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Discogram is a diagnostic procedure.  It consists of placing a needle into the center of the disc.  Then dye or contrast is injected under pressure into the disc to find out if the injection reproduces your back pain.  At the end of the procedure, an antibiotic is injected into the disc to prevent infection.  Subsequently, a CAT scan is performed.  Test results will be sent to your requesting physician after both procedures are reviewed.

Before your surgery

If you are on Coumadin you will have to stop it 5 days before your surgery.  If you take Ticlid you will have to stop it 14 days before your surgery.  If you are on Plavix, an anti-inflammatory or Aspirin, you will have to stop them for 7 days before your surgery.  If you take Lovenox, we don’t want you to take any 24 hours before your surgery.

Do not eat any solid foods, milk products, orange juice, or candy after midnight the night before your surgery.  You may have clear liquids (water, apple juice, Jell-O, clear soda, clear tea or clear coffee) between midnight and two hours before your arrival time, then nothing.  That means no water, ice, and chewing gum – nothing.

Day of Surgery

You will need an adult to drive you home and be with you until the next morning.

If you take medicine for your heart, blood pressure, breathing, or seizures, we would like you to take the medicine with a sip of water the morning of surgery.  Do not take any other kind of medicine unless the Anesthesiologist tells you to.  Do not take any diabetic medicine or insulin.  Do not take water pills.  If you use inhalers, use them as you normally do, and bring them with you.

After your surgery

No driving until the next day.

We would like you to take it easy until the next day then you can resume your normal activity.

You may have muscle soreness at needle sites for 2-3 days after the surgery.  Your original pain may increase for 1-2 weeks after surgery.

If you should develop a fever or any signs of infection, or a severe headache, please contact us at 570-271-6621.  After hours you can call 570-271-6211 and ask for the Chronic Pain physician on call.

You will receive a return appointment for Pain Therapy in about a month after your surgery.