Myelography

Myelography: Definition, Purpose, Preparation, and Procedure

What is a Myelography?

A myelography, sometimes called a myelogram, is a diagnostic test that typically uses contrast dye and x-rays to take images of your vertebrae and the spaces between the vertebrae that are filled with fluid, called the subarachnoid space. This procedure is very useful in helping to identify spinal tumors, some spinal disorders such as narrowing of the spinal canal, herniated discs, and arthritis.   

During a myelogram, a contrast dye is injected into the subarachnoid space. As it spreads into the area, x-rays are taken. The dye helps make certain areas of the spinal column more visible such as the spinal cord, the nerve roots, and any possible tumors or masses. In some cases, if more information is needed, a CT scan may be completed after the myelogram while the contrast dye is still present.

Physicians often order a myelogram to look for certain conditions that affect the nerves in the spinal canal and the spinal cord itself. Some of these conditions include bone spurs, infection, herniated discs, spinal stenosis, and tumors. This procedure can also help determine the source of pain when other tests, such as CT scans or MRI's have been unable to find the cause.

A myelogram is done by a physician in the radiology department of a hospital or in an outpatient radiology center.

Purpose of Myelography

Magnetic Resonance Imaging (MRI) is regularly the main imaging exam done to assess the spinal string and nerve roots. Notwithstanding, once in a while, a patient has a therapeutic gadget, for example, a cardiovascular pacemaker, that may keep him or her from experiencing MRI. In such cases, myelography and additionally a CT scan, in lieu of MRI, is performed to better characterize variations from the norm.
Myelography is most generally used to distinguish variations from the norm influencing the spinal string, the spinal channel, the spinal nerve roots and the veins that supply the spinal line, including: 

- to demonstrate whether a herniation of the intervertebral circle between the progressive vertebral bodies is packing the nerve roots or the spinal line.

- to delineate a condition that regularly goes with degeneration of the bones and delicate tissues encompassing the spinal channel, named spinal stenosis. In this condition, the spinal trench limits as the encompassing tissues expand because of the improvement of hard goads (osteophytes) and thickening of the neighboring tendons.

Myelography can likewise be utilized to survey the accompanying conditions when MR imaging can't be performed, or notwithstanding MRI (when MR does not give adequate data): 

- tumors including the hard spine, meninges, nerve roots or spinal line

- disease including the hard spine, intervertebral plates, meninges and encompassing delicate tissues

- irritation of the arachnoid layer that covers the spinal string

- spinal injuries caused by sickness or injury

 

Myelography can help with surgical arranging choices. In patients with spinal instrumentation (screws, plates, bars, and so on.), MR imaging may not be ideal in light of ancient rarities produced by these instruments. In these cases, your specialist may choose to arrange CT myelography.

How To Prepare for a Myelography

Your specialist will let you know whether you have to change the amount you eat and drink before the myelogram. You might be solicited to build the sum of the water you drink before the test. Take the directions exactly about eating and drinking, or your test might be crossed out.
Prior to a myelogram, tell your specialist in the event that you: 

- Are taking any prescriptions. You may need to quit taking a few meds for 2 days before the test.

- Have epilepsy or a seizure issue.

- Are or may be pregnant.

- Are susceptible to any solutions, differentiate material, or iodine color.

- Have draining issues or take blood-diminishing meds, for example, headache medicine, clopidogrel (Plavix), or warfarin (Coumadin).

- Have asthma.

- Have ever had a serious unfavorably susceptible response.

- Have had kidney issues.

- Have diabetes, particularly in the event that you take metformin (Glucophage).

- Orchestrate to have somebody take you home and remain with you after the test.

 

- Converse with your specialist about any worries you have in regards to the requirement for the test, its dangers, how it will be done, or what the outcomes will mean.

Myelography Procedure

- You will have a lumbar cut to put the color into your spinal trench. You will lie on your stomach or side on an X-ray table. The specialist cleans a region on your lower back. A desensitizing prescription is put into your skin.

- After the territory is numb, a thin needle is put into the spinal channel and a surge of X-rays (fluoroscopy) is utilized to enable the specialist to put the needle in the correct region. An example of spinal trench liquid might be taken before the color is placed in the channel.

- After the color is placed in, you will lie still while the X-ray pictures are taken.

- After the photos are taken, a little swathe is returned to your where the needle was placed in. You will be guided after the test.

 

This test more or less takes 30 minutes to 60 minutes. You may need to lie in bed with your set out raised toward 4 to 24 hours after the test. To counteract seizures, don't twist around or rests with your head lower than your body. Maintain a strategic distance from the strenuous action, for example, running or truly difficult work, for no less than 1 day after the test. Drink a lot of water a short time later. Your specialist will give you directions for taking your general solutions.

You might also want to read:

- Sacrococcygeal
- Bleeding

Show Less Show Comments
Questions & Answers
Q:
What is the best way to treat permanent back and neck pain and stiffness?
A:

Here are some tips:

Neck Pain Tips: Sleep with a cervical pillow

Orthopedic or cervical pillows are made with special contours to support the space beneath the neck and head. They are also more concave for the head and provide more support to the neck.

Neck Pain Tips: Sleep on your back

The best position to lie to sleep is on your back. If you sleep on your stomach or on your side, make sure your pillow is not too thick. It should raise your head no more than 4 to 6 inches. This will keep your neck and head from turning to either side.

Neck Pain Tips: Position your computer screen at eye level

While you are working at a computer, sit comfortably in your chair with your computer in front of you. Close your eyes and then open them. When you open your eyes, you should see the middle of the computer screen. If your gaze is not in the middle of the screen, adjust the height of the screen using items like books.

To keep your head from gradually drifting forward, take frequent breaks to stretch. Getting up to walk around at least once every half-hour is one of the best neck pain tips.

Neck Pain Tips: Use a telephone headset

Never hold a phone between your shoulder and your ear. Use a headset or other hands-free system to talk on the phone and avoid abusing your neck and spine.

Neck Pain Tips: Exercise your neck muscles

One of the best neck pain tips is using the chin tuck. You can do this often throughout the day. In addition to helping strengthen the muscles that hold the head in alignment over the shoulders, it also helps strengthen the scalene and sub-occipital muscles.

Read more tips here: Neck Pain Tips: Sleeping, Posture, Exercising, Hydration & Prevention

Read more
Temed Holdings
4 answers
Q:
What is the best treatment for neck pain and shoulder Pain?
A:

One of the best treatment for neck pain and shoulder pain is exercises:

Neck Pain Exercises: Neck Extension

  1. To begin this neck pain exercise, sit up straight in a chair with your feet flat on the floor.
  2. Looking straight ahead, tuck your chin slightly (starting position)
  3. Place the palm of your hand on the back of your neck, at the base of your head
  4. Apply slight forward pressure with your hand, while resisting the forward motion of your neck and head
  5. Hold for a count of 5 and return to the starting position and relax
  6. Repeat the neck pain exercises 5-10 times

Neck pain exercises: Side bend

  1. Sit up straight in a chair with your feet flat on the floor.
  2. Looking straight ahead, tuck your chin slightly (starting position)
  3. Place your left hand, palm down, on the left side of your head (around your ear)
  4. Slightly push your head to the right side with your hand, while resisting the sideways motion of your neck and head
  5. Hold for a count of 5 and return to the starting position and relax.
  6. Repeat 5-10 times
  7. Repeat the neck pain exercises with the other side.

Neck pain exercises: Neck flexion

  1. Sit up straight in a chair with your feet flat on the floor.
  2. Looking straight ahead, tuck your chin slightly (starting position)
  3. Place the tips of your fingers on your forehead
  4. Slightly push your head backward with your fingers, while resisting the backward motion of your neck and head
  5. Hold for a count of 5 and return to the starting position and relax.
  6. Repeat the neck pain exercises 5-10 times

More exercises here: Neck Pain Exercises

Read more
Temed Holdings
4 answers
Q:
How do I reduce the shoulder and neck pain?
A:

Here are some tips:

Neck Pain Tips: Sleep with a cervical pillow

Orthopedic or cervical pillows are made with special contours to support the space beneath the neck and head. They are also more concave for the head and provide more support to the neck.

Neck Pain Tips: Sleep on your back

The best position to lie to sleep is on your back. If you sleep on your stomach or on your side, make sure your pillow is not too thick. It should raise your head no more than 4 to 6 inches. This will keep your neck and head from turning to either side.

Neck Pain Tips: Position your computer screen at eye level

While you are working at a computer, sit comfortably in your chair with your computer in front of you. Close your eyes and then open them. When you open your eyes, you should see the middle of the computer screen. If your gaze is not in the middle of the screen, adjust the height of the screen using items like books.

To keep your head from gradually drifting forward, take frequent breaks to stretch. Getting up to walk around at least once every half-hour is one of the best neck pain tips.

Neck Pain Tips: Carry weight evenly

Many people make the mistake of carrying a heavy briefcase or their purse on their shoulder or on one side of their body. Doing this causes strain in the muscles and leads to pain.

Remove non-essentials from your briefcase or purse. Consider using a backpack to evenly distribute the weight across your shoulders. If you choose to carry a purse or backpack, keep your shoulders level while carrying it.

Neck Pain Tips: Maintain a proper posture

The most common posture contributing to neck pain is the “head-and-shoulders-forward” posture. In this position, the neck slopes forward, putting the head in front of the shoulders.

In this position, the head pulls the upper back forward also in a slumped position. This places a strain on the entire spinal column.

More tips here: Neck Pain Tips: Sleeping, Posture, Exercising, Hydration & Prevention

Read more
Temed Holdings
4 answers