My pain management dr has ordered a myelogram to be done on my back. I had a spinal fusion S1-L4-L5 in 2004 which failed and have had severe pain ever since to the point of disability. The pain mgmt Dr did an EMG in Feb and it showed degenerative disc disease (which I knew I had), nerve root compression and neuropathy. So now he has ordered a myelogram. He said that the pinched nerve is new and he wants to find out how severe it is. He said it is one level up from my previous surgeries of S1-L4-L5. I had a myelogram several years ago and had a severe reaction to it and was hospitalized for 6 days because of it. Also I have severe allergic reactions to the dye in CT scans and asked the dr if this dye is the same. He told me that they use a non-allergenic dye for myelograms. From what I am reading online that doesn’t seem to be true.
In addition, I am a brittle diabetic and take 6 insulin shots per day. I also suffer from chronic pancreatitis and the dye in CT scans always sends me into acute pancreatitis. I have been told by my panc specialist not to allow them to use dye on me anymore because of that. And I have moderate aortic stenosis which will require open heart surgery at some point.
My question is – with all of my conditions and particularly the hardware in my back, the allergy to CT scan dye and past history of bad reaction to a myelogram, would I not be better served by having a MRI instead? If it were you would you say no to the myelogram? I have no intentions of ever having another back surgery so I don’t know what my pain mgmt dr is hoping to achieve by having me take a myelogram. Would a MRI show what he needs to know about my nerve root compression?
Thanks!