Cervical and Lumbar Myelogram: A Diagnostic Tool for Spinal Issues in New Jersey
A cervical or lumbar myelogram is an advanced diagnostic test used to assess the spinal cord, nerve roots, and surrounding structures in the cervical (neck) and lumbar (lower back) regions of the spine. This test is often recommended when an MRI or CT scan doesn’t provide sufficient detail for a diagnosis. By injecting contrast dye into the spinal canal, a myelogram can reveal detailed images that help diagnose conditions such as herniated discs, spinal stenosis, or nerve compression. At the New Jersey Spine Institute, Dr. James Dwyer and Dr. Paul Vessa utilize myelograms to gain crucial insights, enabling a precise and personalized treatment plan.
Symptoms and Conditions Diagnosed by Myelogram
A cervical or lumbar myelogram is typically recommended for patients who exhibit symptoms such as:
- Chronic neck or lower back pain: Persistent discomfort that hasn’t responded to conservative treatments.
- Radiating pain: Pain that travels from the neck to the arms or from the lower back down to the legs.
- Numbness, tingling, or weakness: Particularly in the arms, hands, legs, or feet.
- Difficulty walking or maintaining balance: In cases where spinal compression is suspected.
These tests can diagnose various spinal conditions, including:
- Herniated or bulging discs
- Spinal stenosis
- Bone spurs (osteophytes)
- Nerve root compression or inflammation
- Spinal cord abnormalities
Causes of Spinal Conditions Diagnosed by Myelogram
Conditions that may lead to a cervical or lumbar myelogram include:
- Degenerative disc disease: Age-related changes in the spine.
- Arthritis: Wear and tear of the facet joints or vertebrae.
- Spinal injuries: Trauma or accidents that cause spinal damage.
- Congenital spinal deformities: Conditions present at birth that affect spinal health.
How Cervical and Lumbar Myelogram is Performed
At the New Jersey Spine Institute, Dr. Dwyer and Dr. Vessa ensure that the myelogram procedure is safe and comfortable for every patient. Here’s what to expect:
- Contrast Dye Injection: A contrast dye is carefully injected into the spinal canal to highlight nerve roots and the spinal cord.
- Fluoroscopy or CT Imaging: Real-time X-rays or CT scans capture detailed images of the spine, allowing for a thorough assessment.
- Post-Procedure Observation: Patients are monitored briefly to ensure there are no immediate side effects.
Recovery and Results
After a myelogram, patients can typically resume light activities within a day. Some may experience mild side effects, like headaches, which generally resolve with rest. Results are typically available within a few days, allowing your spine specialist to create a treatment plan that addresses your specific needs.
FAQs About Cervical and Lumbar Myelogram
Q: Is a myelogram painful?
A: A myelogram is usually well-tolerated, with local anesthetic used to minimize discomfort. Some patients may feel mild pressure during the injection.
Q: How long does a myelogram take?
A: The entire procedure takes about 30-60 minutes, with an additional short observation period.
Q: Are there any risks with a myelogram?
A: While generally safe, some patients may experience headaches, nausea, or mild dizziness. Serious complications are rare.
Q: How is a myelogram different from an MRI?
A: A myelogram provides more detailed images of spinal nerves and can be particularly useful if metal implants or other limitations make MRI imaging challenging.
Q: What conditions can a cervical or lumbar myelogram detect?
A: Myelograms are especially useful for diagnosing spinal stenosis, herniated discs, and nerve root compression that may not be fully visible on other imaging tests.