After proper selection of patient, discussion with the patient, and some basic investigations they are admitted in the hospital for one day.

Patient is taken into the operation room with facility of C-arm. All aseptic precaution is taken. He is taken at the table in prone position and the problem disc/s is/are identified. Local anaesthetic is injected and then discography needle is introduced into the disc. This is not painful and all patients can tolerate this. They are awake and talk with us during procedure.

After the needle is positioned perfectly as guided by C-arm images (patient can see these images) we inject contrast agent to see the architecture of the disc. This is called Discogram.

Then local anaesthetic is again injected inside the disc. After waiting for a minute ozone-oxygen mixture (gas) is taken from the Ozone Generator machine and injected inside the disc.Then the needle is taken out.

The is simple procedure in safe hands. Difficult part is placing of needle inside the disc which need proper training of the performer.

To the patient is like injection only.

To the doctor it is equivalent to a surgery of pathological disc.

For both of us it is much less riskier, more economical, less time consuming. Thus is saves money, time and many complications related to surgery and anaesthesia.

This procedure is very safe in safe hands with experiences. Complications are rare, but are still there in inexperienced hands. They are:

1. Injury to to nerve roots.
2. Infection of the disc called discitis.
3. Retinal hemorrhage.

Even after an experience of nearly thousand of such cases we have not encountered any of the above mentioned major complications. Minor complications like transient pain at injection site is common.

• Patients may be discharged on same day or after one day hospitalization.

Cost of this procedure at our center is one third to one fourth compared to surgical disc procedure.

Above C-arm picture shows needle during introduction and below when checked by other views