How to Prepare
Advise your doctor before your Arthrogram if you:
- Are or might be pregnant.
- Are allergic to any type of contrast material, or have any other allergies.
- Are allergic to any medications, including anesthetics.
- Have ever had a severe allergic reaction (anaphylaxis).
- Have asthma.
- Have bleeding problems or are taking blood-thinning medication.
- Have a known infection.
Before the Procedure
Generally, arthrography is as follows:
- Your physician will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure.
- You will be asked to sign a consent form that gives your permission to perform the procedure.
- Generally, there is no special restriction on diet or activity prior to this procedure.
- Notify your physician if you are sensitive to or are allergic to any medications, latex, tape, anaesthetic agents (local and general), contrast dyes, iodine, or shellfish.
- Notify your physician of all medications (prescribed and over-the-counter) and herbal supplements that you are taking.
- Notify your physician if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It may be necessary for you to stop these medications prior to the procedure.
- If you are pregnant or suspect that you are pregnant, you should notify your physician.
- Based upon your medical condition, your physician may request other specific preparation.
During the Procedure
- You will be asked to remove any clothing, jewelry, or other objects that may interfere with the scan.
- You will be given a gown to wear, and a locker to place your clothes in.
- You will be positioned on the examination table in the Ultrasound room.
- The skin around the joint to be examined will be covered with sterile drapes and cleaned with an antiseptic solution.
- The area around the joint will be numbed by injection of a local anaesthetic. You will feel a numbing sensation.
- If there is fluid in the joint, this fluid might be aspirated (removed) with a syringe.
- The contrast will be injected into the joint.
After the Procedure
- You may be asked to rest the joint for several hours after the procedure.
- Avoid strenuous activity for 24 hours.
- Some mild swelling may be noted in or around the joint. You may apply ice to the joint if swelling occurs. If swelling continues or increases after a day or two, you should notify your physician.
- Take a pain reliever for soreness. Avoid Aspirin or certain other pain medications that may increase the chance of bleeding. Be sure to take only recommended medications.
- You may notice some clicking or cracking noises with movement of the joint for a few days after the procedure. This is normal, and should resolve within a few days.
- Notify your physician of any of the following:
- redness, swelling, bleeding, or other drainage from the injection site
- increased pain around the injection site