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Doctor insights on: Bone Scan For Arthritis

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My WBC is 3. I have bilater bone pain in almost all my joints. Does that warrant a bone scan. Could arthritis affect all the joints at once?

My WBC is 3. I have bilater bone pain in almost all my joints. Does that warrant a bone scan. Could arthritis affect all the joints at once?

Sounds like: A difficult problem. Diffuse joint pain could mean a lot of things, such as occult infection, inflammatory disorders such as rheumatoid arthritis, drug side effect, kidney or liver disease, etc. It is best to get to a doctor as soon as possible., ...Read more

Dr. Thomas Namey
2,426 Doctors shared insights

Arthritis (Definition)

A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more


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What is a bone scan used for by an arthritis specialist?

What is a bone scan used for by an arthritis specialist?

Bone scan: A bone scan is a nuclear med test to check for possible tumor, fracture, or infection. ...Read more

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How does an arthritis specfialist use a bone scan?

How does an arthritis specfialist use a bone scan?

Several reasons: Not everything that causes symptoms similar to arthritis is actually arthritis. Most helpful bone scan is two phases, early soft tissue and delayed bone. Soft tissue of joints can show which joints are hyperemic or active. Delayed images may be normal. Multifocal osteomyelitis (crmo), metastatic disease, osteorotic bone with fractures, etc. Are causes. Bone scan can rule out mimicers of arthritis. ...Read more

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Increased uptake on bone scan on left humerus, I suffer from psoriatic arthritis as well as ankylosing spondilitis. What does this mean?

In joint or not: If this is in either end of the humerus near or in the joint it could be due to your psoriatic spondyloarthropathy. If in the shaft and there is no injury it requires further investigation. ...Read more

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4 steroid injections;arthritis in facet joints by pain dr no relief until today, 2 weeks later. Went to my ortho ysterdy he wants bone scan terrified?

4 steroid injections;arthritis in facet joints by pain dr no relief until today, 2 weeks later. Went to my ortho ysterdy he wants bone scan terrified?

Cause of pain: Bone scan involves intravenous injection of radio tracer usually technetium 99m mdp which accumulates in skeleton. Bone scan very sensitive but not specific. Bone scan can show increased bone metabolism and source of pain. Increased uptake is seen in fractures, tumors, infection, etc. If scan localizes pain area, then correlative imaging with MRI or ct scan will help your doctor in treating pain. ...Read more

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Bone scan showed increased vascularity in pelvis. Could this be arthritis in my lumbar spine?

Bone scan showed increased vascularity in pelvis. Could this be arthritis in my lumbar spine?

Are you: Referring to the vascular phase of a 3 phase bone scan? Lumbar spine pathology would localize to the lumbar spine on the bone scan, not the pelvis. ...Read more

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What is a bone scan for?

What is a bone scan for?

Cancer or pain: Usually in adults it is used to detect metastatic cancer. It also is frequently used to evaluate for possible stress fractures and other bone problems. ...Read more

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How can I convert bone scan t-scores to z-scores?

How can I convert bone scan t-scores to z-scores?

Not usually: T scores are for patients over 18 yr and z scores for children under 18 yr. The controls for children are bases on ages, color, and sex. The t scores are compared to other adults. Dexa centers who perform studies on children have software to generate both values. T scores cannot be used accurately for children and z scores not in adults. ...Read more

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How do they do a bone scan on knees?

How do they do a bone scan on knees?

A radionuclide: Is injected intravenously, and immediate and delayed images are usually performed by placing you on the camera (gamma camera). ...Read more

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How do bone scan and a pet scan differ?

How do bone scan and a pet scan differ?

Tracers..: The tracers are different. Bone scan usually uses TcMDP and PET scan uses F18-FDG (glucose). The bone scan is good for showing osteoblastic bone lesions and shows increased bone activity around a metastasis but not the actual metastasis itself. The PET can show glucose uptake in the actual tumor itself. PET is better for lytic bone lesions. CT part of PET/CT can show lytic and blastic lesions. ...Read more

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Can cancer be caused by having a bone scan?

Can cancer be caused by having a bone scan?

Essentially not.: There is radiation with a bone scan, but it's reasonably low. Your drive to the clinic/hospital was probably more dangerous than the scan itself. ...Read more

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What are the bright white spots on a bone scan?

Isotope deposits: A bone scan invovles injecting a radioisotope into the body. The brighter white areas are where the body has deposited more of the isotope than the less bright areas. Some of this is normal, such as in the bladder but some of these areas may be abnormal. ...Read more

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Is a bone scan useful to diagnose childhood leukemia?

No: Diagnose will be made by getting specific blood work and ultimately a bone marrow aspirate and biopsy. Bone scan will not be useful to diagnose leukemia. ...Read more

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What are the the signs of a suspected crps in a bone scan?

What are the the signs of a suspected crps in a bone scan?

3 phase bone scan...: Usually a 3 phase bone scan is performed for crps (rsd). For adults, the classic scan is positive on all three phases with increased periarticular uptake on delayed phase. ...Read more

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What does nonarticular osteoblastic focus mean on a bone scan?

What does nonarticular osteoblastic focus mean on a bone scan?

Increased uptake: Osteoblastic is term for new bone formation usually describing radiographic appearance. Translated to bone scan this means increased uptake which can be bone repair of infection, fracture, or tumor. Bone scans are very sensitive to bone turnover but not specific. Some primary bone tumors are osteoblastic in that they form bone. Nonarticular means focus of uptake away from a joint. ...Read more

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What exactly does it mean when your kidneys show up on a bone scan?

See answer: Likely you had an examination with tc-99m mdp and some of this agent is normally excreted in the kidneys and will appear on the bone scan. ...Read more

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My husband was diagnosed with rsd from a bone scan. What do we expect?

My husband was diagnosed with rsd from a bone scan. What do we expect?

Need therapy: Reflex sympathetic dystrophy is characterized by group of symptoms including pain (often "burning" type), tenderness, and swelling of an extremity associated with varying degrees of sweating, warmth and/or coolness, flushing, discoloration, and shiny skin. May be associated with injury to the nerves, trauma, surgery. Some therapy medication NSAIDS or sympathetic blockade. ...Read more

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Can you tell me the difference between a bone density test and a bone scan?

Can you tell me the difference between a bone density test and a bone scan?

Yes: Bone density tests measure the amount of calcium in the bone to determine a person's risk for fractures. Bone scans use a radioactive tracer to identify areas of abnormally high cellular activity in the bone. Some conditions that may show up on a bone scan include recent fractures, infections of the bone, or some forms of cancer in the bone. ...Read more

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What does radiopharmaceutical uptake from a bone scan mean in layman's terms?

What does radiopharmaceutical uptake from a bone scan mean in layman's terms?

Tracer uptake: Read the report. But it sounds like it means that there is increased bone metabolism at that location. The radiopharmaceutical maps calcium activity (osteoblastic) of the bone. Can have increased metabolism in response to mechanical stress, a fracture, cancer, infection, and miscellaneous reasons. ...Read more

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My bone scan showed single puncate in left anterior 5th rib. What does that mean?

It means: There is an area of increased metabolic bone activity in that rib. Unfortunately, it is a very non specific finding and could be due to a variety of traumatic, inflammatory, or neoplastic processes. Talk to your doc about the significance in your case. ...Read more

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I'm only 34 and I have osteopenia (according to a bone scan). What can I do for it?

I'm only 34 and I have osteopenia (according to a bone scan). What can I do for it?

Dexa: Bone scan involves intravenous injection of radiopharmaceutical and imaging of the skeleton to assess areas of abnormal bone metabolism. Dual-energy x-ray absorptiometry (dxa)measures bone mineralization of hips and spine. Very low radiation form of x-ray, that is used to measure bone loss. Medication can be taken to increase bone mineralization. Dxa should not be repeated for at least 6months. ...Read more

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Will smoking react with the radioactive injection I got today when having a bone scan?

Indirectly: Smoking in general is not good for your health, but does not interfere directly with study. Sometimes secondary effects such as cancer are detected on bone scan. ...Read more

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Can I have sexual intercouse after I have a bone scan while the nuclear chemicals are still in my blood?

Yes.: A woman who is pregnant or breastfeeding should notify the clinic before receiving the radiotracer injection, but there are no restrictions for sexual intercourse. ...Read more

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Once you have taken boniva, (ibandronate) do you take it for life? I have taken it for two years and bone scan has improved.

Once you have taken boniva, (ibandronate) do you take it for life? I have taken it for two years and bone scan has improved.

This: This is a controversial issue. Boniva (ibandronate) can be taken indefinitely for osteoporosis, however some studies show that after about five years there is no further benefit.
The good news in your case is that your scan has improved. Your doctor will be able to guide your treatment plan based on your history and the results of your scan. This is something you will decide along with the medical guidance from your provider.
Continue to take calcium plus vitamin d daily as prescribed by your doctor, and continue to live a healthy life.
Best of luck. ...Read more

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Will a bone scan light up an area where an bone tumor was removed years before or does it mean the tumor has possibly returned?

Will a bone scan light up an area where an bone tumor was removed years before or does it mean the tumor has possibly returned?

It depends.: Depends on the pattern and morphology of where the bone scan is hot. If it lights up in a focal fashion, it would be at least possible that a tumor could have returned, or a second new tumor could have formed. Alternatively, if the bone scan lights up along the margin of surgical resection, it could simply represent normal bone healing that is expected after an orthopedic procedure. ...Read more

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My dr thinks I am too young to have a bone scan done. What other paths can I take to be checked for osteosporosis, cancer, etc?

Appropriate reason: Dexa scan is used to assess bone mineralization and bone scan is usually for detecting metastatic disease, occult fractures, infection etc. Insurance will not approve unless doctor has appropriate reason for study. For instance postmenopausal woman, frequent fractures, inflammatory bowel disease, certain meds for ge reflux for DEXA scan. ...Read more

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Can I have do a bone scan with radiation in the IV if I can't handle IV iodine contrast? I don't want to have the same reaction.

Can I have do a bone scan with radiation in the IV if I can't handle IV iodine contrast? I don't want to have the same reaction.

There are: Contrast substances which can be used (or an "alternative" diagnostic test) for people with sensitivity or allergy to Iodine!!!

Your ordering physician MUST be TOLD!
Hope this is helpful
Dr Z ...Read more

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How am I being determined a candidate for a Fulkerson procedure or not after failed lateral release by my dr ordering a bone scan?

How am I being determined a candidate for a Fulkerson procedure or not after failed lateral release by my dr ordering a bone scan?

Not likely as B Scan: Will not help in making that determination. He will take a proper HX and do a clinical Exam to ensure the Dx is in keeping with your symptoms. He might have to repeat LR again, by open means (if the first time it
was done arthroscopically).
Generally a Bony procedure is indicated if the soft tissue procedures failed or if the cause is bone-related.
Good Luck. ...Read more

Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


Dr. Robert Lowe
1,559 Doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more