Take an MRI and say that it is pea bone edema, do you have any friends who understand? 60

Bone marrow edema is the appearance of obvious edema lesions in the bone marrow, which is usually caused by disease or severe trauma, and special examinations are required to effectively determine the degree of disease. Bone marrow is a very important part of the body, and edema needs to be relieved in time, otherwise it may cause infection or even injury. In response to the problem of bone marrow edema shown by MRI and the treatment method, let Dai Jianwu, deputy chief physician of the Twelfth People's Hospital of Guangzhou, explain.

What does an MRI show bone marrow edema indicate?

Magnetic resonance imaging shows bone marrow edema, mainly physiologically reactive myeloid edema, which is reversible and usually disappears completely after two weeks. Therefore, there is no need for special treatment, and there is secondary bone marrow edema, which is mainly caused by infectious diseases, such as suppuration ** infection, or because of bone and joint trauma, tumors, ischemic bone diseases, immune bone and joint diseases, degenerative bone and joint diseases, and may also be caused by blood system diseases, or because of gouty joint disease. Although it may not be particularly easy to tell by imaging findings, it can be combined with the patient's clinical symptoms.

and other tests can determine the specific cause.

What should I do if MRI shows bone marrow edema?

Magnetic resonance examination shows bone marrow edema, the most common cause is caused by trauma, because magnetic resonance examination is very sensitive to edema caused by trauma, even minor trauma may cause bone marrow edema, so if bone marrow edema occurs, it is still necessary to judge the specific severity in combination with the patient's clinical symptoms, and it may also be caused by bone tumors, or because of blood system diseases. Therefore, it is best to combine the imaging manifestations of other imaging examinations for comprehensive analysis and judgment, if it is caused by trauma, there is generally no need for special treatment, this edema can be slowly recovered, and no special medication or surgery is required**.

After the MRI examination shows that the bone marrow edema is found, it is also necessary to determine the nature of the bone marrow edema, because the bone marrow edema caused by physiological response and the infectious disease are two completely different concepts that need to be treated separately. These two types of myeloedema have the same harm, but the complications that may be caused are different, so it is necessary to control the complications at the same time.

Magnetic resonance imaging and CT are the protagonists of every hospital's imaging department, providing great help to clinicians in diagnosing diseases. CT and magnetic resonance imaging have their own advantages in clinical use. The differences between the two are as follows.

1.The imaging principle is different CT emits X-rays through the tube to penetrate the human body, and the machine can collect and convert the X-rays that penetrate the human body to form image information. Nuclear magnetic resonance (NMR) is a radio frequency generator that emits radio frequency pulses, so that when the human body enters its magnetic field, the different reactions formed by different components of the human body are collected to form images;

2.Different ionizing radiation CT has a certain amount of radiation, and the radiation of different parts is different, and the radiation of non-contrast scanning, enhancement, and CTA is different. Whereas, NMR has no ionizing radiation.

3.Imaging time varies Nowadays, 64-slice and 128-slice CT imaging is extremely fast, and even CT scans of the head, neck, chest and whole abdomen can be enhanced in just a few minutes. Magnetic resonance imaging is slow, MRI imaging of a site takes at least 10-20 minutes, including positioning, if you do an enhanced MRI, you also need to inject a contrast agent, which takes more time, so MRI is very limited to patients every day.

Bone trauma, cervical and lumbar spine diseases, stones, chest examination. In addition, CTA is required for coronary artery disease to examine the coronary arteries. Magnetic resonance imaging (MRI) is superior to CT for cranial, spine, and myelopathy.

Magnetic resonance imaging has more than CT imaging parameters and a high degree of soft tissue resolution, its contrast to soft tissues is significantly higher than CT, it can show the structure of blood vessels without angiography, so the mutual identification between blood vessels, masses, lymph nodes and vascular structures has its own uniqueness.

5.**Different Compared with MRI, CT is relatively cheap, MRI equipment is expensive, imaging is slow, and MRI is more expensive if the same part is done.

6.Magnetic resonance imaging (MRI) can be done by anyone except pregnant women, and an MRI machine is a giant magnet, so MRI cannot be done in patients with a pacemaker, a steel plate, or other metal material in the body.

CT and MRI have their own characteristics, as far as patients are concerned, only the best one is suitable for them, and do not blindly pursue the most expensive examination. For example, if a patient with hemiplegia comes to the emergency department, due to the urgency of the condition, CT must be done first to rule out the possibility of cerebral hemorrhage, and if there is no cerebral hemorrhage, CTA examination can be performed to determine the location and scope of cerebral infarction, and timely thrombolysis treatment can be carried out. If there are contraindications to thrombolysis, CTA can be omitted, and elective MRI examination can be performed under the premise of conservative **.

If it is a brain tumor, spinal cord lesion, or articular muscle lesion, magnetic resonance examination is preferred.

This is the inhibition of fat hyperintensity, combined with the long T1T2 signal, which refers to joint effusion, which is the signal of water. The hyperintensity of the lipid suppression sequence that appears later can be said to add a scanning method, which is a magnetic resonance description of the different display of the scan sequence, and there is no need to worry about it, and the loose body is generally a small bony free body.

T1 and T2 are a representation of MRI and are a sign of tissue damage. According to the results of your MRI, it is indicated that there is damage to the tissue structure, which should be investigated** and carried out under the guidance of a doctor**. You should live a regular life, pay attention to rest, do not smoke and drink, eat a light diet, eat more vegetables and fruits, and drink plenty of water.

Magnetic resonance examination found that the long T1 and T2 signal shadow in the joint cavity is an effusion in the joint cavity, and there will also be a small amount of fluid in the normal joint cavity to lubricate the joint, and in the pathological case, the amount of fluid will increase.

Problem analysis: Hello, according to the situation you have described, consider the manifestation of edema due to spinal cord injury caused by lumbar disc herniation compressing the spinal cord, and there is no concept of bone marrow edema.

Suggestions: It is recommended that you can first consider conservative**, such as physiotherapy, traditional Chinese medicine, etc., in addition, strict bed rest, waist girching, etc. are also very important, if it is not necessary, try not to operate**.

At present, it is considered that it may be related to the poor recovery and healing of the fracture for a long time, or the formation of joint effusion accompanied by bone marrow edema symptoms due to traumatic osteoarthritis, and further treatment can be considered in the orthopedic department of the hospital, and anti-inflammatory, analgesic and swelling drugs can be given as appropriate to relieve the symptoms, and at the same time, if there is a large amount of joint effusion, puncture and aspiration can be considered**. During the recovery process, minimize overexertion, such as hiking, climbing stairs, running and jumping, and other activities may lead to poor recovery.

1.What kind of concept do you mean by being "good"?

2.Your son has a "fracture of the triangular bone and pea bone", what kind of fracture is it, linear? Avulsion? Comminuted? Or is it something else?

Of course, considering the general situation, since it is a running fall, it should not be very serious, as long as it is fixed with a plaster cast on the basis of not affecting the shape of the wrist, and there will be no impact on the functional exercise in the later stage!

Functional exercises are important and they affect the dexterity of the fingers later on.

If there is no misalignment, it is possible! If the location changes, it's not something that can be solved by plaster.

Analysis: Because magnetic resonance examination is very sensitive to general edema and contusion, so in general trauma, especially in the acute stage, you will get this kind of abnormal signal in many bone parts, in fact, this is a general contusion, not a fracture, and the general symptoms will improve in a few days or a week.

Suggestion: Unless there is no trauma, if such a result is detected, it is significant, because the absence of trauma is usually a sign of bone disease. And trauma, these are basically not too much of a problem.

All you need to do is do some physiotherapy, hot compresses, external Chinese patent medicines, etc.

The child should be examined for edema, and it is considered that the child has a history of abnormal frank foci at birth, such as ischemic-hypoxic encephalopathy. It is recommended that filial piety should be carried out as soon as possible to protect brain cells, etc.**.

You said that you sprained your leg and knee last year, and after rubbing the oil, your leg hurts today. Go to the hospital and see it. The doctor said that he wanted to take an MRI, and he said that he had bone marrow edema.

After coming back. After applying a hot towel, it became even more swollen. Since you go to the hospital, go to the doctor and show you.

You just listen to the doctor. Don't mess around. You can treat the doctor as you tell you to.

It'll get better sooner.

You handled it wrong, the edema should not be applied with a hot towel, but with ice, but this can't**, and eventually you still have to ask a doctor**.

Bone marrow edema, can not be used to compress, will be more swollen, this disease is recommended to go to the hospital**, or go home to recuperate, and can not walk more.

If the bone marrow is edema, it is not possible to solve it with external application, and it is best to ** as soon as possible, so as not to affect walking in the future.

When I went to the hospital, I did it according to the doctor's arrangement. Don't dare to mess around.

Don't use hot water compress for edema, you should use ice packs, hot towels will only have the opposite effect, the principle of thermal expansion and cold contraction.

The bone marrow is edema, and I can only follow the doctor's words, and this should be hospitalized and treated slowly.

Trust the science! Stop believing in superstitions. It will not be wrong to see the checklist and prescribe the right medicine, there are no doctors here, you must see the checklist, look at the actual situation of the patient, and don't mess around.

Hello, in this case, it is recommended that you can have acupuncture physiotherapy, acupuncture has the effects of anti-inflammatory and pain-relieving, reducing swelling, promoting blood circulation, etc., by changing the blood flow and blood flow speed of the affected area. Pay attention to local warmth.