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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Arthrogram With Contrast Medium Painful?

I am scheduled to have an arthrogram with contrast then MRI on my right knee. Iam very "pain sensitive" and have severe anxiety. Do Doctors ever administer a "twilight" type drug for this procedure as I understand it can be a very painful experience for the patient.
posted on Thu, 13 Mar 2014
Twitter Thu, 16 Oct 2014 Answered on
Twitter Thu, 16 Oct 2014 Last reviewed on
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Radiologist,  's  Response
Hi,
Thanks for writing in.

In MR arthrography of knee, there is direct arthrography and indirect arthrography. The direct arthrography involves a twilight or local anesthetic injection in to the knee joint followed by contrast injection and image acquisiton.

In the indirect MR arthrography, no injection is used. The computer and signals used highlight the area in the joint cavity to give appropriate information.
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Is Arthrogram With Contrast Medium Painful?

Hi, Thanks for writing in. In MR arthrography of knee, there is direct arthrography and indirect arthrography. The direct arthrography involves a twilight or local anesthetic injection in to the knee joint followed by contrast injection and image acquisiton. In the indirect MR arthrography, no injection is used. The computer and signals used highlight the area in the joint cavity to give appropriate information.