Myelogram: Overview, Preparation Tips & Side Effects

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When it’s time for your procedure, you will get a hospital gown and non-skid socks to wear. The staff member will tell you what time you should arrive at the hospital for your procedure. A radiologist (RAY-dee-AH-loh-jist) or radiologist assistant will do your myelogram. A myelogram is an imaging test of the spinal cord, nerves, and the tissues around them. A myelogram can help your provider figure out what’s causing your discomfort and help you find a solution. And when conventional imaging tests haven’t given you the answers you seek, it might be time for a myelogram.

It uses a contrast material to highlight issues in your spinal cord and the areas around it, like your nerves and soft tissues. Healthcare providers might recommend a myelogram if you have chronic back pain. You may be encouraged to take fluids at this time to help eliminate the contrast material from your body and to prevent headache. As the table is tilted, the radiologist monitors the flow of contrast material with fluoroscopy, focusing on the area that correlates with the patient’s symptoms. The contrast material usually is injected into the lower lumbar spinal canal, because it is considered easier and safer. If this is the case, you will be watched especially carefully to check for a reaction when injecting the contrast material.

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• If you need images of your lower back (the lumbar section of your spine), then your provider will take a lumbar myelogram.
• You may be encouraged to take fluids at this time to help eliminate the contrast material from your body and to prevent headache.
• There is a small risk of an allergic reaction to the contrast dye.

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Contact a health care provider if you have questions about your health. There is a small risk of an allergic reaction to the contrast dye. But talk to your provider about chicken road 2 all the x-rays you’ve had in the past.

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• Because of the numbing medicine used in this area, most patients experience only a feeling of pressure from this movement.
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• This exam typically uses a radiographic table, one or two x-ray tubes, and a video monitor.
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Sometimes a CT (computed tomography) scan picture is taken instead. Once the dye has been injected, the needle is removed and several x-ray pictures are taken of your back. Because of the numbing medicine used in this area, most patients experience only a feeling of pressure from this movement. Because the needle must be placed through a small opening between two bones, the doctor may need to move the needle in and out a couple times to locate the opening.

What are the side effects of a myelogram?

The spinal canal contains your spinal cord, nerve roots, and the subarachnoid space. Your care team cannot see anything you write on this feedback form. You will get intravenous (IV) fluids during your procedure. It’s helpful to stay hydrated before procedures, so drink if you are thirsty. Between midnight (12 a.m.) and 2 hours before your arrival time, only drink the liquids on the list below. Some people need to fast (not eat) for longer before their procedure.

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When the needle is in place, your radiologist will remove a small amount of spinal fluid from your spinal canal. Once the area is numb, your radiologist will guide a needle into your spinal canal. This is a form that says you agree to the procedure and understand the risks. A member of your care team will go over the procedure with you and have you sign a consent form.

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If you don’t, we may need to reschedule your procedure. ‌ It is very important to take your medicines the right way in the days leading up to your procedure. Make sure your care team knows all the prescription and over-the-counter medicines you take. You may need to stop taking some of your usual medicines before your procedure. A radiologist is a doctor with special training in using imaging to diagnose and treat disease. This information will help you get ready for your myelogram at MSK.