Myelogram

A myelogram is a special x-ray of the spinal canal using x-ray dye or contrast. It is used to check if there is a narrowing of the spinal canal or disc herniation compressing the nerve. Myelograms are requested for patients who are experiencing neck or back and/or nerve pain down the legs or arms.

The procedure takes an hour to perform, however you should plan to take the entire day off to rest. You will be positioned on your stomach on the x-ray table. Your lower back will be cleansed with betadine. A local anesthetic will be administered to your lower back. A needle is then inserted into the spinal canal and x-ray contrast is injected. X-rays will be taken of your spinal canal with you in different positions. Following the myelogram you will be taken for a CT scan.

Depending on the radiologist and how the procedure went, you may stay for a couple of hours so our nurses can monitor your vital signs. A radiologist will review the x-rays and CT scan films and prepare a report for your physician. This report will be sent to your physician's office.

Patient Preparartion:

1. The night before the exam drink plenty of clear liquids such as water, juice, and tea. You need to be well hydrated before the exam.
2. The morning of the exam eat a light breakfast then do not have any solid foods before the exam. Continue to drink clear liquids.
3. A nurse will contact you the day before the exam to discuss your medical history.
4. A friend or relative should drive you home.

After Discharge:

1. Sit in upright position for 4-6 hours.
2. Drink plenty of clear fluids.
3. Limit your activity for 24 hours.
4. If you develop a headache after 6 hours, lie flat in bed, drink plenty of fluids especially caffeine. If the headache persists or is accompanied with nausea or vomiting call the radiology department.

Precautions:

1. Tell the technologist if you have any allergies to medicine or x-ray dye.
2. Because x-ray is used for this study you should inform the radiologist or technologist if there is any possibility that you are pregnant.
3. Tell the nurse or radiologist your entire list of medications that you are taking.