Provocative discograms are performed in the office. Patients are required to check in 30 minutes prior to their scheduled appointment time. Once taken back to the preparation area, a small IV catheter will be placed in your hand or arm. This catheter may be used to administer light sedation for the procedure. When taken to the procedure room, you will be placed on your stomach with a pillow under your hips. Blood pressure and oxygen saturation monitors will be applied. The injection sites will be cleansed with an antiseptic solution and draped in a sterile manner. Using a small, thin needle, local anesthetic is injected to numb the skin and deep tissue, which may feel like a stinging and/or burning sensation. Assisted by fluoroscopy (X-ray), the physician is able to accurately place a needle into a disc. Using special instruments, X-ray dye is injected into the disc, causing an increase of pressure inside the disc. In a normal disc, there may be pressure but no pain will be experienced. In a damaged disc, back pain may be reproduced (concordant pain). Through the use of fluoroscopy, any tears, cracks or herniations may be seen. Based on your symptoms and your MRI results, several discs may be tested in order to identify which discs are causing your pain. The procedure will take approximately 60 minutes to complete.