Re: 3 phase bone scan, injections in feet?Bone scan injections are given into a vein, usually in the arm. What you
had sounds like lymphoscintigraphy.
Radioactive material is injected into the web spaces between the toes
where it is picked up by the lymphatic system. Pictures are then taken
of the lymph channels and nodes as the material makes its way up the
leg. They also do this procedure using x-ray's and a dye instead of
nuclear medicine.
If they hadn't secured your legs, you would have moved and the pictures
would not have been any good.
I don't know how popular of a test it is where you are, but I haven't
done one in the 8 years I've been a nuc med tech here.
We do a similar test on patients with breast cancer called Sentinal Node
Imaging. You thought it hurt between your toes? Try around your nipple.
Andrew
DougD wrote:
> Hello, I'm the patient here, and I have a question about a 3 phase bone
> scan that I had about 6 years ago. I have RSD type problems in my
> lower right leg and foot, and at that time, there was a hint of sim. problems
> developing in my left leg as well. The surgeon who ordered the test said
> it was fairly normal, and for preperation, they gave me a 4% topical
> lidocaine ointment to apply to my feet. This of course was useless, and
> had I known what they were going to do, I would have never agreed to
> the tests, no matter how ill. Anyway, I was placed on the table and for
> the most part restrained from the waist down. The tech went to fairly
> elaborate lengths to secure both my feet, i.e. rolling up towels to pad on
> both sides, securing them down in a number of places. He then cleaned
> off whatever Lidocaine that was still there, and proceeded to place wads
> of cotton between 3 toes of each foot. When I saw the syringes being
> prepped, I knew I was in for some trouble, and he assured me that it
> would "be quick and not so bad"... After the first injection into the web
> between my big toe and the one adjacent, I just about hit the roof!! I
> was making such a racket I figured I must have been scaring the heck
> out of the other folks in there that were having other tests done, so I asked
> for a washcloth that I rolled up and stuck in my mouth for something to
> bite down on and muffle my profound and loud cursing, etc.
> So, he did SIX of these injections, three in each foot, and by the
> time he was done, I was drenched in sweat, and I noticed that the steel
> handbar for moving around the imagine machine above me that I had
> been hanging onto had broken loose at one corner from my stress!!
> Now, I'm not someone who faints at the thought of a pinprick, etc. but
> I find it incredibly hard to belive that this was in any way a "normal"
> procedure that would be done on say an 80 year old with a weak
> heart!! Has anyone here done this type of procedure on anyone?
> Is this how it's normally done, or is some type of local usually applied
> first? I've described this to others, in one case not letting on that it
> was part of a med. procedure and they thought I was referring to some
> type of torture! I mean, really, think about the old "needles under the
> fingernails", mine just went in between the toes, not much different...
> Anyway, interested in any comments from folks that know!
> Thanks!
>
> d.