Lumbar Discogenic Pain

The anatomy and function of the lumbar interverebral disc has been well described in texts[1].  However the diagnosis and management of discogenic pain is controversial.  The aim of this article is to synthesise the evidence-based literature from the practitioner's perspective to improve clinical decision making and patient outcomes.


Much of the controversy around discogenic pain comes from confusion and misinformation on diagnosis.  Radiological tests such as CT scan and MRI are able to image the external and internal morphology of the intervertebral disc.  However such changes in isolation do not predict the presence or absence of lumbar and/or related leg symptoms

  1. Bogduk N. Clinical and radiological anatomy of the lumbar spine and sacrum. 5th ed. New York: Churchill Livingstone; 2012.