Targeting Pain Generators

Comparison of Four Different Analgesic Discogram Protocols Comparing the Incidence of Reported Pain Relief Following Local Anesthetic Injection into Concordantly Painful Lumbar Intervertebral Discs

“…At issue are a purportedly high false‐positive rate and a suboptimal predictive value for the outcomes of surgery . Of all interventional diagnostic tests, provocation discography is the only one that relies on reproduction of pain, instead of relief of pain by local anesthesia . Although local anesthetics may be injected into the disc, there is an unproven concern that analgesic discography has a high false‐negative rate .…”