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3 phase bone scan, injections in feet?

Reply from: DougD
Date: 29 Jan 2008, 04:37
3 phase bone scan, injections in feet?

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.
Oh, some consolation: about two months later when I was scheduled
for a followup with the surgeon, he was out ill, and his replacement
told me that my surgeon had just had the same tests! So, maybe there
is some kinda Karma at work here.. I only hope that if he had it the
same way I did, that in the future he'd order something more than just
a bit of over the counter lidocaine!!


Reply from: Andrew Kerr
Date: 30 Jan 2008, 00:27
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.

Reply from: DougD
Date: 30 Jan 2008, 10:33
Re: 3 phase bone scan, injections in feet?

In article <cDOnj.15865$2Z1.1356@read1.cgocable,net >, Andrew Kerr <apkerr@yahoo,com > wrote:
>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
>

What you described is what the test was for, my lymphatic system was in
a mess, however they used the term "bone scan" when they told me about
the procedure. I just find it hard to imagine why they couldn't give some
type of local anestetic, even two shots of lidocaine, etc. would have been
better than the six without. I guess I'm getting a bit paranoid as I've had
so many of these somewhat brutal tests done to me without any results
that have helped, and I'm starting to think that it's not worth putting myself
through anymore. Not trying to sound like I'm playing my violin right now,
but more curious as to the reasoning for having so many painful proc.
in this day and age. Thanks for the info!

d.




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