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Disc procedures 

Disc procedures
Chapter:
Disc procedures
Author(s):

S. Gupta

, A.R. Cooper

, R.D. Searle

, and K. Simpson

DOI:
10.1093/med/9780199586912.003.0007
Page of

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date: 01 December 2020

Lumbar discography 110

Cervical discography 114

Percutaneous disc decompression 118

Biaculoplasty for lumbar discogenic pain 122

Discogenic pain is a common cause of low back pain (LBP) in patients less than 50 years old. Patients complain of aching LBP referred to the back of the thigh. Pain is commonly above the knee joint, but it can sometimes refer to calf muscles. Discogenic pain increases on straining, coughing, and bending forwards. An MRI scan can show disc degeneration, disc bulging, annular tear, and/or disc prolapse; this may be associated with radicular pain. The lumbar intervertebral disc is innervated and provocative discography attempts to identify the painful disc....

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