I have been plagued off and on for 14 months with a painful left trap muscle. My ART therapist says it may be sclerotogenous pain from a torn labrum? Has anyone ever heard of sclerotogenous pain? I'm a bit worried about the MRI too. Don't they sometimes miss small tears?
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Arthrogram---not too bad. had one 3 weeks ago for a knee problem. can be used if previous surgery to distinguish scar tissue (from surgery) vs new problem.
Have had them for the shoulders too. Back in 1989 had them but without the MRI (not yet popular for diagnostic work while in an MRI) and just plain x-rays used.
They can see if any of the contrast material "leaks" out of the joint capsule. My shoulder injection was done from the rear and wasn't too bad on a pain scale. I had had 4 surgeries on the the left shoulder and we wanted to see if there was a new problem due to a new pain. A slight "leak" was detected but we weren't sure if it was there from a previous injury or was new. We left well enough alone.
Most of the time a local injection is used prior to the actual injection of the contrast (gadolinium or something like that) or the local is "front loaded" on the needle. Sometimes they use a contrast material that shows up on a fluro machine as the injection are usually fluo guided and then when the location is confirmed--the MRI contrast material is injected (using the same needle--just a different barrel is placed on it)
Arthrogram---not too bad. had one 3 weeks ago for a knee problem. can be used if previous surgery to distinguish scar tissue (from surgery) vs new problem.
Have had them for the shoulders too. Back in 1989 had them but without the MRI (not yet popular for diagnostic work while in an MRI) and just plain x-rays used.
They can see if any of the contrast material "leaks" out of the joint capsule. My shoulder injection was done from the rear and wasn't too bad on a pain scale. I had had 4 surgeries on the the left shoulder and we wanted to see if there was a new problem due to a new pain. A slight "leak" was detected but we weren't sure if it was there from a previous injury or was new. We left well enough alone.
Most of the time a local injection is used prior to the actual injection of the contrast (gadolinium or something like that) or the local is "front loaded" on the needle. Sometimes they use a contrast material that shows up on a fluro machine as the injection are usually fluo guided and then when the location is confirmed--the MRI contrast material is injected (using the same needle--just a different barrel is placed on it)
