And even in the times when your pain is persistent and your test results are normal, there are many things that we as pain medicine physicians can do to provide a patient with significant pain relief. How does it the patient describe the pain? Is it sharp? Is it dull? Is it aching? A good pain physician will be able to take that information, start thinking about how to best treat that patient. To put it simply, the amount of radiation from one adult chest x-ray (0.1 mSv) is about the same as 10 days of natural background radiation that we are all exposed to as part of our daily living. Then it's becomes who's the pain physician and the patient to actually extract a very good history as it relates to the pain. Or two, we don't have the adequate testing available to assess a pain. And it may be because it takes time for the test result to change. Their EMG may be normal, but yet they actually have pain. Because there are scenarios when patients, they have absolutely normal testing. And actually, that's the beginning of the time when a person should actually see a pain specialist. They've seen their primary care physician and they're starting to wonder as to whether or not this pain is all in their head, whether they're crazy. If any of the information is not consistent with what I have told you, please download the material and bring it in.— - Question: What If All The Tests Are Normal But I Still Have Pain?Īnswer: There are times when patients will present where all the tests are normal. However, I may not agree with all that is on that site, and it may have changed since I reviewed it. I have reviewed the sites that I have linked to, and have only linked to sites when I personally know the surgeon who posted it, or am a member of the organization that posted it. Theyve seen their primary care physician and theyre starting to wonder as to whether. Remember the admonition from the Patient Education Links Page: the Internet has a lot of information, much of it incorrect. A hand x-ray is taken in a hospital radiology department or your health care providers office by an x-ray technician. Answer: There are times when patients will present where all the tests are normal. Would you like to search the medical library of the National Library of Medicine for scientific papers on this topic? Just click on the Pub - Med image: We can't see the cartilage directly, but because we can see how close the bones are together, we can "see" how thick the cartilage is, indirectly. The joints closest to the fingertip (DIP joints) and the joint at the base of the thumb (thumb CMC joint) are the most common joints in the hand affected by osteoarthritis. Compare this to the normal hand x-ray above. The black lines between the bones is the cartilage. normal hand xray The x-ray below shows common findings in osteoarthritis of the hand. (Actually, it could be the front or the back and the xray looks the same, since the xrays go right through!) The bones are white, because the calcium in the bones stops the xray beam. This is a view of a normal hand, looking at it from the front, not the side and not at an angle. I want to empower you with information so that you can make better choices about your healthcare. If you have any questions, just write them down and bring them in with you when you come for your appointment. Click on the image that you are interested and a larger one will pop up. You can't really understand fracture xrays or arthritis xrays without knowing what is normal, can you? That is what this page is all about. You may have been looking at your own xrays in the office or at home, or you may have been looking at xrays on this website, and wondered what normal is. Normal Xray This Page is Designed to Help You Understand Your Xrays
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