Anaesthetic Discogram: Description of a Novel Diagnostic Technique and Report of 3 Cases

et al. 2008

View full text Add to dashboard Cite

BackgroundThe diagnostic evaluation of patients with presumed discogenic low back pain is controversial; recent studies have brought the specificity of the traditional technique, provocative lumbar discography, into question. One of the explanations for the relative lack of predictability in treatment outcomes for patients with discogenic low back pain may be a corresponding lack of certainty in the diagnosis.PurposeA new diagnostic technique is described for the evaluation of patients with presumptive discogenic low back pain; the cases of 3 patients in whom the technique was used are presented.Study Design/SettingCase report; university practice.MethodsA technique is described in which an anaesthetic catheter is placed into putative symptomatic lumbar discs, the patient elicits his or her typical pain via a position or activity, and anaesthetic or placebo is delivered to the disc. The effect of the injected substance on the patient's pain is then noted.ResultsIn one patient, the new test was confirmatory of the results of the provocative discogram; in two patients, the test results were divergent.ConclusionsThese case studies and technical description are presented as a first step in examining this method of preoperative assessment. Further study of the technique will allow us to make more definitive recommendations with regards to its validity and utility.Level of EvidenceLevel 4 – Case Series

show abstract

Section: Discussionmentioning

confidence: 99%

The Functional Anaesthetic Discogram: Description of a Novel Diagnostic Technique and Report of 3 Cases

et al. 2008

View full text Add to dashboard Cite

show abstract

The Lumbar Disc and Low Back Pain

Bogduk

1991

Neurosurgery Clinics of North America

108

View full text Add to dashboard Cite

The Functional Anaesthetic Discogram: Description of a Novel Diagnostic Technique and Report of 3 Cases

Alamin¹,

Malek²,

Carragee³

et al. 2008

SAS Journal

View full text Add to dashboard Cite

BackgroundThe diagnostic evaluation of patients with presumed discogenic low back pain is controversial; recent studies have brought the specificity of the traditional technique, provocative lumbar discography, into question. One of the explanations for the relative lack of predictability in treatment outcomes for patients with discogenic low back pain may be a corresponding lack of certainty in the diagnosis. PurposeA new diagnostic technique is described for the evaluation of patients with presumptive discogenic low back pain; the cases of 3 patients in whom the technique was used are presented. Study Design/SettingCase report; university practice. MethodsA technique is described in which an anaesthetic catheter is placed into putative symptomatic lumbar discs, the patient elicits his or her typical pain via a position or activity, and anaesthetic or placebo is delivered to the disc. The effect of the injected substance on the patient's pain is then noted. ResultsIn one patient, the new test was confirmatory of the results of the provocative discogram; in two patients, the test results were divergent. ConclusionsThese case studies and technical description are presented as a first step in examining this method of preoperative assessment. Further study of the technique will allow us to make more definitive recommendations with regards to its validity and utility.

show abstract

Analgesic discography and magnetic resonance imaging (MRI)

Cited by 3 publications

References 0 publications

The Functional Anaesthetic Discogram: Description of a Novel Diagnostic Technique and Report of 3 Cases

The Functional Anaesthetic Discogram: Description of a Novel Diagnostic Technique and Report of 3 Cases

The Lumbar Disc and Low Back Pain

The Functional Anaesthetic Discogram: Description of a Novel Diagnostic Technique and Report of 3 Cases

Contact Info

Product

Resources

About