Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Provocative cervical discography symptom mapping.

Curtis W Slipman1, Chris Plastaras, Rajeev Patel

  • 1The Penn Spine Center, Department of Rehabilitation Medicine, Clinical Musculoskeletal Program, Hospital of the University of Pennsylvania, 3400 Spruce Street, Ground Floor White Building, Philadelphia, PA 19104, USA. cslipman@mac.com

The Spine Journal : Official Journal of the North American Spine Society
|July 6, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Respectful Maternity Care and Postpartum Emotional Distress: The Mediating Role of Baby-Friendly Hospital Initiative Practices and Moderation by Support.

Birth (Berkeley, Calif.)·2026
Same author

Backward Incline Walking in Stroke Rehabilitation: A Pilot Feasibility Study.

Restorative neurology and neuroscience·2026
Same author

Posttuberculosis Lung Disease in Adolescents in Lima, Peru.

Pediatrics·2026
Same author

Current practices in obstetrics and gynecology transition to residency courses: graduates' perspectives on activities, topics, and overall educational benefit.

BMC medical education·2026
Same author

Real-world durability challenges with nAMD treatments and the potential promise of gene therapy.

Current medical research and opinion·2026
Same author

The role of social determinants of health in predicting pediatric anemia in primary care clinics.

Postgraduate medicine·2026
Same journal

Clinical and Radiological Characteristics Associated With Revision Anterior Surgery After Initial Posterior Decompression for Cervical Ossification of the Posterior Longitudinal Ligament: A Time-to-Event Analysis.

The spine journal : official journal of the North American Spine Society·2026
Same journal

3D-Printed Porous Titanium versus Polyetheretherketone Cages in Lumbar Interbody Fusion: A Prospective, Multicenter, Randomized Controlled Trial with Bone Mineral Density Stratification.

The spine journal : official journal of the North American Spine Society·2026
Same journal

Quantifying Postural Recovery After Lumbar Decompression: Cone of Economy Biomarkers of Balance Effort and Stability in Patients with Radiculopathy and Neurogenic Claudication.

The spine journal : official journal of the North American Spine Society·2026
Same journal

Malnutrition and Adverse Outcomes after Spine Surgery: A Systematic Review and Meta-Analysis.

The spine journal : official journal of the North American Spine Society·2026
Same journal

Diagnostic Value of Upright-Supine Imaging and Its Association with Postoperative Outcomes in Degenerative Lumbar Spondylolisthesis - A Two-Year PROM Based Comparison with Flexion Extension Radiographs.

The spine journal : official journal of the North American Spine Society·2026
Same journal

Clinical Significance of Early MRI Assessment Following Separation Surgery for Metastatic Spinal Cord Compression.

The spine journal : official journal of the North American Spine Society·2026
See all related articles

This study mapped cervical disc pain referral patterns using cervical discography. Findings help target specific discs for assessment, potentially reducing procedures.

Area of Science:

  • Pain management and diagnostics
  • Spinal imaging and intervention
  • Anatomy and physiology of the cervical spine

Background:

  • Previous studies on cervical discography pain referral were limited in scope and sample size.
  • Prior research included small prospective and retrospective analyses of pain patterns.
  • A large-scale prospective study defining pain referral for each cervical disc was lacking.

Purpose of the Study:

  • To prospectively document pain provocation patterns associated with specific cervical disc levels.
  • To create visual and statistical descriptions of pain referral during cervical discography.
  • To establish a comprehensive dataset for understanding cervical disc pain generation.

Main Methods:

  • A prospective, multicenter descriptive study design was employed.

Related Experiment Videos

  • Cervical discography was performed on subjects with at least two levels assessed.
  • Pain referral maps were generated using a body sector bit map, documenting symptom locations for provoked pain.

    • Main Results:

    • 101 symptom provocation maps were collected from 41 subjects across cervical levels C2-C3 to C7-T1.
    • Distinct pain referral patterns were identified for each cervical disc level.
    • Symptoms could be predominantly unilateral or bilateral, with specific patterns noted for each level (e.g., C2-C3 referred pain to neck, subocciput, face).

    Conclusions:

    • Cervical internal disc disruption can cause both axial and peripheral symptoms, consistent with prior findings.
    • Identified pain patterns enable discographers to anticipate and target specific levels for assessment.
    • This data can help limit the number of disc punctures needed, optimizing the diagnostic process.