During your myelography, you’ll lie on an X-ray table while a technician ensures your comfort. Here’s what happens:

• Needle Insertion: A local anesthetic will be applied to the injection site. Then a needle will be carefully inserted into the spinal canal (typically in the lower back or at the base of the skull) to inject the contrast material.
• Contrast Material: This dye allows doctors to clearly see the shape and structure of the spinal cord and surrounding areas during imaging. It can cause a temporary warm sensation as it spreads.
• Imaging: X-ray pictures will be taken continuously as you remain in a specific position. Your head may be positioned to ensure the contrast does not enter the brain and cause complications such as seizures.
• Monitoring: Your pulse and breathing may be monitored during the procedure to ensure your safety.

Afterward, you may receive post-care instructions, which typically include keeping your head elevated and avoiding bending over or lying flat to reduce the risk of complications.

While myelography is generally safe, it is important to understand potential side effects and risks:

Common Side Effects: Nausea, headaches, or vomiting may occur in up to 20% of patients. These symptoms usually resolve within 24 hours. If symptoms persist, contact your physician.
Allergic Reactions: Some patients may experience allergic reactions to the contrast dye. Inform your doctor of any known allergies to help prevent this risk.
Seizures: In rare cases, if the contrast material reaches the brain, seizures may occur. However, Advanced Radiology's skilled staff use techniques to minimize this risk.

Proper preparation is essential to ensure a smooth procedure. Follow these steps before your appointment:

• Fasting: Do not eat or drink anything after midnight before your procedure.
• Medications: Discontinue blood thinners as instructed by your physician. Continue taking your scheduled medications with a small amount of clear liquid unless advised otherwise.
• Transportation: Arrange for a ride home, as you will not be able to drive following the procedure.

After the procedure, your doctor will provide instructions on how to manage any post-procedure discomfort and prevent complications. Common recommendations include:

• Rest: Keeping your head elevated and avoiding certain movements will help ensure a smooth recovery.
• Hydration: Drink plenty of fluids to help flush the contrast material from your system.