What if MRI shows nothing but still in pain?

The bottom line is that not all pain is able to be detected on an x-ray or MRI. That does not mean that there is nothing there that needs to be treated or diagnosed. In fact, it means that it is possibly a precursor to something going really wrong and then eventually needing surgery because it eventually winds up torn.
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Can an MRI miss something?

A false negative diagnosis made off an MRI scan could lead the neurologist and patient down an incorrect path and delay an accurate diagnosis, or potentially miss it entirely. While MRI is not the only piece in the puzzle for MS diagnosis, it plays a significant role.
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What does an MRI show and not show?

What does an MRI show? Nearly every part of the body may be studied with MRI. MRI gives very detailed pictures of soft tissues like the brain. Air and hard bone do not give an MRI signal so these areas appear black.
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Does MRI show inflammation?

MRI allows to assess the soft tissue and bone marrow involvement in case of inflammation and/or infection. MRI is capable of detecting more inflammatory lesions and erosions than US, X-ray, or CT. Standard scintigraphy plays a crucial role, and data from positron emission tomography (PET) are also promising.
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Do nerve problems show up on MRI?

Nerve damage can usually be diagnosed based on a neurological examination and can be correlated by MRI scan findings. The MRI scan images are obtained with a magnetic field and radio waves. No harmful ionizing radiation is used.
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My MRI and X ray were normal, so what is causing my pain? The answer is often seen in motion imaging



What does nerve damage feel like?

Nerve pain often feels like a shooting, stabbing or burning sensation. Sometimes it can be as sharp and sudden as an electric shock. People with neuropathic pain are often very sensitive to touch or cold and can experience pain as a result of stimuli that would not normally be painful, such as brushing the skin.
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Will an MRI show muscle damage?

An MRI is the best type of imaging for looking at tissue. Your physician may order an MRI on the damaged muscle to find or learn more about your injury. This type of muscle tear imaging can pinpoint the location of even the smallest muscle strains and determine whether a partial or complete strain has occurred.
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What shows up bright white on an MRI?

Small strokes are the most common cause of white spots on a brain MRI. Small strokes are often caused by blockages of small blood vessels due to high blood pressure and/or diabetes. Large strokes are usually caused by heart disease or carotid artery disease.
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Can you see arthritis on MRI?

Benefits of an MRI

MRI is the most effective way to diagnose problems within any joint and the image sensitivity makes it the most accurate imaging tool available in detecting arthritis and other inflammatory changes.
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Can MRI without contrast detect inflammation?

It accurately differentiates patients who have chronic transmural (fibrotic) disease and thus may require an operation from those with acute inflammation, whose symptoms may improve with aggressive medical therapy alone. MRI without contrast had comparable diagnostic yield to standard magnetic resonance enterography.
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Does everything show up on an MRI?

Possible findings. It is possible that an MRI may show that everything is completely normal; however, there are several things that could be seen on an MRI and this will vary depending on where in the body the scan is being done. An MRI is very good at showing up problems with soft tissues such as muscles and ligaments ...
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How accurate are MRI scans?

In our series of 112 patients with meniscal pathology, MRI scanning was 90.5% sensitive, 89.5% specific and 90.1% accurate. Conclusions: False positive MRI scans may lead to unnecessary surgery.
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Does the sciatic nerve show up on an MRI?

The cause of sciatic nerve pain is usually diagnosed using an MRI. Patients are not exposed to radiation. In addition, this procedure causes no pain and requires no recovery time.
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Why would a second MRI be needed?

In particular an MRI second opinion is particularly important for conditions where diagnosis demands a high level of radiology skill and when a mis-diagnosis may result in more invasive treatment or an irreversible treatment that may be unnecessary.
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Can MRI miss a tumor?

Imaging tests such as MRI and CT scans may show an abnormal area that is likely to be a brain or spinal cord tumor. But these scans can't always tell exactly what type of tumor it is. Often this can only be done by removing some of the tumor tissue in a procedure called a biopsy.
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Will osteoarthritis show up on MRI?

MRI can clearly identify some of the signs of osteoarthritis, including whether cartilage is wearing away. MRI can also detect signs of rheumatoid arthritis, but a doctor will also use a variety of other tests, such as blood tests. Doctors can distinguish between soft tissues and fluids using MRI.
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Does MRI show osteoporosis?

MRI has a role in detecting osteoporosis that the appearance of bone marrow is determined by its relative amount of protein, fat, water, and cells on MRI pulse sequence.
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Can rheumatoid arthritis be detected by MRI?

Magnetic resonance imaging (MRI) shows changes in bone and cartilage and can discriminate these from fluid and soft tissue around the joints, making it a good technique to measure synovial volume and inflammation characteristic of rheumatoid arthritis (RA).
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Do white spots on MRI mean MS?

White matter lesions observed on brain MRI are usually characteristic and occur in specific areas including the corpus callosum and pons. “However, in many cases, the white matter lesions as isolated observations are nonspecific” and could be due to MS or another cause, explained Drs Lange and Melisaratos.
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What do bright spots on an MRI mean?

Bright spots on an MRI can develop due to conditions other than MS – including stroke, head trauma, migraine headache, or Vitamin B12 deficiency. Certain infections, or other autoimmune diseases such as lupus or sarcoidosis, are associated with increased lesions in the brain.
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Is white matter the same as lesions?

Axons are surrounded by a fatty material called myelin, which insulates them like a sheath and gives white matter its color. Abnormalities in white matter, known as lesions, are most often seen as bright areas or spots on MRI scans of the brain. They can reflect normal aging; white matter deteriorates as people age.
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What scan is best for back pain?

The MRI (Magnetic resonance Imaging) was developed in the 1980's and has revolutionized treatment for patients with low back pain. An MRI scan is generally considered to be the single best imaging study of the spine to help plan treatment for back pain.
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How can you tell the difference between muscle pain and nerve pain?

Different Types of Pain

The pain is typically localized in the muscle itself, and it usually hurts when you use the muscle. You feel fatigued and may have trouble sleeping. Nerve pain is described as crushing, burning, tingling or numbness. It is sharp and you may feel pain on the skin above the nerves as well.
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What is the most common symptom of nerve damage?

The signs of nerve damage
  • Numbness or tingling in the hands and feet.
  • Feeling like you're wearing a tight glove or sock.
  • Muscle weakness, especially in your arms or legs.
  • Regularly dropping objects that you're holding.
  • Sharp pains in your hands, arms, legs, or feet.
  • A buzzing sensation that feels like a mild electrical shock.
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What are the warning signs of neuropathy?

The Top 17 Peripheral Neuropathy Warning Signs and Symptoms
  • burning pain radiating in hands or feet.
  • pins and needles in the extremities.
  • numbness and tingling.
  • weakness in arms and legs.
  • a knotted feeling in the soles and palms.
  • pain from the lightest touches.
  • difficulty walking.
  • pain from the pressure of walking.
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