Lumbar Diskogenic Pain, Provocation Diskography, and Imaging Correlates

Timothy P. Maus, Charles N. Aprill

Research output: Contribution to journalReview article

17 Scopus citations

Abstract

Diskogenic pain refers to pain mediated by the intrinsic innervation of the intervertebral disk. It is experienced as pain centered at the symptomatic spine segment (axial pain) without radicular features or radiculopathy. There is no pathoanatomic gold standard; histologic examination cannot identify a painful disk. The current reference standard for diskogenic pain is provocation diskography. This article reviews diskogenic pain, the history of provocation diskography, and its current use in the diagnosis of lumbar diskogenic pain. The extensive literature describing imaging features which may predict a positive diskogram, and allow non-invasive diagnosis of diskogenic pain, is examined.

Original languageEnglish (US)
Pages (from-to)681-704
Number of pages24
JournalRadiologic Clinics of North America
Volume50
Issue number4
DOIs
StatePublished - Jul 1 2012

Keywords

  • Annular fissure
  • Diskogenic pain
  • Diskography
  • High intensity zone (HIZ)
  • Modic end plate change
  • Provocation diskography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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