COMPLEX SPINAL PAINREZA S. ROGHANI, MD, PhD

Condition guide

Discogenic low back pain

Pain arising from the disc itself, the cushion between the spinal bones.

Disc illustration showing an annular fissure, inflammation, and pain-sensitive nerve endings

What it can feel like

A deep low back ache may spread into the buttocks or upper thighs. Sitting, bending, or lifting may aggravate it. Symptoms alone do not identify the source.

How it is evaluated

The history, examination, and imaging need to fit together. Disc changes on MRI also occur in people without pain. Disc pain can overlap with nerve-related, joint, muscle, or vertebral endplate pain.

How care is planned

Care begins with a tailored rehabilitation plan and appropriate medicines. Selected disc-directed procedures may be discussed when symptoms persist. Evidence and insurance coverage vary, and disc regrowth is not established.

Schematic illustration of intradiscal injection with the needle tip in the disc center

A clearer path forward.

Begin with an individual evaluation of your pain and goals.

Plan your visit