Diagnosis and treatment of lumbar discogenic pain remains a challenge. It may account for 1/3 of patients with lower back pain. The mechanism of discogenic pain remains unclear , clinical presentation may vary and the MRI may only suggest the presence of internal disc disruption. Provocative discography can provide unique information about the morphology of the disc and remains the only diagnostic test that can relate the changes observed on imaging tests and the patient's pain. Minimally invasive treatments like intradiscal biacuplasty or intradiscal electrothermal therapy are likely better alternatives to the currently available surgical options. They are cost effective and may couse fewer side effects.However, the value of most of theese therapies has yet to be established.