A bone scan is often used these days to make the diagnosis of bony injury where x -rays are normal but the history and examination findings suggest otherwise. This requires an injection of a radio isotope dye into the arm which is then taken around the body by the blood stream.
Sometimes specific types of imaging (CAT or MRI scans) of the particular area are performed to assess the extent of the damage to the bony and cartilaginous surfaces. This may allow us to see bony fractures which have become unstable and formed loose bodies in the past.
This usually means temporarily removing the athlete from their provocative activity and embarking on an appropriate rehabilitation program before the stress “crack” in the bone becomes anything more major. Ultrasound scans are also used more and more these days to help determine the nature of soft tissue injuries such as acute or chronic Achilles (bottom of calf), patella (front of knee), tendon injuries and rotator cuff tears in the shoulder.
These are a relatively inexpensive form of investigation but can provide very useful information with regard to diagnosis and severity of injury. The most advanced (and expensive) form of imaging used in sports medicine is the MRI scan.
MRI (Magnetic Resonance Imaging) gives the best pictures of the soft tissues available and allows us to see the precise anatomy of muscles and tendons, nerves and blood vessels, amount of fluid in joints as well as bony architecture. Even in general pediatric practice, ankle injuries account for about 5% of all visits, so they’re a fairly common event.
They hurt, can be incredibly swollen and dramatic, can be tricky to manage, and sometimes take a longer than you might think to heal. People often describe “twisting” their ankle, but usually they mean that their foot turned either too far “in” or “out,” which is described in medical terms as “inversion” or “version.” There are many ligaments in the ankle and foot which can get pulled and even torn during an exaggerated movement.
Once that occurs, the swelling results from all the inflammatory cells that rush to the site of the injury to help with repair. Once an ankle is swollen due to inflammation, pain occurs along with decreased range of motion and sometimes inability to bear weight or walk.
Grade I is stretching or slight tearing of the ligament with mild tenderness, swelling, and stiffness. Grade II is a larger but incomplete tear with moderate pain, swelling, and bruising.
Although the ankle sometimes feels stable, the damaged areas are tender to the touch, and walking is painful. If the working diagnosis is an ankle sprain, a few interventions can be made to aid the healing process.
Protecting the injured area with a firm brace or splint means that re-injury (by bumping it against something or twisting it again) is less likely to occur. Also, don’t walk on it! This helps move along the healing process as the joint is permitted to REST. This brings up that mnemonic that everyone seems to know, and for good reason: it works.
That being said, if the pain and swelling are still significant after about a week, it may be worth talking to your healthcare professional about whether specialty care is indicated. In some cases, physical therapy can help build range of motion and strength, executed in a safe, controlled manner.
X -rays use small amounts of radiation to create images of your body. The level of radiation exposure is considered safe for most adults, but not for a developing baby.
Hives itching nausea lightheadedness a metallic taste in your mouth In very rare cases, the dye can cause a severe reaction, such as anaphylactic shock, very low blood pressure, or cardiac arrest.
Depending on your results, they may order additional tests to develop an accurate diagnosis. For example, they may order additional imaging scans, blood tests, or other diagnostic measures.
Ask your doctor for more information about your specific condition, diagnosis, and treatment options. Image: © unpack /Think stock One of the most common reasons for a doctor's office visit is knee pain or injuries from osteoarthritis.
They're much more likely to be caused by infections or a disease that affects your immune system, and they will often clear up as your body heals. But sometimes, cancer cells will travel through your bloodstream and end up in your lymph nodes, or even start there.
There are more than 600 small, kidney bean-shaped lymph nodes in clusters throughout your body -- under your neck, in your armpits and groin, and in the middle of your chest and belly. Swollen lymph nodes are a sign that they're working hard.
Swelling usually signals an infection of some kind, but it could also be from a condition like rheumatoid arthritis or lupus, or rarely, cancer. Women who have breast cancer may get swollen lymph nodes in their armpit.
When several areas of lymph nodes are swollen, that suggests the problem is throughout your body. You'll often have a good idea why a lymph node is swollen -- you've got a cold, your tooth is infected, or you have a cut that isn't healing well.
Been scratched by a cat Been bitten by a tick Eaten undercooked meat Had risky sex or injected street drugs Traveled to certain places or areas Swollen nodes that are close to your collarbone or the lower part of your neck when you're over 40 are more likely to be cancer.
On the right side, related to the lungs and esophagus ; on the left, organs in your belly. Swollen lymph nodes in your armpit when you don't have a rash or sores on your arm can also be suspect.
A scan called FIDGET, which stands for fluorodeoxyglucose with positron emission tomography, can help find lymphoma and other cancers. The sample gets sent to a lab, so a specialist can check it with a microscope for cancer.
Otherwise, you'll usually start with a complete blood count (CBC) to get a picture of your general health as well as more detailed information about your white blood cells, which fight infection. Depending on your other symptoms and your history, your doctor may want additional blood tests or x -rays, too.
If these tests don't show another cause and the swollen nodes don't go away in 3-4 weeks, your doctor will probably do a biopsy. Since the swelling will often go away or another cause will be found whileyou're waiting to do a biopsy, the delay prevents people from getting procedures they don't need.