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 Radiology and the SPINE

 

*Diagnostic studies are used to confirm an anatomical lesion (injury) as a cause of back or neck pain. They are particularly useful to pinpoint the source and extent of the injury to assist in the diagnosis and development of an appropriate treatment plan.

Patients are usually advised to complete a period of conservative care, usually at least four to six weeks from the onset of pain, before obtaining any type of diagnostic study.

The only instance that an imaging study is immediately necessary is if a patient experiences bowel or bladder incontinence or progressive neurological loss of function, such as progressive weakness.

There are several types of diagnostic imaging technologies and techniques available to assist in accurately diagnosing the anatomical injury that is causing pain.

  • X-rays, the most common and inexpensive form of imaging, are usually obtained first.
  • Then, based on the result of the x-ray, a treatment plan may be developed or increasingly more sophisticated imaging studies may be completed to more precisely define the source and extent of the anatomical structure that is causing pain.

Some injections are used both for pain relief and diagnostic purposes and are included on the injections portion of the site.

Radiologic imaging:
X-ray
Canal imaging:
CT scan
CT scan with myelogram
MRI
Electrical studies:
Electromyography
SSEP's
Miscellaneous:
Discogram
Bone scan
Dexa scan

*Source: Spine-Health.com

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