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Doctor insights on: Treatment For Marrow Edema

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Dr. Mark Pack
3 Doctors shared insights

Edema (Definition)

Fluid in the tissues, either caused by something local to the swollen area like an injury or inflammation, or from the body's retention of water. Gravity brings the fluid to the feet & legs in that case. As a general rule, if one foot is swollen, something is wrong with the foot. If both feet are swollen, it's not the feet, but water ...Read more


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What is the treatment for bone marrow edema?

Bone marrow edema: Depends on the cause & location. Bone bruising or bone marrow edema (bme) is generally due to trauma or stress. Some systemic illnesses can also cause it. Often it seenon mri. Bme or bone bruise is not treated; if symptomatic, the cause is treated. Conservative treatment, infusion of prostacycline or bisphosphonates, and surgery are options. "bone marrow edema syndrome" is an entity. ...Read more

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What are good treatment options for bone marrow edema of the foot?

What are good treatment options for bone marrow edema of the foot?

Bone marrow edema: One of the best options for bone marrow Edema of a bone in the foot is to offload the area. Bone marrow Edema is a precursor to a possible stress fracture. ...Read more

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I hv marrow edema in D10 vert on MRI, I hv no history of trauma or infection, I have pain in my mid back phys told it is injry. What treatment I take?

I hv marrow edema in D10 vert on MRI, I hv no history of trauma or infection, I have pain in my mid back phys told it is injry. What treatment I take?

Marrow edema: Marrow edema is nonspecific and can be caused by numerous abnormalities. The treatment would be for the underlying cause of the edema. It sounds like your physician thinks it is traumatic in nature. If you don't recall any trauma, you may have low bone density (osteoporosis) which can result in fractures with no or minimal trauma. Speak with your doctor about the next steps. ...Read more

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Can you translate my diagnosis and possible treatment options? I sprained my ankle 6 weeks ago and I just got an MRI done and here are the results (i need them translated into english): severe marrow edema/contusions in the medial aspect of talus, medial

Can you translate my diagnosis and possible treatment options? I sprained my ankle 6 weeks ago and I just got an MRI done and here are the results (i need them translated into english): severe marrow edema/contusions in the medial aspect of talus, medial

Needless: Needless to say, now that you have your MRI report, your questions are really best answered by your doctor.

So that you are properly armed with information, in general terms, you have several places where the bone has been injured, but not fractured around your ankle and foot. More significantly, you have a torn ligament on the outside (lateral) part of your ankle. The anterior talo-fibular ligament is the most frequently injured ligament in an ankle injury. According to the mri, this is a full thickness tear, or rather a complete tear, not just a few fibers. You also have some partial tears of other ligaments.

So, in short, you have a pretty significant soft tissue injury to your ankle. No fractures, however. Depending on your age and level of activity, there is a good chance you'll require surgery to repair at least one of those torn ligaments. And, since ligaments receive less blood than bone, they take longer to heal, so you'll probably be in a cast, off-weight bearing, for a couple of months, and also have a course of physical therapy.

Hope this helps. Good luck! ...Read more

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Non displaced fracture of 3rd coccygeal segment with diffused marrow edema. Wats this mean & what r treatment options? Injured 7 mos ago & no better.

Non displaced fracture of 3rd coccygeal segment with diffused marrow edema. Wats this mean & what r treatment options? Injured 7 mos ago & no better.

Let me try to help: This means you have fracture of the coccyex bone.
Avoid sitting down for long periods of time.
You can purchase a "doughnut" cushion or pillow to sit on.
Motrin and pain medications.
Eat foods high in fiber to soften stools and avoid constipation.
Sits bath twice a day.
Injections of steroid the painful sometimes required.
Rarely, you may need surgery. ...Read more

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From a lumbar MRI what does increased discogenic marrow edema & end plate degenerative changes at L4 & 5 mean and treatment?

From a lumbar MRI what does increased discogenic marrow edema & end plate degenerative changes at L4 & 5 mean and treatment?

Arthritis....: It means that the level of L4 and L5 that there is almost bone on bone causing changes at the endplate (spine body borders) and increased swelling in the underlying bone. Treatment varies, est to discuss with your doctor. ...Read more

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MRI shows: Severe left facet arthropathy, with extensive associated bone marrow edema. C4-C5. Is there any treatment to help alleviate this pain?

MRI shows: Severe left facet arthropathy, with extensive associated bone marrow edema. C4-C5. Is there any treatment to help alleviate this pain?

Varies: The MRI findings you describe can potentially cause neck pain, headaches, and pain that runs into the arm. Treatment options run from very conservative to more aggressive based upon the severity of the pain and results of an exam, but can include: medications, traction, physical therapy, epidural steroid injections, radio frequency ablation, and even surgical considerations. ...Read more

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20 yr old son, college baseball player, ulnar wrist pain, mri-intraocceous ganglion within lunate with marrow edema. Treatment? Worsen if plays?

20 yr old son, college baseball player, ulnar wrist pain, mri-intraocceous ganglion within lunate with marrow edema. Treatment? Worsen if plays?

Surgery: Would want to discuss directly with hand specialist, but would likely need surgery, although could potentially be done in off season. The combination of the ganglion inside the lunate weakening the bone and your sons sporting activity are causing edema in the bone, which is somewhat like having a stress fracture in the bone. If he has future hopes in baseball, will
Likely need to be fixed. ...Read more

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I had a coccygectomy. Have painful bone marrow edema (maybe from trauma of the surgery?) there's no infection. What treatments are there for this area

I had a coccygectomy. Have painful bone marrow edema (maybe from trauma of the surgery?) there's no infection. What treatments are there for this area

Coccygectomy probs: Bone marrow edema? The coccyx is gone. It is amputated at the joint with the sacrum. There should not be bone marrow edema from the surgery, and if not present preop, I would be suspicious of infection—sed rate, crp, white count normal? If surgery was years ago, then maybe some remodeling from reaction to stress/pressure. Continue to use a sitting pillow (wedge with triangle cutout, not donut). ...Read more

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What does diffuse marrow edema mean for the hip?

What does diffuse marrow edema mean for the hip?

Non-specific: This can be seen (on mri) in a variety of states. It can mean a recent traumatic injury, disruption in blood flow (seen in pregnancy), infection, or other processes. It is relatively non-specific, but if you give your radiologist a full history, they should be able to narrow the diagnosis. ...Read more

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I have endplate marrow edema at l4-l5 what should I expect?

Depends: Bone marrow edema is a nonspecific (and usually mild) finding on mri. It can be caused by trauma or infection (or post surgical inflammation). If you haven't had surgery on your back (such as a spinal fusion), may reflect local injury or inflammation. Your expected course depends on the details of your history and the cause for you. ...Read more

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What is small schmorl's node in d10, d11, d12&L1 vertebral bodies without any surrounding marrow edema?

Normal finding: These are protrusions of disc material into the surface of the vertebral body, which may contact the marrow of the vertebra and lead to inflammation (but usually don't cause any inflammation). However, these are not uncommonly seen and usually have no clinical significance. In other words, nothing to worry about and would not be a source of pain. ...Read more

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I have a consistent marrow edema with humrous in right shoulder and having so much pain since from a week?

I have a consistent marrow edema with humrous in right shoulder and having so much pain since from a week?

More information?: Hello. I presume you must have had some sort of radiology procedure performed (i.e. xray, MRI, CT). This certainly sounds like it should be evaluated by an orthopedic surgeon, especially if you have not had any trauma to the area. ...Read more

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What is bone marrow edema?

What is bone marrow edema?

No such thing!: I would ignore it. It does not mean anything. I would not be concerned about this as it is a nonentity! ...Read more

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Will bone marrow edema go away?

Will bone marrow edema go away?

Depends: Bone marrow edema is a term first used in 1988 to describe an abnormal signal pattern seen on the MRI of bone (usually of hip or knee) due to increased water content in the spongy bone portion called the marrow. Some doctors (orthopedics) may loosely use the term to describe resulting traumatic injury like a bruise to the bone in which case may resolve with healing in a few days. ...Read more

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Is bone edema the same as bone marrow edema?

Is bone edema the same as bone marrow edema?

Yes: Bone marrow is located in the interior of your bones. Bone marrow has blood vessels and lymphatic vessels. Under certain disease processes and trauma to the bone, the lymphatic or blood vessels get damaged, they leak out fluid and cause edema. ...Read more

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What does marrow edema or focal osseous lesion mean on an MRI?

What does marrow edema or focal osseous lesion mean on an MRI?

Marrow edema: Means abnormal fluid or swelling in the bone marrow. This is a nonspecific finding in and of itself, and can be due to numerous causes spanning the mundane to the malignant. Focal osseous lesion is also a generic descriptor of a focal abnormality of bone. It doesn't imply either benign or malignant. You need to talk to your doctor about it, ...Read more

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What is a focal marrow edema in the medial talar dome with cortical thinning and a 3mm cartilage defect?

What is a focal marrow edema in the medial talar dome with cortical thinning and a 3mm cartilage defect?

You injured your: Talus bone this is the bone that sits on top of the heel bone and connects the foot to the leg. This type of injury is known as a Berndt-Hardy injury. ...Read more

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What is bone marrow edema around the superior calcaneous?

What is bone marrow edema around the superior calcaneous?

Unclear question: Bone marrow edema is not a clinical entity. If you have swelling in the foot or ankle, that could be due to many reasons, e.g., local injury, or abnormal veins; if both sides are affected, then it may be due heart failure, low blood protein, and side effect of some medications. ...Read more

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Have slight bone marrow edema, which is usually caused by an injury. Could I have accidentally torn a ligament?

Have slight bone marrow edema, which is usually caused by an injury. Could I have accidentally torn a ligament?

Maybe: But wouldn't be likley to be related. The marrow is on the inside of the bone. Ligaments attach on the outside. A severe injury could cause both, but these would not necessarily go together ...Read more

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A follow up MRI states marrow edema or focal osseous lesion. Have pain & weakness lots of it. What should be the next step in figuring what going on?

A follow up MRI states marrow edema or focal osseous lesion. Have pain & weakness lots of it. What should be the next step in figuring what going on?

Not enough...: Information. What body part was imaged? How large is the area of abnormal MRI signal? What did the initial scan show and how has this changed? Over what time frame have any changes occurred? Where is your pain? Where is the weakness? How have these changed over time? First thing to do is talk to the physician who ordered this test for you. You and s/he can make a further plan from there... ...Read more

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Bone marrow edema on coccyx. What does it means?

See below:: It generally means injury to or an infective lesion in the coccyx. It is seen on mri. If you have had a fall onto butt, or involved in an accident, with pain in the tailbone, would indicate a fracture of the coccyx. Otherwise an infection can produce similar picture, but symptoms would include pain, fever, tenderness locally. ...Read more

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What does endplate bone marrow edema is decreased since previous MRI mean?

What does endplate bone marrow edema is decreased since previous MRI mean?

Appearance changing: That means that the amount of edema (like swelling) in the vertebral bodies has decreased compared to your earlier study. This may indicate improvement or treatment effect, however, these types of changes on MRI don't always correlate with the patient's symptoms. Hope that helps! ...Read more

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What causes prominent marrow edema on both sides of the AC joint, and what does it mean?

What causes prominent marrow edema on both sides of the AC joint, and what does it mean?

Shoulder pain: Hi there! Chances are you had an MRI of the shoulder for pain. Edema is swelling or water seen on the images. This is typically from inflammation or arthritis in the AC joint or point of the shoulder. If you have pain or tenderness in the area of the bump on top of your shoulder this is likely the cause. ...Read more

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What is the perfect solution for the bone marrow edema? And how can I get rid of it's terrible pain?

What is the perfect solution for the bone marrow edema? And how can I get rid of it's terrible pain?

Cant tell: It is unclear what you are asking. Have you had a procedure or accident or bone bruise because bone marrow does not become edematous. ...Read more

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I've been dealing with bone marrow edema for a few years and everything we have tried has been futile. I want to play lacrosse what should I do?

I've been dealing with bone marrow edema for a few years and everything we have tried has been futile. I want to play lacrosse what should I do?

I am not sure: It looks like you have had some imagng including and mri. I would think they are looking at cortical bone injury with the potential in a sport like lax. Bm edema is not specific. ...Read more

Dr. David Schleimer
1,498 Doctors shared insights

Swelling (Definition)

Swelling is the enlargement of organs, skin, or other body parts. It is caused by a buildup of fluid in the tissues. The extra fluid can lead to a rapid increase in weight over a short period of time (days to weeks). Swelling can occur all over the body (generalized) or only in one part ...Read more