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Our tech team has launched updates to The Nest today. As a result of these updates, members of the Nest Community will need to change their password in order to continue participating in the community. In addition, The Nest community member's avatars will be replaced with generic default avatars. If you wish to revert to your original avatar, you will need to re-upload it via The Nest.
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Anyone out there with MRI/radiology knowledge?
I honestly do not know where to post this. I picked here. I am curious if anyone knows how long contrast injected into a joint will last in the system. Also, if they inject you several hours prior to the MRI with contrast will that negatively affect the results?
Re: Anyone out there with MRI/radiology knowledge?
I just had a CT Scan with contrast dye, an MRI with contrast dye, and an arthogram where they inject dye into the joint, followed by an MRI... Not all at once- they are separate procedures!
Anyways- I was told all three times that it takes about 24 hours for your kidneys to flush out the contrast materials.
My question was pertaining to the arthrogram actually. They injected me and bumped me. I asked if they were sure that it would not affect the test and they all said "We don't know". I took a look at the report and it says that there was no dye in the joint - since they were looking for a labral tear this seems to be an issue for me. The report said "There was no contrast in the intra-articular joint. However, no labral tear was observed."
My doctor is looking into it and it's been days. My pain does not seem to match the femoral fracture that I do have. I also have catching in the hip as well as popping. It has never hurt so bad just to sit in a chair or bed.
Ahh! Welcome to my world. I have a tear in my right labrum and it took forever to get diagnosed. They shouldn't have bumped you since you were already prepped for the MRI, but keep in mind- the amount of dye injected into the joint is minimal compared to the saline they inject. Basically they need to distend the joint so they can get a better picture. I have had a total of three arthograms- the first one they injected saline only and got a good enough picture to locate the tear. Second time I had them inject pain killer only, no MRI after. This was to see if the pain was in the joint or not. Pain Killers helped so they decided to do one more, dye included so they could get an even better picture with the MRI.
I wouldn't be too concerned about the dye not being present. It sounds like they got enough fluid in there to see the tear in the labrum.
Also- not to sound like a downer, but I have heard from many surgeons that labral tears are not usually the first source of pain. Yes, they are torn and might be sore, but not usually as sore or as painful as some people believe. In my case, there was an underlying factor so make sure they look into everything before doing surgery on your labrum.
Are you located in an area with doctors that specialize in hips? It took me a good two years to find someone who would listen to me.
They didn't see the tear. That's my concern. I walked on a femoral fracture for 7 weeks. Was placed on complete non-weight bearing for 2 weeks. Not entering crutch walking and had cracking sounds in my femur/hip area.
The pain is unbearable. I have never felt so much pain just sitting!
How did you tear yours?
I can understand your concern now, sorry I misunderstood earlier.
Did they inject a lot of fluid into the joint? Honestly, I would ask to have another MRI taken at a different facility if your insurance will allow it. Do you have the MRI or did you only get the written report? A lot of times the person reading the MRI will miss the tear if it isn't significant enough. I have seen my MRI enough times to tell you exactly where the tear is an how bad it is... in my opinion, I hurt more than I should for the size of the tear.
I hate to bore you with the details but it ended up that I had a tumor growing in my femur that was causing me so much pain. The tumor was growing at such a fast rate that the pain was being reffered from my hip all the way down to my knee. The issue was that I hurt in such a vast area that so many different professionals were trying to treat different things. I was told I had nerve entrapment, bursitis, alignment issues, and a whole list of other stuff. I also saw a chiropractor, 4 orthopedic surgeons, someone who did trigger point injections, a neurologist, and a bunch of other specialists I can't remember. I only got answers until I searched on my own for the best hip specialist in my area. Luckily I am in Boston and had a few to chose from. I saw the top two... One told me that my issue was not my labral tear. He said people walk around with labral tears for years without pain and without knowing they are torn. He told me to do more PT and sent me on my way. The other surgeon took more xrays and as we reviewed my first MRI and xrays I asked why there was one femur thicker than the other... then they sent me for even more tests. I have since (last week) had the tumor killed using an ablation technique and the pain is almost gone.
You have to be your best advocate. I had doctors tell me for years that this was muscle pain and to go to PT. I knew that there was something wrong because I couldn't sit at my desk at work without crying. My entire right side of my body hurt- my back, hip, thigh, knee, even my ankle some days! Something wasn't right. Luckily my insurance is fabulous and I don't need refferals in order to see a specialist so I was able to do my own research and see who I thought could help me.
It's almost 2 weeks post op and I feel a huge relief from the pain. I am glad I had the tumor procedure done before the hip surgery as I do think the pain was referred to my hip and that I can live with the labral tear as it doesn't hurt nearly as much as it did.
Moral of the story- keep looking for a source to the pain, even if they tell you it a labral tear. If you are leery of surgery, have them do another arthogram and inject a pain killer so you can see if there is relief. Another option is a cortisone injection... I didn't do it as I had a bad reaction to cortisone, but a lot of people do them and it helps a lot.
I'm sorry you are going through this and wish you the best of luck!